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Psychological readiness at 9 months after anterior cruciate ligament reconstruction-which factors affect?

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Title: Psychological readiness at 9 months after anterior cruciate ligament reconstruction-which factors affect?
Authors: Suzuki, Makoto Browse this author
Ishida, Tomoya Browse this author
Matsumoto, Hisashi Browse this author
Kaneko, Satoru Browse this author
Inoue, Chiharu Browse this author
Aoki, Yoshimitsu Browse this author
Tohyama, Harukazu Browse this author →KAKEN DB
Samukawa, Mina Browse this author →KAKEN DB
Keywords: Anterior cruciate ligament reconstruction
Psychological readiness
Quadriceps strength
Return to sport
Issue Date: Nov-2022
Publisher: Elsevier
Journal Title: Physical Therapy in Sport
Volume: 58
Start Page: 74
End Page: 79
Publisher DOI: 10.1016/j.ptsp.2022.09.007
PMID: 36223691
Abstract: Objective: To investigate the association of psychological readiness at 9 months after anterior cruciate ligament reconstruction (ACLR) with knee strength and range-of-motion (ROM) at 3 and 9 months postoperatively. Design: Retrospective cohort study. Setting: Private orthopedic hospital. Participants: Seventy-eight patients after ACLR. Main outcomes measures: The participants completed the anterior cruciate ligament-return to sport after injury (ACL-RSI) scale as an assessment of psychological readiness at 9 months after ACLR. Isometric and isokinetic quadriceps and hamstring strength were measured by a dynamometer at 3 and 9 months postoperatively. Knee extension and flexion ROM were measured in 5 degrees increments with a standard goniometer at 3 and 9 months postoperatively. Results: Univariate regression analysis showed that age, limb symmetry index (LSI) of quadriceps strength at 3 and 9 months, and knee extension ROM deficit (>5 degrees) at 3 and 9 months were associated with ACL-RSI scores at 9 months (P < 0.05). Age and LSI of quadriceps strength at 3 months remained significant predictors of ACL-RSI scores at 9 months in multiple regression analysis (R2 = 0.20, P < 0.001). Conclusions: Early improvements in quadriceps strength after ACLR may have a positive impact on psychological readiness at 9 months postoperatively.
Rights: © 2022. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
https://creativecommons.org/licenses/by-nc-nd/4.0/
Type: article (author version)
URI: http://hdl.handle.net/2115/90632
Appears in Collections:保健科学院・保健科学研究院 (Graduate School of Health Sciences / Faculty of Health Sciences) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 石田 知也

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