Article

Investigation of the impact of physiotherapists' autonomy-supportive behaviors on patients' motivation
and rehabilitation adherence after anterior cruciate ligament (ACL)
reconstruction surgery. DESIGN: Retrospective study.
SETTING: Outpatient
orthopedic clinic of a university medical center. PARTICIPANTS: Postsurgery ACL
reconstruction patients (N=115; minimum postsurgery interval, 6mo; mean +/- SD
postsurgery interval, 1.77+/-0.8y). INTERVENTIONS: Not applicable. MAIN OUTCOME
MEASURES: Questionnaires measuring autonomy support from physiotherapists (Health
Care Climate Questionnaire), treatment motivation (Treatment Self-Regulation
Questionnaire), and rehabilitation adherence (adapted from the Sport Injury
Rehabilitation Adherence Scale and the Patient Self-Report Scales of Their
Home-Based Rehabilitation Adherence). RESULTS: Structural equation modeling
analyses revealed that patients' treatment motivation mediated the relationship
between physiotherapists' autonomy-supportive behaviors and rehabilitation
adherence. Autonomy-supportive behavior positively predicted autonomous treatment
motivation (beta=.22, P<.05). Rehabilitation adherence (R(2)=.28) was predicted
positively by autonomous motivation (beta=.64, P<.05) and negatively predicted by
controlled motivation (beta=-.28, P<.05). CONCLUSIONS: These preliminary findings
are promising and provide an empirical basis for further research to test the
efficacy of autonomy support training designed to increase patients'
rehabilitation adherence.

Langue : ANGLAIS