Article

OBJECTIVE: To examine the role of psychosocial interventions in improving
patient-reported clinical outcomes, including return to sport/activity, and
intermediary psychosocial factors after anterior cruciate ligament
reconstruction. METHODS: MEDLINE/PubMed, CINAHL, PsycINFO, and Web of Science
were searched from each database's inception to March 2017 for published studies
in patients after anterior cruciate ligament reconstruction.
Studies were
included if they reported on the effects of a postoperative psychosocial
intervention on a patient-reported clinical measure of disability, function,
pain, quality of life, return to sport/activity, or intermediary psychosocial
factor. Data were extracted using a standardized form and summary effects from
each article were compiled.
The methodological quality of randomized trials was
assessed using the Physiotherapy Evidence Database Scale and scores greater than
5/10 were considered high quality. RESULTS: A total of 893 articles were
identified from the literature search. Of these, four randomized trials ( N =
210) met inclusion criteria.
The four articles examined guided imagery and
relaxation, coping modeling, and visual imagery as postoperative psychosocial
interventions. Methodological quality scores of the studies ranged from 5 to 9.
There were inconsistent findings for the additive benefit of psychosocial
interventions for improving postoperative function, pain, or self-efficacy and
limited evidence for improving postoperative quality of life, anxiety, or fear of
reinjury. No study examined the effects of psychosocial interventions on return
to sport/activity. CONCLUSION: Overall, there is limited evidence on the efficacy
of postoperative psychosocial interventions for improving functional recovery
after anterior cruciate ligament reconstruction.

Langue : ANGLAIS