Guided imagery to improve functional outcomes post‐anterior cruciate ligament repair: randomized‐controlled pilot trial

Maddison, Ralph; Prapavessis, Harry; Clatworthy, Mark; Hall, Craig; Foley, Louise; Harper, Therese; Cupal, Deborah D.; Brewer, Britton W.

doi:10.1111/j.1600-0838.2011.01325.x

Cited by 61 publications

(74 citation statements)

References 15 publications

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“…Four relevant studies 5,8,10,11 were located and categorized, as shown in Table 1 (based on Levels of Evidence, Centre for Evidence Based Medicine, 2011).…”

Section: Results Of Searchmentioning

confidence: 99%

“…Imagery is defined as a process of performing a skill in one's mind using the senses (touch, feel, smell, vision, etc) without any overt actions. 8 Incorporating a therapeutic intervention that targets the psychological effects on an athletes' ability to return to sport is necessary to assure that the patient is both physically and mentally prepared to return to activity. Therefore, the purpose of the critically appraised topic was to determine if imagery training in combination with standard physical therapy is a suitable option to reduce the fear of reinjury and pain perception among first-time anterior cruciate ligament reconstruction (ACLR) patients.…”

Section: Clinical Scenariomentioning

confidence: 99%

“…It is noted that surgical recovery is mainly focused on improving motion and strength of the knee joint, while reducing psychological distress has not been stressed as an important aspect in postoperative ACLR rehabilitation. 12 In efforts to address psychological factors affecting this population, the studies appraised have suggested that the fear of reinjury may play a significant role Maddison et al 8 Lebon et al 10 Cupal and Brewer 5 Wilczynska et al 11…”

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

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Reducing Fear of Reinjury and Pain Perception in Athletes With First-Time Anterior Cruciate Ligament Reconstructions by Implementing Imagery Training

Rodríguez¹,

Marroquin²,

Cosby³

2019

Journal of Sport Rehabilitation

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Clinical Scenario: The anterior cruciate ligament is one of the major stabilizing ligaments of the knee joint by preventing anterior translation of the femur in the closed kinetic chain. A ruptured anterior cruciate ligament may require reconstructive surgery for patients who wish to return to physical activity. For the most part, surgeries are successful at repairing the ruptured ligament and restoring ligamentous function; the percentage of athletes that return to a competitive level of physical activity is only 44%, and 24% of patients report a main factor of preventing their return is fear of reinjury and pain. Most physiotherapy and rehabilitation research has focused on the physical treatment and is limited on the psychological aspects of recovery. Imagery has been suggested to be effective at reducing anxiety, tension, and pain, while promoting and encouraging healing after an injury. Imagery is defined as a process of performing a skill in one's mind using the senses (touch, feel, smell, vision, etc) without any overt actions. Clinical Question: In athletes who are first-time anterior cruciate ligament reconstruction patients, does imagery training in combination with standard physical therapy reduce the fear of reinjury and pain perception? Summary of Key Findings: Previous research has primarily looked at the physical treatment aspect, and few studies have focused on the psychological factors affecting recovery. Researchers concluded that fear of reinjury was the unique predictor of return to sport even in a sample of participants that reported very little or almost no pain at all. Imagery as a therapy is an effective intervention in reducing fear of reinjury and confidence building. Furthermore, mental imagery is suggested to assist with a reduction in anxiety, pain, and tension, while promoting healing. Clinical Bottom Line: Based on the strength of recommendation taxonomy, there is a combination of level A and B evidence proposing that imagery, in combination with traditional physical therapy, can be effective at reducing psychological distress such as fear of reinjury and pain perception in first-time anterior cruciate ligament reconstruction patients.Keywords: knee joint, psychology, rehabilitation, sport psychology Clinical ScenarioInjuries are an inevitable part of competitive sports as well as recreational activities. Research shows that one of the most common musculoskeletal complaints that accounts for approximately 48 out of 1000 patients is knee-related injury. 1 As noted, approximately 9% of these knee complaints are related to anterior cruciate ligament (ACL) injuries. 2,3 The ACL is commonly injured in contact sports by a noncontact action, such as planting, cutting, landing on a hyperextended knee, or pivoting and sudden deceleration. 4 Typically, athletes report feeling immediate pain and hearing a pop, resulting in progressive knee swelling and difficulty ambulating. The ACL is one of the major ligaments that provides stability to the knee joint by preventing anterior translation of t...

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“…Four relevant studies 5,8,10,11 were located and categorized, as shown in Table 1 (based on Levels of Evidence, Centre for Evidence Based Medicine, 2011).…”

Section: Results Of Searchmentioning

confidence: 99%

Section: Clinical Scenariomentioning

confidence: 99%

Section: Implications For Practice Education and Future Researchmentioning

confidence: 99%

See 1 more Smart Citation

Reducing Fear of Reinjury and Pain Perception in Athletes With First-Time Anterior Cruciate Ligament Reconstructions by Implementing Imagery Training

Rodríguez¹,

Marroquin²,

Cosby³

2019

Journal of Sport Rehabilitation

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“…Existing related research has examined different types of interventions, such as instructor-led strategies, and measured other types of variables, such as flexibility or quality of life [50,51]. Given the potential economic, physical, social, and psychological benefits from the implementation of low cost, relatively simple cognitive strategies, such as those included in the current review, it appears justifiable to suggest research in this direction.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Effect of Cognitive Strategies on Strength Performance

et al. 2015

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A Systematic Review of the Effect of Cognitive Strategies on Strength Performancehttp://researchonline.ljmu.ac.uk/3162/ Article LJMU has developed LJMU Research Online for users to access the research output of the University more effectively. Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Users may download and/or print one copy of any article(s) in LJMU Research Online to facilitate their private study or for non-commercial research. You may not engage in further distribution of the material or use it for any profit-making activities or any commercial gain.The version presented here may differ from the published version or from the version of the record. Please see the repository URL above for details on accessing the published version and note that access may require a subscription. Revised Manuscript -clean copy Click here to download Revised Manuscript -clean copy: second revision plain text. docx 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64

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“…The only imagery intervention study considering self-efficacy was recently conducted by Maddison et al (2011). The aim of this study was to evaluate the effectiveness of a guided imagery and relaxation program on improving functional outcomes post-anterior cruciate ligament repair delivered over nine individual sessions as an adjuvant treatment to standard rehabilitation.…”

mentioning

confidence: 99%

Imagery and self-efficacy in the injury context

Wesch

Callow

Hall

et al. 2016

Psychology of Sport and Exercise

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Guided imagery to improve functional outcomes post‐anterior cruciate ligament repair: randomized‐controlled pilot trial

Cited by 61 publications

References 15 publications

Reducing Fear of Reinjury and Pain Perception in Athletes With First-Time Anterior Cruciate Ligament Reconstructions by Implementing Imagery Training

Reducing Fear of Reinjury and Pain Perception in Athletes With First-Time Anterior Cruciate Ligament Reconstructions by Implementing Imagery Training

A Systematic Review of the Effect of Cognitive Strategies on Strength Performance

Imagery and self-efficacy in the injury context

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