nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

16.11.2023 | KNEE

Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: a systematic review and meta-analysis

verfasst von: Aynollah Naderi, Mohammad Fallah Mohammadi, Azizallah Dehghan, Julien S. Baker

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 12/2023

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Psychosocial interventions have shown potential in reducing the fear of re-injury after anterior cruciate ligament reconstruction (ACLR), but this has not been systematically reviewed. The aim of this study was to assess the available evidence on the effect of psychosocial interventions on kinesiophobia after ACLR.

Methods

Two independent researchers conducted a systematic search in the electronic databases including Scopus, PubMed, Web of Science (WOS), SPORTDiscus, PsycINFO, and CINAHL from their inception until May 2022. They included studies that utilised a randomised controlled study design with a control group, and measured kinesiophobia using the Tampa Scale for kinesiophobia in patients who underwent primary ACLR. The outcome of interest was the mean and standard deviation of kinesiophobia. Extracted data were analysed using Comprehensive Meta-Analysis software, version 3.0 (CMA.V2), employing a random-effects model to calculate the overall effect estimates of psychosocial interventions on Kinesiophobia. The standardised mean difference with 95% confidence intervals (CIs) was computed based on the mean and standard deviation in each group.

Results

This systematic review and meta-analysis included 5 randomised controlled trials with a total of 213 patients who underwent ACLR. The results of the meta-analysis showed that psychosocial intervention was more effective than non-psychosocial comparators in reducing kinesiophobia among patients who underwent a primary ACLR (5 trials, MD 0.56, 95% CI 0.28–0.83, p < 0.001). The heterogeneity score was zero (I² = 0%; n.s. for Cochran’s Q test), indicating no significant variation among the studies.

Conclusions

Psychosocial interventions can alleviate kinesiophobia in patients with primary ACLR. Although the limited number of reviewed studies and their methodological limitations precludes drawing a definitive conclusion regarding the effectiveness of psychosocial interventions on kinesiophobia, these promising findings can serve as a basis for developing psychological strategies to manage kinesiophobia in patients with primary ACLR and can also guide future research this issue.

Level of evidence

II.

Trial registration

This trial is registered in PROSPERO on December 2021 (CRD42021282413).

Nur mit Berechtigung zugänglich

Albano TR, Rodrigues CAS, Melo AKP, de Paula PO, Almeida GPL (2020) Clinical decision algorithm associated with return to sport after anterior cruciate ligament reconstruction. J Athl Train 55:691–698. https://doi.org/10.4085/1062-6050-82-19CrossRefPubMedPubMedCentral

Ardern CL, Kvist J (2016) What is the evidence to support a psychological component to rehabilitation programs after anterior cruciate ligament reconstruction? Curr Orthop Pract 27:263–268. https://doi.org/10.1097/BCO.0000000000000371CrossRef

Ardern CL, Taylor NF, Feller JA, Webster KE (2014) Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 48:1543–1552. https://doi.org/10.1136/bjsports-2013-093398CrossRefPubMed

Atik OŞ (2020) Surgical versus conservative treatment for torn anterior cruciate ligament. Jt Dis Relat Surg 31:159. https://doi.org/10.5606/ehc.2020.57892CrossRefPubMedPubMedCentral

Baez S, Cormier M, Andreatta R, Gribble P, Hoch JM (2021) Implementation of In vivo exposure therapy to decrease injury-related fear in females with a history of ACL-Reconstruction: a pilot study. Phys Ther Sport 52:217–223. https://doi.org/10.1016/j.ptsp.2021.09.009CrossRefPubMed

Baez SE, Hoch MC, Hoch JM (2020) Psychological factors are associated with return to pre-injury levels of sport and physical activity after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc 28:495–501. https://doi.org/10.1007/s00167-019-05696-9CrossRefPubMed

Balendra G, Jones M, Borque KA, Willinger L, Pinheiro VH, Williams A (2022) Factors affecting return to play and graft re-rupture after primary ACL reconstruction in professional footballers. Knee Surg Sports Traumatol Arthrosc 30:2200–2208. https://doi.org/10.1007/s00167-021-06765-8CrossRefPubMed

Brewer BW, Van Raalte JL, Cornelius AE (2021) An interactive cognitive-behavioural multimedia program favourably affects pain and kinesiophobia during rehabilitation after anterior cruciate ligament surgery: an effectiveness trial. J Sport Exerc Psychol 20:1–23. https://doi.org/10.1080/1612197X.2021.1934712CrossRef

Burland JP, Toonstra JL, Howard JS (2019) Psychosocial barriers after anterior cruciate ligament reconstruction: a clinical review of factors influencing postoperative success. Sports Health 11:528–534. https://doi.org/10.1177/1941738119869333CrossRefPubMedPubMedCentral

10.

