A Randomized, Controlled Study of a Rehabilitation Model to Improve Knee-Function Self-Efficacy With ACL Injury

in Journal of Sport Rehabilitation
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $76.00

1 year online subscription

USD  $101.00

Student 2 year online subscription

USD  $144.00

2 year online subscription

USD  $192.00

Context:

The Knee Self-Efficacy Scale (K-SES) has good reliability, validity, and responsiveness for patients’ perceived knee-function self-efficacy during rehabilitation after an anterior cruciate ligament (ACL) injury. Preoperative knee-function self-efficacy has also been shown to have a predictive ability in terms of outcome 1 y after ACL reconstruction.

Objective:

To evaluate a new clinical rehabilitation model containing strategies to enhance knee-function self-efficacy.

Design:

A randomized, controlled study.

Setting:

Rehabilitation clinic and laboratory.

Patients:

40 patients with ACL injuries.

Intervention:

All patients followed a standardized rehabilitation protocol. Patients in the experimental group were treated by 1 of 3 physiotherapists who had received specific training in a clinical rehabilitation model. These physiotherapists were also given their patients’ self-efficacy scores after the initial and 4-, 6-, and 12-mo follow-ups, whereas the 5 physiotherapists treating the patients in the control group were not given their patients’ self-efficacy scores.

Main Outcome Measures:

The K-SES, the Tegner Activity Scale, the Physical Activity Scale, the Knee Injury and Osteoarthritis Outcome Score, and the Multidimensional Health Locus of Control.

Results:

Twenty-four patients (12 in each group) completed all followups. Current knee-function self-efficacy, knee symptoms in sports, and knee quality of life improved significantly (P = .05) in both groups during rehabilitation. Both groups had a significantly (P = .05) lower physical activity level at 12 mo than preinjury. No significant differences were found between groups.

Conclusion:

In this study there was no evidence that the clinical rehabilitation model with strategies to enhance self-efficacy resulted in a better outcome than the rehabilitation protocol used for the control group.

Thomeé, Thomeé, Eriksson, and Karlsson are with the Dept of Orthopedics, and Währborg, the Dept of Molecular and Clinical Medicine, Göteborg University, Göteborg, Sweden. Börjesson is with the Dept of Medicine, Sahlgrenska University Hospital, Göteborg, Sweden.