Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study

Coronado, Rogelio A.; Sterling, Emma K.; Fenster, Dana E; Bird, Mackenzie L.; Woosley, Vickie L.; Burston, Alda M.; Henry, Abigail L.; Huston, Laura J.; Vanston, Susan W; Cox, Charles L.; Sullivan, Jaron P.; Wegener, Stephen T.; Spindler, Kurt P.; Archer, Kristin R.

doi:10.1016/j.ptsp.2020.01.004

Cited by 44 publications

(58 citation statements)

References 61 publications

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“…(2019) 28 USA Videoconference 26 97.8% nondisplaced pediatric elbow fractures NR Coronado RA et al. (2020) 29 USA Telephone 8 100% Cognitive-behavioral-based physical therapy NR Kane LT et al. (2020) 30 USA Videoconference 33 94.1% very satisfied or satisfied Post operative followup of rotator cuff repair NR Cheng O et al.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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Background: The current COVID-19 pandemic has implications on the morbidities of orthopedic patients due to lack of routine follow-ups, and inpatient and outpatient-based interventions. Telemedicine has recently emerged as an alternative for healthcare delivery to the patients and providing them with important information about orthopedic self-care and medications that can be followed without a hospital visit. However, due to lack of physical assessment, telemedicine is bound to have some limitations as well. The aim of this study is to analyze the effectiveness of proactive telemedicine in maintaining follow-up of orthopedic patients, and their satisfaction with telemedicine as an alternative mode of treatment delivery. Methods: This one-month cross-sectional study enrolled the follow-up patients that visited the orthopedic outpatient-department in February 2020. The patients were sequentially called according to the order of their registration, on a daily basis. Consenting patients were provided with telemedicine-based consultations, and those requiring physical evaluation were called for outpatient visits after documenting the valid reasons. The response-rates and the volume of patients requiring physical visits were measured for different diagnosis-based groups. Patients were asked to complete a questionnaire that included overall patient satisfaction with telemedicine, its effectiveness, and ease in following the telemedicinebased treatment. Results: The response rate to telemedicine was 88.67%. Among the patients availing telemedicine, 71.43% were managed without needing physical visits to the outpatient-department. The need for physical examination and failed patient-doctor communication were the most common reasons for advising physical outpatient visits. The overall satisfaction-rate to telemedicine was 92%, and only 7.2% of patients had difficulty in understanding or following telemedicine-based advice. Conclusions: Telemedicine can effectively reduce the need for physical visits to outpatient-departments for follow up of orthopedic patients. The response-rate and overall patient-satisfaction rates to telemedicine are high. Further efforts in expanding the use of telemedicine and addressing its limitations, especially those related to the failed communications, are needed to develop it as an alternative to physical orthopedic consultations in the current situation.

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Section: Discussionmentioning

confidence: 99%

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Kumar¹,

Kumar²,

Kumar³

et al. 2020

Journal of Clinical Orthopaedics and Trauma

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“…[ 24 ] Visual imagery was found to decrease fear of movement/reinjury, [ 25 ] while modeling video interventions increased the early rehabilitation self-efficacy. [ 11 ] Internet-based intervention [ 8 ] and cognitive behavioral-based physical therapy [ 6 ] were evaluated for their effectiveness in increasing self-efficacy and decreasing fear of reinjury/movement. Despite this effort, the small sample size, short study duration, and heterogeneity in types of interventions and outcome scales have limited their use as additive therapy.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 , 8 , 24 ] The modeling video intervention showed few positive results, but lasted for 6 weeks. [ 11 ] Two studies lasted for 3 months, [ 8 , 25 ] while 3 studies [ 6 , 24 , 26 ] lasted for 6 months; these studies showed conflicting results. Considering that postoperative rehabilitation can last up to 6 months, psychosocial interventions need to match the course of physical rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, a pilot study investigated the feasibility of cognitive behavior therapy over the telephone. [ 6 ] The strategies of cognitive behavioral therapy included controlled breathing, grounding, setting activity goals, monitoring self-talk, setting daily intentions, present-mindedness, managing setbacks, and guided imagery. Also, the patient and therapist worked together and organized an action plan tailored to the patient's goals.…”

