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Effectiveness of modeling videos on psychological responses of patients following anterior cruciate ligament reconstruction A pilot randomized trial

Authors
Rhim, Hye ChangLee, Seo JunJeon, Jin SungKim, GeunLee, Kwang YeolLee, Jin HyuckJang, Ki-Mo
Issue Date
6-11월-2020
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Keywords
anterior cruciate ligament rehabilitation; modeling; psychosocial interventions; return to sport
Citation
MEDICINE, v.99, no.45
Indexed
SCIE
SCOPUS
Journal Title
MEDICINE
Volume
99
Number
45
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/51827
DOI
10.1097/MD.0000000000023158
ISSN
0025-7974
Abstract
Background: To date, much of the rehabilitation following anterior cruciate ligament reconstruction (ACLR) has centered on physical components. However, clinical outcomes including return to sport after ACLR depends on not only physical recovery but also psychological components. This study was performed to assess the feasibility of 6-month modeling video intervention on psychological responses following ACLR. Methods: Following the baseline assessment of psychological measures through Knee Self Efficacy Scale (K-SES), ACL-Return to Sport after Injury (ACL-RSI), and Tampa Scale of Kinesiophobia-11 (TSK-11), 32 patients scheduled for ACLR were randomly assigned to intervention (n = 10), placebo (n = 11), or control (n = 11) group. Six modeling videos and placebo videos were developed by the investigators. Intervention and placebo groups watched their respective videos during their follow-up visits while control group did not. All groups completed psychological assessments during hospitalization, at 2 weeks, at 6 weeks, at 3 months, and at 6 months following ACLR. Also, Knee Injury and Osteoarthritis Outcome Score (KOOS) was used to evaluate symptoms and function of the knee at 3 and 6 months after surgery. Results: No significant changes in K-SES, ACL-RSI, and TSK-11 scores over 6-month period were observed among groups (P = .808, P = .574, P = .888, respectively). Compared with baseline, only the scores of K-SES improved with statistical significance in the intervention, placebo, and control groups (P = .05, .01, .00) at 6 months after ACLR. The KOOS subscale scores were not significantly different among the intervention, placebo, and control groups at 3 and 6 months. Conclusion: A modeling video intervention, although feasible, was not effective in addressing the psychological risk factors in patients undergoing ACLR.
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