Chandler J, Cumpston M, Li T (2019) Cochrane handbook for systematic reviews of interventions. Wiley, Chichester. https://doi.org/10.1002/9781119536604CrossRef

11.

Chmielewski TL, George SZ (2019) Fear avoidance and self-efficacy at 4 weeks after ACL reconstruction are associated with early impairment resolution and readiness for advanced rehabilitation. Knee Surg Sports Traumatol Arthrosc 27:397–404. https://doi.org/10.1007/s00167-018-5048-6CrossRefPubMed

12.

Coronado RA, Bird ML, Van Hoy EE, Huston LJ, Spindler KP, Archer KR (2018) Do psychosocial interventions improve rehabilitation outcomes after anterior cruciate ligament reconstruction? A systematic review. Clin Rehabil 32:287–298. https://doi.org/10.1177/0269215517728562CrossRefPubMed

13.

Costa GG, Perelli S, Grassi A, Russo A, Zaffagnini S, Monllau JC (2022) Minimizing the risk of graft failure after anterior cruciate ligament reconstruction in athletes. A narrative review of the current evidence. J Exp Orthop 9:26. https://doi.org/10.1186/s40634-022-00461-3CrossRefPubMedPubMedCentral

14.

Della Villa F, Hägglund M, Della Villa S, Ekstrand J, Waldén M (2021) High rate of second ACL injury following ACL reconstruction in male professional footballers: an updated longitudinal analysis from 118 players in the UEFA Elite Club Injury Study. Br J Sports Med 55:1350–1357. https://doi.org/10.1136/bjsports-2020-103555CrossRefPubMed

15.

Fandim JV, Crowe-Owen L, Romanyshyn M, Chan SW (2022) Reasons to become a volunteer rater for the Physiotherapy Evidence Database (PEDro). J Physiother 68:215–217. https://doi.org/10.1016/j.jphys.2022.09.006CrossRefPubMed

16.

Fones L, Kostyun RO, Cohen AD, Pace JL (2020) Patient-reported outcomes, return-to-sport status, and reinjury rates after anterior cruciate ligament reconstruction in adolescent athletes: minimum 2-year follow-up. Orthop J Sports Med 8:2325967120964471. https://doi.org/10.1177/2325967120964471CrossRefPubMedPubMedCentral

17.

Gennarelli SM, Brown SM, Mulcahey MK (2020) Psychosocial interventions help facilitate recovery following musculoskeletal sports injuries: a systematic review. Phys Sportsmed 48:370–377. https://doi.org/10.1080/00913847.2020.1744486CrossRefPubMed

18.

Kiran M, Javed O, Roy S, Atwal N, Gosal H (2022) Psychological, physical and social factors influence decision to return to sport after revision ACL reconstruction with BPTB graft. Knee Surg Sports Traumatol Arthrosc 30:1336–1340. https://doi.org/10.1007/s00167-021-06582-zCrossRefPubMed

19.

Kotsifaki R, Korakakis V, King E, Barbosa O, Maree D, Pantouveris M et al (2023) Aspetar clinical practice guideline on rehabilitation after anterior cruciate ligament reconstruction. Br J Sports Med 57:500–514. https://doi.org/10.1136/bjsports-2022-106158CrossRefPubMed

20.

Kvist J, Silbernagel KG (2022) Fear of movement and reinjury in sports medicine: relevance for rehabilitation and return to sport. Phys Ther 102:pzab272. https://doi.org/10.1093/ptj/pzab272CrossRefPubMed

21.

Lai CC, Ardern CL, Feller JA, Webster KE (2018) Eighty-three per cent of elite athletes return to preinjury sport after anterior cruciate ligament reconstruction: a systematic review with meta-analysis of return to sport rates, graft rupture rates and performance outcomes. Br J Sports Med 52:128–138. https://doi.org/10.1136/bjsports-2017-098883CrossRefPubMed

22.

Lin L (2020) Comparison of four heterogeneity measures for meta-analysis. J Eval Clin Pract 26:376–384. https://doi.org/10.1111/jep.13159CrossRefPubMed

23.

