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The Role of Disinhibitory Modalities in Joint Injury Rehabilitation

Michael G. Dolan, Brian G. Pietrosimone, J. Ty Hopkins, and Christopher D. Ingersoll

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Feasibility of Mobile Application-Delivered Mindfulness Meditation for Individuals After Anterior Cruciate Ligament Reconstruction

Shelby Baez, Francesca Genoese, Elaine Reiche, Matthew Harkey, Christopher Kuenze, Jason Moser, and Brian Pietrosimone

Mindfulness meditation (MM) has decreased kinesiophobia in patients with knee pathologies. Mobile application-delivered MM (Mobile MM) may reduce kinesiophobia in individuals after anterior cruciate ligament reconstructions (ACLR). The purpose of this study was to examine the feasibility (i.e., retention, adherence, and acceptability) and preliminary efficacy of a 4-week Mobile MM intervention in individuals with a history of ACLR. Nine participants ≥1 year post unilateral ACLR completed 12 sessions of Mobile MM over 4 weeks via the Headspace mobile application that were facilitated remotely through a Health Insurance Portability and Accountability ACT of 1996 (HIPAA) compliant teleconference system. Participant retention of 100% and intervention adherence of 100% were observed. Participants reported moderate to high acceptability for the Mobile MM. A large between-group effect size of 1.6 [0.13, 2.98] in the Tampa Scale of Kinesiophobia-11 change score was observed. Mobile MM is a feasible intervention to address kinesiophobia in individuals with a history of ACLR.