2nd Orthopaedic and Traumatology Clinic, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy.
Knee Surg Sports Traumatol Arthrosc. 2013 Apr;21(4):851-8. doi: 10.1007/s00167-013-2392-4. Epub 2013 Jan 30.
The purpose of this randomized double blind controlled study was to investigate if the vision of contemporary art video according to the Videoinsight(®) method could produce better short-term clinical and subjective outcomes after anterior cruciate ligament (ACL) reconstruction.
One-hundred and six patients treated with single-bundle ACL reconstruction plus extra-articular tenodesis were enrolled in this study and randomly assigned to Group A (53 patients) and Group B (53 patients). Group A received one art video that was established to produce positive and therapeutic "insight", while Group B received one art video with an "insight" unfavourable to the psychological recovery. All patients were instructed to watch the video 3 times a week for the first 2 months during the execution of the same rehabilitative protocol. Patients were evaluated pre-operatively and 3 months after surgery with Tegner, subjective International Knee Documentation Committee (IKDC), physical and mental SF-36 scores and Tampa Scale of Kinesiophobia (TSK). Time to crutches discharge was collected at final follow-up as well.
Five patients were lost to follow-up and 101 patients (Group A: 51 patients; Group B: 50 patients) were available at mean 3.0 ± 0.2 months follow-up. Age at surgery was 33.0 ± 17.0 years. The two groups were homogeneous regarding pre-operative demographic data, meniscal lesions and clinical outcomes. Significant improvements were observed in Group A compared to Group B at final follow-up for subjective IKDC (82.0 ± 13.8 vs. 71.0 ± 19.7, p = 0.0470), TKS (28.1 ± 6.0 vs. 32.0 ± 5.8, p = 0.0141) and time to crutches discharge (20.9 ± 5.0 vs. 26.5 ± 8.2 days, p = 0.0012). A positive significant correlation between TSK and time to crutches discharge (r = 0.35, p = 0.0121) was observed.
The Videoinsight(®) method combined to adequate rehabilitation could be an effective tool in order to improve short-term clinical and functional outcomes in patients who underwent ACL reconstruction.
本随机双盲对照研究的目的是探讨根据 Videoinsight（®）方法观看当代艺术视频是否能在前交叉韧带（ACL）重建后产生更好的短期临床和主观结果。
本研究纳入了 106 例接受单束 ACL 重建加关节外腱固定术的患者，并将其随机分为 A 组（53 例）和 B 组（53 例）。A 组观看一段旨在产生积极和治疗性“洞察”的艺术视频，而 B 组观看一段对心理康复不利的艺术视频。所有患者在执行相同的康复方案的前 2 个月每周观看 3 次视频。患者在术前和术后 3 个月分别采用 Tegner、主观国际膝关节文献委员会（IKDC）、身体和精神 SF-36 评分和坦帕运动恐惧量表（TSK）进行评估。最后一次随访时还收集了弃拐时间。
5 例患者失访，101 例患者（A 组：51 例；B 组：50 例）在平均 3.0±0.2 个月的随访时可评估。手术时的年龄为 33.0±17.0 岁。两组在术前人口统计学数据、半月板损伤和临床结果方面均无差异。与 B 组相比，A 组在末次随访时的主观 IKDC（82.0±13.8 对 71.0±19.7，p=0.0470）、TSK（28.1±6.0 对 32.0±5.8，p=0.0141）和弃拐时间（20.9±5.0 对 26.5±8.2 天，p=0.0012）均有显著改善。TSK 与弃拐时间呈显著正相关（r=0.35，p=0.0121）。
将 Videoinsight（®）方法与适当的康复相结合可能是一种有效的工具，可改善接受 ACL 重建的患者的短期临床和功能结果。
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