Mir B, Vivekanantha P, Dhillon S, Cotnareanu O, Cohen D, Nagai K et al (2022) Fear of reinjury following primary anterior cruciate ligament reconstruction: a systematic review. Knee Surg Sports Traumatol Arthrosc. https://doi.org/10.1007/s00167-022-07296-61-16CrossRefPubMed

24.

Morris SB, DeShon RP (2002) Combining effect size estimates in meta-analysis with repeated measures and independent-groups designs. Psychol Methods 7:105. https://doi.org/10.1037/1082-989x.7.1.105CrossRefPubMed

25.

Nawasreh Z, Adams G, Pryzbylkowski O, Logerstedt D (2018) Influence of patient demographics and graft types on ACL second injury rates in ipsilateral versus contralateral knees: a systematic review and meta-analysis. Int J Sports Phys Ther 13:561CrossRefPubMedPubMedCentral

26.

Paterno MV, Rauh MJ, Thomas S, Hewett TE, Schmitt LC (2022) Return-to-sport criteria after anterior cruciate ligament reconstruction fail to identify the risk of second anterior cruciate ligament injury. J Athl Train 57:937–945. https://doi.org/10.4085/1062-6050-0608.21CrossRefPubMed

27.

Piussi R, Beischer S, Thomeé R, Thomeé C, Sansone M, Samuelsson K et al (2022) Greater psychological readiness to return to sport, as well as greater present and future knee-related self-efficacy, can increase the risk for an anterior cruciate ligament re-rupture: a matched cohort study. Arthrosc 38(1267–1276):e1261. https://doi.org/10.1016/j.arthro.2021.08.040CrossRef

28.

Powell R, Scott NW, Manyande A, Bruce J, Vögele C, Byrne-Davis LM et al (2016) Psychological preparation and postoperative outcomes for adults undergoing surgery under general anaesthesia. CDSR 5:CD008646. https://doi.org/10.1002/14651858.CD008646.pub2CrossRef

29.

Randsborg P-H, Cepeda N, Adamec D, Rodeo SA, Ranawat A, Pearle AD (2022) Patient-reported outcome, return to sport, and revision rates 7–9 years after anterior cruciate ligament reconstruction: results from a cohort of 2042 patients. Am J Sports Med 50:423–432. https://doi.org/10.1177/03635465211060333CrossRefPubMedPubMedCentral

30.

Rethlefsen ML, Kirtley S, Waffenschmidt S, Ayala AP, Moher D, Page MJ et al (2021) PRISMA-S: an extension to the PRISMA statement for reporting literature searches in systematic reviews. Syst rev 10:1–19. https://doi.org/10.1186/s13643-020-01542-zCrossRef

31.

Rhim HC, Lee SJ, Jeon JS, Kim G, Lee KY, Lee JH et al (2020) Effectiveness of modeling videos on psychological responses of patients following anterior cruciate ligament reconstruction: a pilot randomized trial. Medicine 99:e23158. https://doi.org/10.1097/MD.0000000000023158CrossRefPubMedPubMedCentral

32.

Russo LR, Benedetti MG, Mariani E, Roberti di Sarsina T, Zaffagnini S (2017) The Videoinsight® method: improving early results following total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25:2967–2971. https://doi.org/10.1007/s00167-016-4118-xCrossRefPubMed

33.

Smart KM (2023) The biopsychosocial model of pain in physiotherapy: past, present and future. Phys Ther Rev 28:61–70. https://doi.org/10.1080/10833196.2023.2177792CrossRef

34.

Szeverenyi C, Kekecs Z, Johnson A, Elkins G, Csernatony Z, Varga K (2018) The use of adjunct psychosocial interventions can decrease postoperative pain and improve the quality of clinical care in orthopedic surgery: a systematic review and meta-analysis of randomized controlled trials. J Pain 19:1231–1252. https://doi.org/10.1016/j.jpain.2018.05.006CrossRefPubMed

35.

Themessl A, Mayr F, Hatter K, Rupp M-C, Pogorzelski J, Imhoff AB et al (2022) Patients return to sports and to work after successful treatment of septic arthritis following anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 30:1871–1879. https://doi.org/10.1007/s00167-021-06819-xCrossRefPubMed

36.

van Ierssel J, Pennock KF, Sampson M, Zemek R, Caron JG (2022) Which psychosocial factors are associated with return to sport following concussion? A systematic review. J Sport Health Sci 11:438–449. https://doi.org/10.1016/j.jshs.2022.01.001CrossRefPubMedPubMedCentral

37.

