Rehabilitation and Postrehabilitation Performance Enhancement Training and Injury Prevention following Surgery for Common Sports Injuries: A Process From Surgery to Return to Play—Preface

Totlis, Trifon; Panariello, Robert A.; Oliver-Welsh, Lucy

doi:10.1053/j.otsm.2017.07.001

Cited by 3 publications

(3 citation statements)

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“…Phase I, corresponds to the protection phase, Phase II, also known as the restoration phase, and finally Phase III, when the athletes get prepared to return to activities and sports. This intensification of the rehabilitation programme is based on the continuity of the soft tissue healing, the healing of the graft is altered in due time, thus allowing the rehabilitation protocol to take a steeper course, with more advanced exercises 52 . Hence, when working with a patient it is important to progressively expose him/her to situations or activities that cause him/her fear and let him/her realize that these can be completed without inducing any harm.…”

Section: Interventions For Athletes With Fear Of Re-injurymentioning

confidence: 99%

“…There have been already proposed rehabilitation programmes following ACL reconstruction set in the right direction, such as the one used by the US Military Academy. There, except from the four basic factors; strength, aerobic fitness, coordination, and confidence, RTS is prohibited not only until the patients carry out their prescribed exercises without any problems, but also until they succeed in performing in competition with no fear of re-injury 52 .…”

Section: Interventions For Athletes With Fear Of Re-injurymentioning

confidence: 99%

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Fear of re-injury following ACL reconstruction: an overview

Papadopoulos¹,

Tishukov²,

Stamou³

et al. 2018

JRPMS

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The anterior cruciate ligament (ACL) tear (Figure 1) is a common sports injury in both males and females 1 , particularly in sports that require cutting, jumping, or pivoting 2 , with more than 200.000 incidents every year in the United States 1. Likewise, ACL reconstruction is a common operation (Figure 2), both in the USA and in Europe, with more than 100.000 syndesmoplasties being performed every year in the United States and 3.500 per year in Sweden 1,3. A patient with an ACL tear who is treated conservatively, with early activity modification and a neuromuscular rehabilitation programme, may be able in a few days or a couple of weeks to have a painless knee with no oedema. Later, he may also be able to return to sports (RTS), in some extend, by executing simple sports activities that do not include cutting, jumping, or pivoting movements. This way the patients may avoid the stress of the operation, however, as studies have shown, 2/3 of those patients do not return to their pre-injury activity level 4,5. When the patient decides to undergo surgical reconstruction of the ACL tear, he complies with the stress of the operation and the long post-operative rehabilitation programme, ranging from 6 to 12 months. Patients undergo surgery not only to avoid subsequent meniscal or chondral injuries and early osteoarthritis, but especially to return to their pre-injury level of activity 6-9. According to the current literature, only 40 to 70% of the cases achieve return to the pre-injury activity level following ACL reconstruction 10-15. A recent meta-analysis, which included 48 studies with a mean follow-up of 41 months, revealed that although 90% of the patients achieved normal or nearly-normal knee function, only 63% returned to their pre-injury level of participation. Thus, 1 out of 4 patients achieves complete restoration of the knee joint function, but does not return to the pre-injury level of activity. This disparity between physical function and the ability to RTS is attributed to psychosocial factors 7,16. The psychosocial factors that may affect RTS include fear of re-injury (19%), fear of job-loss due to re-injury (11%) and a change in lifestyle or family commitments (18%), when only 13% of

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Section: Interventions For Athletes With Fear Of Re-injurymentioning

confidence: 99%

Section: Interventions For Athletes With Fear Of Re-injurymentioning

confidence: 99%

Fear of re-injury following ACL reconstruction: an overview

Papadopoulos¹,

Tishukov²,

Stamou³

et al. 2018

JRPMS

Self Cite

View full text Add to dashboard Cite

show abstract

“…Musculoskeletal diseases, such as ACL reconstruction surgery, require several considerations when designing a rehabilitation program for individuals suffering from them. Though it is apparent that physical profiles are a key part of the rehabilitation protocols, the patient’s emotional and cognitive reactions to the damage should also be considered [ 18 ]. While its significance may be evident, kinesiophobia or fear of movement, which is a psychological reaction to injury, is difficult to evaluate.…”

Section: Discussionmentioning

confidence: 99%

Perceived Kinesiophobia and Its Association with Return to Sports Activity Following Anterior Cruciate Ligament Reconstruction Surgery: A Cross-Sectional Study

Raizah

Alhefzi

Alshubruqi

et al. 2022

IJERPH

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Background: The knee joint is one of the most important joints in terms of its functions of providing great stability, movement and weight bearing. Among the contributors to knee joint stability, there is the anterior cruciate ligament (ACL). Kinesiophobia is said to be the fear of movement or the fear of re-injury. Kinesiophobia is the most extreme form of fear of movement, and it is defined as an excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re-injury. Aim: To estimate the prevalence and effect of kinesiophobia among patients with ACL reconstruction in the Aseer region, in southern Saudi Arabia. Methodology: A descriptive cross-sectional approach was used involving those patients who underwent ACL reconstruction surgery in Aseer Central Hospital during the period of October 2017 to October 2019. The Tampa Scale for Kinesiophobia (TSK) and ACL—Return to Sport after Injury (ACL-RSI) scale were used to determine kinesiophobia and the readiness to return to sport after ACL injury or reconstructive surgery. Result: The research included 130 ACL reconstruction patients with ages ranging from 18 to 45 years with a mean age of 27.2 + 7.5 years. More than 97% of the participants were males. In 67.7% of the cases, the right leg was affected. A total of 10.8% of the patients recorded a low level of kinesiophobia, while only 6.9% recorded a high level. Conclusions: In conclusion, the study revealed that among patients who underwent ACL reconstruction, kinesiophobia was at a moderate level. Kinesiophobia was recorded more among middle-aged patients who waited a long time from the onset of injury until the ACL reconstruction surgery time.

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Therapy Considerations for Getting Athletes to Return to Play

Fedorczyk

2020

Clinics in Sports Medicine

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Rehabilitation and Postrehabilitation Performance Enhancement Training and Injury Prevention following Surgery for Common Sports Injuries: A Process From Surgery to Return to Play—Preface

Cited by 3 publications

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Fear of re-injury following ACL reconstruction: an overview

Fear of re-injury following ACL reconstruction: an overview

Perceived Kinesiophobia and Its Association with Return to Sports Activity Following Anterior Cruciate Ligament Reconstruction Surgery: A Cross-Sectional Study

Therapy Considerations for Getting Athletes to Return to Play

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