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July 24, 2023OsteologyOpen Access

Fear of re-injury and pain were the primary factors that limited return to sport, whereas self-efficacy, psychological will, and age were associated with better functional outcomes.

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Why the study?

Rehabilitation after ACL reconstruction is complex, and physical recovery is not the only factor in return to sport, with psychosocial factors also playing an important role.

Do psychological factors influence return to sport and functional outcomes in patients after anterior cruciate ligament reconstruction?

Population

32 non-RCT studies of patients undergoing ACL reconstruction

Comparison

Psychological factors influencing post-reconstruction outcomes

Design

Systematic review and meta-analysis

Authors

ULUmile Giuseppe LongoSSSergio De SalvatoreFDFederica D’Orrico

Discussion

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Overview

Psychosocial screening should integrate into ACL-R rehab protocols; extends evidence for multifactorial return-to-sport criteria.

Structured PICO

Do psychological factors influence return to sport and functional outcomes in patients after anterior cruciate ligament reconstruction?

P
Population
Athletes/patients who have undergone anterior cruciate ligament reconstruction (ACL-R) (32 non-RCT studies included)
I
Intervention
Psychological factors (including anxiety, pain response, self-esteem, locus of control, fear of re-injury, self-efficacy, and psychological will)
O
Outcome
Return to sport and functional outcomespatient reported

Psychological factors, particularly fear of re-injury, pain, and self-efficacy, significantly influence the ability of athletes to return to sport after ACL reconstruction.

Cite This Study

Longo et al. (2023) studied this question.

synapsesocial.com/papers/6a70aace31a3df824328ebfdhttps://doi.org/10.3390/osteology3030009
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Return to sport following anterior cruciate ligament reconstruction surgery: a systematic review and meta-analysis of the state of play2011 · 1,342 citations
  2. 2The Psychology of ACL Injury, Treatment, and Recovery: Current Concepts and Future Directions2024 · 10 citations
  3. 3Reasons for Not Returning to Pre-injury Sport Level After ACL-Reconstruction2024 · 5 citations
  4. 4Integrating psychological and physical assessments to obtain optimal return-to-sport outcomes after ACL reconstruction: A systematic review and network meta-analysis2025 · 9 citations
  5. 5Psychological Responses During Latter Rehabilitation and Return to Sport After Anterior Cruciate Ligament Reconstruction Surgery2024 · 1 citations