Welling W, Benjaminse A, Lemmink K, Gokeler A (2020) Passing return to sports tests after ACL reconstruction is associated with greater likelihood for return to sport but fail to identify second injury risk. KNEE 27:949–957. https://doi.org/10.1016/j.knee.2020.03.007CrossRefPubMed

38.

Wiese-Bjornstal DM, Smith AM, Shaffer SM, Morrey MA (1998) An integrated model of response to sport injury: psychological and sociological dynamics. J Appl Sport Psychol 10:46–69. https://doi.org/10.1080/10413209808406377CrossRef

39.

Wu J, Kator JL, Zarro M, Leong NL (2022) Rehabilitation principles to consider for anterior cruciate ligament repair. Sports Health 14:424–432. https://doi.org/10.1177/19417381211032949CrossRefPubMed

40.

Zaffagnini S, Russo RL, Muccioli GMM, Marcacci M (2013) The Videoinsight® method: improving rehabilitation following anterior cruciate ligament reconstruction—a preliminary study. Knee Surg Sports Traumatol Arthrosc 21:851–858. https://doi.org/10.1007/s00167-013-2392-4CrossRefPubMed

41.

Zia M, Sahebalzamani M, Rouhollahi V (2021) Effect of Progressive Muscle Relaxation Training in Fear of Re-injury in Professional Athletes after Anterior Cruciate Ligament Reconstruction. JPSR 10:7–18. https://doi.org/10.22038/jpsr.2021.43816.2024CrossRef

Titel: Psychosocial interventions seem redact kinesiophobia after anterior cruciate ligament reconstruction but higher level of evidence is needed: a systematic review and meta-analysis
verfasst von: Aynollah Naderi
Mohammad Fallah Mohammadi
Azizallah Dehghan
Julien S. Baker
Publikationsdatum: 16.11.2023
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 12/2023
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-023-07630-6

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Ein Drittel der jungen Ärztinnen und Ärzte erwägt abzuwandern

07.05.2024 Medizinstudium Nachrichten

Extreme Arbeitsverdichtung und kaum Supervision: Dr. Andrea Martini, Sprecherin des Bündnisses Junge Ärztinnen und Ärzte (BJÄ) über den Frust des ärztlichen Nachwuchses und die Vorteile des Rucksack-Modells.

Aquatherapie bei Fibromyalgie wirksamer als Trockenübungen

03.05.2024 Fibromyalgiesyndrom Nachrichten

Bewegungs-, Dehnungs- und Entspannungsübungen im Wasser lindern die Beschwerden von Patientinnen mit Fibromyalgie besser als das Üben auf trockenem Land. Das geht aus einer spanisch-brasilianischen Vergleichsstudie hervor.

Endlich: Zi zeigt, mit welchen PVS Praxen zufrieden sind

IT für Ärzte Nachrichten

Darauf haben viele Praxen gewartet: Das Zi hat eine Liste von Praxisverwaltungssystemen veröffentlicht, die von Nutzern positiv bewertet werden. Eine gute Grundlage für wechselwillige Ärztinnen und Psychotherapeuten.

Proximale Humerusfraktur: Auch 100-Jährige operieren?

01.05.2024 DCK 2024 Kongressbericht

Mit dem demographischen Wandel versorgt auch die Chirurgie immer mehr betagte Menschen. Von Entwicklungen wie Fast-Track können auch ältere Menschen profitieren und bei proximaler Humerusfraktur können selbst manche 100-Jährige noch sicher operiert werden.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Trial registration

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 12/2023

Functional performance tests, clinical measurements, and patient-reported outcome measures do not correlate as outcomes 1 year after anterior cruciate ligament reconstruction

A hamstring autograft diameter ≤ 8 mm is a safe option for smaller, lighter and female athletes who want to return to pivoting sports after ACL reconstruction

Greater self-efficacy, psychological readiness and return to sport amongst paediatric patients compared with adolescents and young adults, 8 and 12 months after ACL reconstruction

Improving the reliability of measurements in orthopaedics and sports medicine

Avulsion fracture is associated with more pain after anatomic repair procedure for ATFL injury at the talar side