PMID- 31954959 OWN - NLM STAT- MEDLINE DCOM- 20200914 LR - 20200914 IS - 1873-1600 (Electronic) IS - 1466-853X (Linking) VI - 42 DP - 2020 Mar TI - Cognitive-behavioral-based physical therapy to enhance return to sport after anterior cruciate ligament reconstruction: An open pilot study. PG - 82-90 LID - S1466-853X(19)30530-9 [pii] LID - 10.1016/j.ptsp.2020.01.004 [doi] AB - OBJECTIVES: To describe feasibility, adherence, acceptability, and outcomes of a cognitive-behavioral-based physical therapy (CBPT-ACLR) intervention for improving postoperative recovery after anterior cruciate ligament reconstruction (ACLR). DESIGN: Pilot study. SETTING: Academic medical center. PARTICIPANTS: Eight patients (mean age [SD] = 20.1 [2.6] years, 6 females) participated in a 7-session telephone-based CBPT-ACLR intervention beginning preoperatively and lasting 8 weeks after surgery. MAIN OUTCOME MEASURES: At 6 months, patients completed Knee Injury and Osteoarthritis Outcome Score (KOOS) sports/recreation and quality of life (QOL) subscales, International Knee Documentation Committee (IKDC), Tampa Scale of Kinesiophobia (TSK), Pain Catastrophizing Scale (PCS), and Knee Self-Efficacy Scale (K-SES), return to sport (Subjective Patient Outcome for Return to Sports), and satisfaction. Minimal clinically important difference (MCID) was used for meaningful change. RESULTS: Seven (88%) patients completed all sessions. Seven (88%) patients exceeded MCID on the TSK, 6 (75%) on the PCS, 5 (63%) on the KOOS sports/recreation subscale, 4 (50%) on the IKDC, and 3 (38%) on the KOOS QOL subscale. Three (38%) patients returned to their same sport at the same level of effort and performance. All patients were satisfied with their recovery. CONCLUSIONS: A CBPT-ACLR program is feasible and acceptable for addressing psychological risk factors after ACLR. CI - Copyright (c) 2020 Elsevier Ltd. All rights reserved. FAU - Coronado, Rogelio A AU - Coronado RA AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Sterling, Emma K AU - Sterling EK AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Fenster, Dana E AU - Fenster DE AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Bird, Mackenzie L AU - Bird ML AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Heritage, Allan J AU - Heritage AJ AD - Department of Psychology, Vanderbilt University, Nashville, TN, USA; Department of Psychology, Counseling & Family Science, Lipscomb University, Nashville, TN, USA. FAU - Woosley, Vickie L AU - Woosley VL AD - Athletic Department, Vanderbilt University, Nashville, TN, USA. FAU - Burston, Alda M AU - Burston AM AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Henry, Abigail L AU - Henry AL AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Huston, Laura J AU - Huston LJ AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Vanston, Susan W AU - Vanston SW AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Cox, Charles L 3rd AU - Cox CL 3rd AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Sullivan, Jaron P AU - Sullivan JP AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA. FAU - Wegener, Stephen T AU - Wegener ST AD - Department of Physical Medicine and Rehabilitation, Johns Hopkins Medicine, Baltimore, MD, USA. FAU - Spindler, Kurt P AU - Spindler KP AD - Department of Orthopaedic Surgery, The Cleveland Clinic Foundation, Cleveland, OH, USA. FAU - Archer, Kristin R AU - Archer KR AD - Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Musculoskeletal Research, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN, USA; Osher Center for Integrative Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. Electronic address: kristin.archer@vumc.org. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200109 PL - England TA - Phys Ther Sport JT - Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine JID - 100940513 SB - IM MH - Adolescent MH - Adult MH - Anterior Cruciate Ligament Injuries/physiopathology/*rehabilitation/surgery MH - Anterior Cruciate Ligament Reconstruction/*methods MH - Female MH - Humans MH - Knee Joint/*physiopathology MH - Male MH - *Physical Therapy Modalities MH - Pilot Projects MH - Postoperative Period MH - *Quality of Life MH - Range of Motion, Articular/*physiology MH - Return to Sport/*physiology MH - Young Adult OTO - NOTNLM OT - Anterior cruciate ligament OT - Cognitive behavioral therapy OT - Psychological adaptation OT - Rehabilitation OT - Return to sport OT - Telemedicine COIS- Declaration of competing interest None declared. EDAT- 2020/01/20 06:00 MHDA- 2020/09/15 06:00 CRDT- 2020/01/20 06:00 PHST- 2019/10/11 00:00 [received] PHST- 2019/12/30 00:00 [revised] PHST- 2020/01/06 00:00 [accepted] PHST- 2020/01/20 06:00 [pubmed] PHST- 2020/09/15 06:00 [medline] PHST- 2020/01/20 06:00 [entrez] AID - S1466-853X(19)30530-9 [pii] AID - 10.1016/j.ptsp.2020.01.004 [doi] PST - ppublish SO - Phys Ther Sport. 2020 Mar;42:82-90. doi: 10.1016/j.ptsp.2020.01.004. Epub 2020 Jan 9.