Almuhaya Abdullah, Albarrati Ali, Alhowimel Ahmed, Alodaibi Faris
College of Applied Medical Sciences Rehabilitation Health Sciences, King Saud University.
Department of Health and Rehabilitation Science Sattam Bin Abdulaziz University.
Int J Sports Phys Ther. 2023 Feb 1;18(1):81-91. doi: 10.26603/001c.68141. eCollection 2023.
While a lack of psychological preparedness and fear of movement may be linked with the anterior cruciate ligament (ACL) re-injury, these variables are rarely addressed throughout the therapy stages via educational sessions. Unfortunately, in terms of reducing fear, increasing function, and returning to play, no research has been done yet on the efficacy of adding organized educational sessions to the rehabilitation programs of soccer players post-ACL reconstruction (ACLR). Therefore, the study's aim was to assess the feasibility and acceptability of adding organized educational sessions to the rehabilitation programs post-ACLR.
A feasibility randomized controlled trial (RCT) was conducted in a specialized sports rehabilitation center. Participants post ACL reconstruction were randomized to either usual care with a structured educational session (intervention group) or usual care alone (control group). This feasibility study investigated three aspects: recruitment, intervention acceptability and randomization, and retention. The outcome measures included Tampa Scale of Kinesiophobia, ACL-Return to Sport after Injury, and International Knee Documentation Committee for knee function. Measurements were done at baseline and one week after the intervention.
All of the 36 players who were undergoing rehabilitation post-ACLR at the center at the time of the study were invited to participate in the study. Thirty-five players (97.2%) agreed to participate in the study. The participants responded to some questions about the acceptability of the intervention and randomization and most of them thought they were appropriate. 30 (85.7%) participants completed the follow-up questionnaires one week after the randomization.
This feasibility research found that adding a structured educational session to the rehabilitation program for soccer players after ACLR is feasible and acceptable. Full-scale RCTs with longer follow-ups and multiple locations are recommended.
虽然缺乏心理准备和对运动的恐惧可能与前交叉韧带（ACL）再损伤有关，但在整个治疗阶段，这些变量很少通过教育课程来解决。不幸的是，在减轻恐惧、增强功能和恢复比赛方面，尚未有研究探讨在ACL重建（ACLR）后足球运动员的康复计划中增加有组织的教育课程的效果。因此，本研究的目的是评估在ACLR后的康复计划中增加有组织的教育课程的可行性和可接受性。
在一个专门的运动康复中心进行了一项可行性随机对照试验（RCT）。ACL重建后的参与者被随机分为接受结构化教育课程的常规护理组（干预组）或仅接受常规护理组（对照组）。这项可行性研究调查了三个方面：招募、干预的可接受性和随机化以及保留率。结果测量包括坦帕运动恐惧量表、ACL损伤后恢复运动情况以及国际膝关节文献委员会的膝关节功能评估。在基线和干预后一周进行测量。
在研究期间，该中心所有36名正在接受ACLR后康复的球员都被邀请参加研究。35名球员（97.2%）同意参加研究。参与者回答了一些关于干预和随机化可接受性的问题，大多数人认为它们是合适的。30名（85.7%）参与者在随机分组一周后完成了后续问卷调查。
这项可行性研究发现，在ACLR后足球运动员的康复计划中增加结构化教育课程是可行且可接受的。建议进行随访时间更长、地点更多的全面RCT。