Section: Discussionmentioning

confidence: 99%

“…[ 5 ] In particular, self-efficacy, fear of reinjury, and fear of reinjury/movement were reported to be the primary reasons for inability to return to sports. [ 6 ] These studies suggest that integrative interventions should not only address functional ability but also psychological risk factors that are necessary to elicit better clinical outcomes following ACLR. To date, 5 randomized controlled trials (RCTs) have examined guided imagery and relaxation, coping modeling, visual imagery, and web-support intervention as potential psychosocial interventions.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of modeling videos on psychological responses of patients following anterior cruciate ligament reconstruction

Rhim¹,

Lee²,

Jeon³

et al. 2020

Medicine

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Background: To date, much of the rehabilitation following anterior cruciate ligament reconstruction (ACLR) has centered on physical components. However, clinical outcomes including return to sport after ACLR depends on not only physical recovery but also psychological components. This study was performed to assess the feasibility of 6-month modeling video intervention on psychological responses following ACLR. Methods: Following the baseline assessment of psychological measures through Knee Self Efficacy Scale (K-SES), ACL-Return to Sport after Injury (ACL-RSI), and Tampa Scale of Kinesiophobia-11 (TSK-11), 32 patients scheduled for ACLR were randomly assigned to intervention (n = 10), placebo (n = 11), or control (n = 11) group. Six modeling videos and placebo videos were developed by the investigators. Intervention and placebo groups watched their respective videos during their follow-up visits while control group did not. All groups completed psychological assessments during hospitalization, at 2 weeks, at 6 weeks, at 3 months, and at 6 months following ACLR. Also, Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate symptoms and function of the knee at 3 and 6 months after surgery. Results: No significant changes in K-SES, ACL-RSI, and TSK-11 scores over 6-month period were observed among groups ( P = .808, P = .574, P = .888, respectively). Compared with baseline, only the scores of K-SES improved with statistical significance in the intervention, placebo, and control groups ( P = .05, .01, .00) at 6 months after ACLR. The KOOS subscale scores were not significantly different among the intervention, placebo, and control groups at 3 and 6 months. Conclusion: A modeling video intervention, although feasible, was not effective in addressing the psychological risk factors in patients undergoing ACLR.

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Booster visits in the management of the acute musculoskeletal injuries: Transforming care to improve outcomes–A perspective review

Paterno,

Fitzgerald

2024

Journal Orthopaedic Research

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The current healthcare delivery system for patients with acute musculoskeletal injury is failing. Current rehabilitation management of acute musculoskeletal injury typically includes physical therapy, focused on management of impairments, with an eventual transition to functional activities and release to prior level of function. At that point, formal physical therapy is often discontinued, despite the knowledge that a high percentage of patients fail to maintain preinjury level of activity and often reduce participation in regular physical activity. Further, for those who attempt to return to prior levels of pivoting and cutting activities, there is a high second injury rate. The long‐term human experience is compromised by the current model of care which terminates at the point of transition to activity. This model of care fails to meet the continued needs of these patients and may result in long term deficits and potential disability. Extended care models include intermittent follow up visits after discharge from an acute episode of care and have been efficacious and cost effective in some patient populations with musculoskeletal conditions. Specifically, a type of extended care model, labeled “booster sessions,” represents an opportunity to provide structured, intermittent care to assist in a smooth transition back to function, following an acute episode of care and promote a healthier life outcome. This perspective review will discuss the opportunity to transform acute musculoskeletal care to booster visit care model in an attempt to develop a more efficacious and cost‐effective system of care which could be generalizable to all musculoskeletal conditions.

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Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study

Cited by 44 publications

References 61 publications

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Feasibility of telemedicine in maintaining follow-up of orthopaedic patients and their satisfaction: A preliminary study

Effectiveness of modeling videos on psychological responses of patients following anterior cruciate ligament reconstruction

Booster visits in the management of the acute musculoskeletal injuries: Transforming care to improve outcomes–A perspective review

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