Can Fear or Other Psychological Factors Alter Movement After ACL Reconstruction?
Section: Section on Research
Co-Section: Sports PT Section
Session Code: RE-2B-8490
Date: Friday, January 25, 2019
Time: 11:00 AM - 1:00 PM
Location: Walter E. Washington Convention Center
Room: 103B

Speaker(s):   Terese Chmielewski, PT, PhD, Board-Certified Clinical Specialist in Sports Physical Therapy
  Adam Meierbachtol, PT, DPT, ATC, Board-Certified Clinical Specialist in Sports Physical Therapy
  Ryan Mizner, PT, PhD
  Ryan Zarzycki, DPT, PhD

Session Type: Educational Sessions
Session Level: Basic

Despite advances in surgical techniques and rehabilitation strategies, outcomes following anterior cruciate ligament reconstruction (ACLR) are suboptimal. Only 65% of athletes return to their prior level of sport, and approximately 1 in 3 young athletes sustain a second ACL injury after returning to sport. In addition, up to 80% of the ACLR population show early development of knee osteoarthritis within 5 to 10 years after surgery. These suboptimal outcomes indicate that current rehabilitation protocols may not be addressing all factors needed for successful outcomes. Research has shown that psychological factors, such as fear of reinjury and low confidence, can deter a return to sport. However, these psychological factors also may influence other rehabilitation outcomes by contributing to aberrant movement that is known to persist after ACLR. Modifications to rehabilitation protocols may be needed to properly address psychological factors and improve ACLR rehabilitation outcomes. In this session, the speakers will propose a theoretical framework describing a relationship between psychological factors and movement following ACLR, review emerging evidence linking psychological factors and movement during various tasks, and discuss screening and interventions to address psychological factors in ACLR rehabilitation.

Learning Objectives: Upon completion of this course, you will be able to:

1. Explain how psychological factors can affect movement and outcomes in patients after ACL reconstruction.

2. Discuss the current evidence regarding the relationship between psychological factors and movement following ACL reconstruction.

3. Identify tools that can be used to screen for psychological factors and potential interventions aimed at psychological factors.

CEU: 0.2

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