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A randomized, controlled study of a rehabilitation model to improve knee-function self-efficacy with ACL injury.

Abstract：

CONTEXT:The Knee Self-Efficacy Scale (K-SES) has good reliability, validity, and responsiveness for patients' perceived knee-function self-efficacy during rehabilitation after an anterior cruciate ligament (ACL) injury. Preoperative knee-function self-efficacy has also been shown to have a predictive ability in terms of outcome 1 y after ACL reconstruction. OBJECTIVE:To evaluate a new clinical rehabilitation model containing strategies to enhance knee-function self-efficacy. DESIGN:A randomized, controlled study. SETTING:Rehabilitation clinic and laboratory. PATIENTS:40 patients with ACL injuries. INTERVENTION:All patients followed a standardized rehabilitation protocol. Patients in the experimental group were treated by 1 of 3 physiotherapists who had received specific training in a clinical rehabilitation model. These physiotherapists were also given their patients' self-efficacy scores after the initial and 4-, 6-, and 12-mo follow-ups, whereas the 5 physiotherapists treating the patients in the control group were not given their patients' self-efficacy scores. MAIN OUTCOME MEASURES:The K-SES, the Tegner Activity Scale, the Physical Activity Scale, the Knee Injury and Osteoarthritis Outcome Score, and the Multidimensional Health Locus of Control. RESULTS:Twenty-four patients (12 in each group) completed all follow-ups. Current knee-function self-efficacy, knee symptoms in sports, and knee quality of life improved significantly (P = .05) in both groups during rehabilitation. Both groups had a significantly (P = .05) lower physical activity level at 12 mo than preinjury. No significant differences were found between groups. CONCLUSION:In this study there was no evidence that the clinical rehabilitation model with strategies to enhance self-efficacy resulted in a better outcome than the rehabilitation protocol used for the control group.

journal_name

J Sport Rehabil

journal_title

Journal of sport rehabilitation

authors

Thomeé P,Währborg P,Börjesson M,Thomeé R,Eriksson BI,Karlsson J

doi

10.1123/jsr.19.2.200

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

200-13

issue

eissn

1056-6716

issn

1543-3072

journal_volume

pub_type

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A randomized, controlled study of a rehabilitation model to improve knee-function self-efficacy with ACL injury.