Effectiveness of psychological intervention following anterior cruciate ligament reconstruction: A systematic review and meta-analysis

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2024-07-14 DOI:10.1016/j.ptsp.2024.07.003

Yuichi Isaji , Shota Uchino , Ryuta Inada , Hiroki Saito

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引用次数: 0

Abstract

Objective

To determine the effectiveness of psychological interventions in postoperative anterior cruciate ligament reconstruction (ACLR) compared to standard rehabilitation.

Methods

The databases searched were PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, Cumulative Index to Nursing & Allied Health Literature, and EMBASE were searched from each database inception to May 2023 for published studies. The methodological quality was assessed with the Cochrane Risk of Bias Assessment (RoB 2.0) tool. The evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach.

Results

Six papers were included in the meta-analysis. Psychological intervention significantly improved Tampa Scale for Kinesiophobia at 3 months (Standard Mean Difference [SMD], −0.51. 95% Confidence Interval [CI], −0.85 to −0.17) and pain (Knee Injury and Osteoarthritis Outcome Score for Pain, Numeric Rating Scale, Visual Analog Scale) at 3 months (SMD, −0.92. 95%CI, −1.69 to −0.15) and at 6 months following ACLR (MD, −1.25. 95%CI, −1.82 to −0.68) when compared with the standard rehabilitation, according to very low-quality data. Self-efficacy and knee strength did not show significant differences.

Conclusion

Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation, with uncertainty about its clinically significant benefits over standard rehabilitation.

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前十字韧带重建术后心理干预的效果：系统回顾和荟萃分析

方法检索的数据库包括 PubMed、MEDLINE、Cochrane Central Register of Controlled Trials、PEDro、Cumulative Index to Nursing & Allied Health Literature 和 EMBASE，检索时间从每个数据库开始到 2023 年 5 月的已发表研究。方法学质量采用 Cochrane 偏倚风险评估（RoB 2.0）工具进行评估。采用 "建议、评估、发展和评价分级 "方法对证据质量进行评估。心理干预在 3 个月后明显改善了 Tampa 运动恐惧症量表（标准平均差 [SMD]，-0.51。95%置信区间[CI]，-0.85 至 -0.17）和疼痛（膝关节损伤和骨关节炎疼痛结果评分、数值评定量表、视觉模拟量表）（SMD，-0.92。95%CI，-1.69 至 -0.15），以及 ACLR 后 6 个月的情况（MD，-1.25。结论：极低质量的证据表明，与标准康复训练相比，前交叉韧带置换术后的心理干预能产生更好的短期疗效，但与标准康复训练相比，心理干预的临床显著疗效尚不确定。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.