Psychological Readiness to Return to Sport at 6 Months is Higher After Bridge-Enhanced ACL Repair than Autograft ACL Reconstruction. Issue 5 (31st May 2022)
- Record Type:
- Journal Article
- Title:
- Psychological Readiness to Return to Sport at 6 Months is Higher After Bridge-Enhanced ACL Repair than Autograft ACL Reconstruction. Issue 5 (31st May 2022)
- Main Title:
- Psychological Readiness to Return to Sport at 6 Months is Higher After Bridge-Enhanced ACL Repair than Autograft ACL Reconstruction
- Authors:
- Sanborn, Ryan M.
Badger, Gary J.
Yen, Yi-Meng
Murray, Martha M.
Christino, Melissa A.
Sant, Nicholas
Barnett, Samuel
Fleming, Braden C.
Kramer, Dennis E.
Micheli, Lyle J. - Abstract:
- Background: Prior clinical studies have shown that psychological factors have a significant effect on an athlete's readiness to return to sport following ACL reconstruction (ACLR). Hypothesis/Purpose: We hypothesized that patients who underwent Bridge-Enhanced ACL Repair (BEAR) would have higher levels of psychological readiness for return to sport compared to ACLR, and baseline characteristics and 6-month outcomes would predict psychological readiness at 6 months following an ACL surgical procedure. Methods: 100 patients (median age 17 years; median pre-operative Marx Activity Score 16) with complete mid-substance ACL injuries were randomized to either the BEAR procedure (n=65) or autograft ACLR (n=35) and underwent surgery within 45 days of injury. Objective, functional, and patient-reported outcomes, including the ACL-Return to Sport after Injury (ACL-RSI) scale, were assessed at 6 months, 12 months, and 24 months. Results: Patients who underwent the BEAR procedure had significantly higher ACL-RSI scores at 6 months compared to those that underwent an ACLR (71.1 vs 58.2, p=.008), and scores were similar at 12 months and 24 months. Baseline factors independently predictive of higher ACL-RSI scores at 6 months were having a BEAR procedure and participating in Level 1 sports prior to injury, which explained 15% of the variability in ACL-RSI scores. Regression analysis of baseline and 6-month outcomes as predictors indicated that the IKDC score at 6 months explained 45% ofBackground: Prior clinical studies have shown that psychological factors have a significant effect on an athlete's readiness to return to sport following ACL reconstruction (ACLR). Hypothesis/Purpose: We hypothesized that patients who underwent Bridge-Enhanced ACL Repair (BEAR) would have higher levels of psychological readiness for return to sport compared to ACLR, and baseline characteristics and 6-month outcomes would predict psychological readiness at 6 months following an ACL surgical procedure. Methods: 100 patients (median age 17 years; median pre-operative Marx Activity Score 16) with complete mid-substance ACL injuries were randomized to either the BEAR procedure (n=65) or autograft ACLR (n=35) and underwent surgery within 45 days of injury. Objective, functional, and patient-reported outcomes, including the ACL-Return to Sport after Injury (ACL-RSI) scale, were assessed at 6 months, 12 months, and 24 months. Results: Patients who underwent the BEAR procedure had significantly higher ACL-RSI scores at 6 months compared to those that underwent an ACLR (71.1 vs 58.2, p=.008), and scores were similar at 12 months and 24 months. Baseline factors independently predictive of higher ACL-RSI scores at 6 months were having a BEAR procedure and participating in Level 1 sports prior to injury, which explained 15% of the variability in ACL-RSI scores. Regression analysis of baseline and 6-month outcomes as predictors indicated that the IKDC score at 6 months explained 45% of the 6-month ACL-RSI variance. Subsequent analysis, with IKDC excluded from the model, indicated that decreased pain, increased hamstring and quadriceps strength in the surgical limb, and decreased side-to-side difference in AP knee laxity were significant predictors of a higher ACL-RSI score at 6 months, explaining 34% of the variability in ACL-RSI scores. Higher ACL-RSI scores at 6 months were associated with earlier clearance to return to sports. Conclusion: Patients who underwent the BEAR procedure had higher ACL-RSI scores at 6 months after surgery. Better ACL-RSI scores at 6 months were related most strongly to higher IKDC scores at 6 months. Lower pain levels, better muscle recovery, and less knee laxity at 6-months post-surgery were also associated with improved ACL-RSI scores at that time point. … (more)
- Is Part Of:
- Orthopaedic journal of sports medicine. Volume 10:Issue 5(2022)Supplement 2
- Journal:
- Orthopaedic journal of sports medicine
- Issue:
- Volume 10:Issue 5(2022)Supplement 2
- Issue Display:
- Volume 10, Issue 5, Part 2 (2022)
- Year:
- 2022
- Volume:
- 10
- Issue:
- 5
- Part:
- 2
- Issue Sort Value:
- 2022-0010-0005-0002
- Page Start:
- Page End:
- Publication Date:
- 2022-05-31
- Subjects:
- Sports medicine -- Periodicals
Orthopedics -- Periodicals
Arthroscopy -- Periodicals
Arthroplasty -- Periodicals
Knee -- Surgery -- Periodicals
616.7 - Journal URLs:
- http://www.sagepublications.com/ ↗
- DOI:
- 10.1177/2325967121S00379 ↗
- Languages:
- English
- ISSNs:
- 2325-9671
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
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