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- Title
The Impact of Psychological Factors on Return to Sports after Anterior Cruciate Ligament Reconstruction: A Systematic Review.
- Authors
Longo, Umile Giuseppe; De Salvatore, Sergio; D'Orrico, Federica; Bella, Matilda; Corradini, Alessandra; Rizzello, Giacomo; De Marinis, Maria Grazia; Denaro, Vincenzo
- Abstract
The rehabilitation of those who have undergone anterior cruciate ligament reconstruction (ACL-R) is a complex process that involves many factors. Physical ability recovery is not the only factor in the return to sport; psychosocial factors such as anxiety, pain response, self-esteem, locus of control, and fear of re-injury also play an important role. A systematic search was conducted on the PubMed, Medline, Cochrane, CINAHL and Embase databases using the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). No randomized controlled trials (RCTs) were identified. The Methodological Index for Non-Randomized Studies (MINOR) was used to assess the quality of the identified non-RCT studies. A total of 308 studies were identified, of which 32 met the eligibility criteria. The results of these studies were obtained using the KOOS (ADL, Sport, QoL), ACL, TSK-11, K-SES, questionnaires/interviews, and other scales as instrumental approaches. This systematic review and meta-analysis revealed that psychological factors have a significant influence on the post-anterior cruciate ligament reconstruction outcomes of athletes. Fear of re-injury and pain were the primary factors that limited return to sport, whereas self-efficacy, psychological will, and age were associated with better functional outcomes and were essential for male and young patients. Clinicians should focus on both physical and psychological components to optimize rehabilitation.
- Subjects
ANTERIOR cruciate ligament surgery; SPORTS re-entry; PSYCHOLOGICAL factors; CINAHL database; CRUCIATE ligaments; FEAR; SPORTS psychology
- Publication
Osteology, 2023, Vol 3, Issue 3, p78
- ISSN
2673-4036
- Publication type
Article
- DOI
10.3390/osteology3030009