Effect of Patient Resilience on Return to Sport Post ACL Reconstruction Surgery

NCT ID: NCT03013231

Last Updated: 2019-09-06

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 50 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-01-20
• Study Completion Date: 2019-08-30

Brief Summary

Despite the large majority of patients that undergo ACL reconstruction reporting successful outcomes in regard to tests of knee function, only about 2/3 return to their prior level or athletic activity after surgery. A large amount of research has been conducted investigating the effects of psychological factors on return to sports after ACL reconstruction; however, the specific role of resilience has yet to be solely analyzed. This study aims to determine the effect of variations in patient resilience on their return to sports after surgery.

Detailed Description

Meta-analysis of post ACL reconstruction return to sport suggests that despite approximately 90% of patients achieving successful outcomes in terms of objectively measurable knee function, only 63% return to their pre-injury sport participation rate. This leads one to question what factors other than knee function may contribute to such a discrepancy. Prior studies have shown psychological factors, such as fear of re-injury, can play in role in whether a patient returns to play. However, the role of patient resilience on recovery is less clear. This research will examine the effect of patient resilience on post-ACLR return to sport. The Brief Resiliency Scale (BRS), a proven method of assessing ability to recover from stressful situations, will be used to evaluate patient resilience. The role of resilience on recovery post shoulder surgery, as well as rehabilitation in post-operative orthopaedic geriatric patients has been examined; however, the effect of resilience on specifically ACLR return to sport has yet to be studied.

This research will provide insight as to how to identify patients at high risk for not returning to sport, the first step in improving return to sport outcomes in ACL reconstruction patients.

Conditions

Anterior Cruciate Ligament Reconstruction

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

s/p ACLR

Patients having undergone ACL Reconstruction Surgery with goal of returning to sport. 6 months post-op, patients will complete the BRS survey as a method of evaluating resilience.

Brief Resilience Scale

Intervention Type: BEHAVIORAL

6 months post-op, patients will complete the BRS survey as a method of evaluating resilience.

Interventions

Brief Resilience Scale

6 months post-op, patients will complete the BRS survey as a method of evaluating resilience.

Intervention Type: BEHAVIORAL

Other Intervention Names

BRS

Eligibility Criteria

Inclusion Criteria

• English speaking patients
• Isolated ACL tear having undergone surgical reconstruction.

Exclusion Criteria

• Non-English speaking patients.

• Minimum Eligible Age: 14 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

St. Louis University

OTHER

Sponsor Role: lead

Responsible Party

Scott Kaar, MD

Associate Professor, Dept. of Orthopaedic Surgery

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Scott Kaar, MD

Role: PRINCIPAL_INVESTIGATOR

St. Louis University

Locations

SSM Health Saint Louis University Hospital

St Louis, Missouri, United States

Countries

United States

References

Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972.

Reference Type: BACKGROUND

PMID: 18696313 (View on PubMed)

Other Identifiers

27659

Identifier Type: OTHER

Identifier Source: secondary_id

47659

Identifier Type: -

Identifier Source: org_study_id