AI Article Synopsis

  • The study aimed to assess the feasibility and effectiveness of in vivo exposure therapy (IVET) for reducing fear of re-injury in females who have undergone anterior cruciate ligament reconstruction (ACLR).
  • A total of 12 female participants were randomly assigned to either a 5-week IVET program or a sham physical activity monitoring group, with various measures taken to evaluate outcomes.
  • Results showed that while both groups experienced a decrease in fear related to certain activities, the IVET group did not show significant differences compared to the control group, indicating the need for further research on these interventions.

Article Abstract

Objective: The objective of this pilot study was to examine the preliminary feasibility and efficacy of in vivo exposure therapy (IVET) to decrease injury-related fear in females with history of ACLR.

Design: Pilot Study.

Setting: Sports Medicine Research Laboratory.

Participants: 12 female participants with history of ACLR (≥ 1 year post-operative) were randomized into a 5-week IVET group (n = 6) or 5-week sham physical activity (PA) monitoring group (n = 6).

Main Outcome Measures: The independent variables were Group and Time. The dependent variables were the Photographic Series of Sports Activities for ACLR (PHOSA-ACLR) and the Tampa Scale of Kinesiophobia-11 (TSK-11) scores. A Group x Time repeated measures two-way analysis of variance was completed for the PHOSA-ACLR and the TSK-11. Partial η effect sizes were used to examine clinically meaningful differences.

Results: High retention and adherence rates were observed in the intervention group. The PHOSA-ACLR exhibited a significant main effect for Time (F = 9.92, p = 0.01, partial η = 0.50), but not for Group. No statistically significant or clinically meaningful differences were observed for the TSK-11.

Conclusion: Both groups exhibited decreased injury-related fear for specific functional tasks. Future research should further examine the efficacy of IVET and PA monitoring to decrease injury-related fear in patients after ACLR.

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Source
http://dx.doi.org/10.1016/j.ptsp.2021.09.009DOI Listing

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