Skip to main content

Advertisement

SpringerLink
Log in

The Videoinsight® method: improving rehabilitation following anterior cruciate ligament reconstruction—a preliminary study

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The purpose of this randomized double blind controlled study was to investigate if the vision of contemporary art video according to the Videoinsight® method could produce better short-term clinical and subjective outcomes after anterior cruciate ligament (ACL) reconstruction.

Methods

One-hundred and six patients treated with single-bundle ACL reconstruction plus extra-articular tenodesis were enrolled in this study and randomly assigned to Group A (53 patients) and Group B (53 patients). Group A received one art video that was established to produce positive and therapeutic “insight”, while Group B received one art video with an “insight” unfavourable to the psychological recovery. All patients were instructed to watch the video 3 times a week for the first 2 months during the execution of the same rehabilitative protocol. Patients were evaluated pre-operatively and 3 months after surgery with Tegner, subjective International Knee Documentation Committee (IKDC), physical and mental SF-36 scores and Tampa Scale of Kinesiophobia (TSK). Time to crutches discharge was collected at final follow-up as well.

Results

Five patients were lost to follow-up and 101 patients (Group A: 51 patients; Group B: 50 patients) were available at mean 3.0 ± 0.2 months follow-up. Age at surgery was 33.0 ± 17.0 years. The two groups were homogeneous regarding pre-operative demographic data, meniscal lesions and clinical outcomes. Significant improvements were observed in Group A compared to Group B at final follow-up for subjective IKDC (82.0 ± 13.8 vs. 71.0 ± 19.7, p = 0.0470), TKS (28.1 ± 6.0 vs. 32.0 ± 5.8, p = 0.0141) and time to crutches discharge (20.9 ± 5.0 vs. 26.5 ± 8.2 days, p = 0.0012). A positive significant correlation between TSK and time to crutches discharge (r = 0.35, p = 0.0121) was observed.

Conclusions

The Videoinsight® method combined to adequate rehabilitation could be an effective tool in order to improve short-term clinical and functional outcomes in patients who underwent ACL reconstruction.

Level of evidence

I.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Apolone G, Mosconi P (1998) The Italian SF-36 Health Survey: translation, validation and norming. J Clin Epidemiol 51:1025–1036

    Article  PubMed  CAS  Google Scholar 

  2. Bandura A (1997) Self-efficacy: the exercise of control. Freeman, New York

    Google Scholar 

  3. Cupal D, Brewer B (2001) Effects of relaxation and guided imagery on knee strength, reinjury anxiety, and pain following anterior cruciate ligament reconstruction. Rehabil Psychol 46:28–43

    Article  Google Scholar 

  4. Decarlo MS, Shelbourne KD, McCarroll JR, Rettig AC (1992) Traditional versus accelerated rehabilitation following ACL reconstruction: a one-year follow-up. J Orthop Sports Phys Ther 15:309–316

    PubMed  CAS  Google Scholar 

  5. Flint F (1991) The psychological effects of modeling in athletic injury rehabilitation. University of Oregon, USA, Eugene

    Google Scholar 

  6. Ievleva L, Orlick T (1991) Mental links to enhanced recovery: an exploratory analysis. Sport Psychol 5:25–40

    Google Scholar 

  7. Levitt R, Deisinger JA, Remondet Wall J, Ford L, Cassisi JE (1995) EMG feedback-assisted postoperative rehabilitation of minor arthroscopic knee surgeries. J Sports Med Phys Fitness 35:218–223

    PubMed  CAS  Google Scholar 

  8. Maddison R, Prapavessis H, Clatworthy M (2006) Modeling and rehabilitation following anterior cruciate ligament reconstruction. Ann Behav Med 31:89–98

    Article  PubMed  Google Scholar 

  9. Marcacci M, Zaffagnini S, Giordano G, Iacono F, Presti ML (2009) Anterior cruciate ligament reconstruction associated with extra-articular tenodesis: a prospective clinical and radiographic evaluation with 10- to 13-year follow-up. Am J Sports Med 37:707–714

    Article  PubMed  Google Scholar 

  10. Marcacci M, Zaffagnini S, Iacono F, Neri MP, Loreti I, Petitto A (1998) Arthroscopic intra- and extra-articular anterior cruciate ligament reconstruction with gracilis and semitendinosus tendons. Knee Surg Sports Traumatol Arthrosc 6:68–75

    Article  PubMed  CAS  Google Scholar 

  11. Monticone M, Giorgi I, Baiardi P, Barbieri M, Rocca B, Bonezzi C (2010) Development of the Italian version of the Tampa Scale of Kinesiophobia (TSK-I): cross-cultural adaptation, factor analysis, reliability, and validity. Spine (Phila Pa 1976) 35:1241–1246

    Article  Google Scholar 

  12. Padua R, Bondi R, Ceccarelli E, Bondi L, Romanini E, Zanoli G, Campi S (2004) Italian version of the International Knee Documentation Committee Subjective Knee Form: cross-cultural adaptation and validation. Arthroscopy 20:819–823

    PubMed  Google Scholar 

  13. Ross MJ, Berger RS (1996) Effects of stress inoculation training on athletes’ postsurgical pain and rehabilitation after orthopedic injury. J Consult Clin Psychol 64:406–410

    Article  PubMed  CAS  Google Scholar 

  14. Russo RL (2011) Videoinsight®. Healing with contemporary art. Silvana Editoriale, Cinisello Balsamo

    Google Scholar 

  15. Russo RL (2013) The Videoinsight® concept. CIC Edizioni Internazionali, Rome

    Google Scholar 

  16. Schafer R (1954) Psychoanalytic interpretation in Rorschach testing. Grune & Stratton, New York

    Google Scholar 

  17. Sordoni C, Hall C, Forwell L (2000) The use of imagery by athletes during injury rehabilitation. J Sport Rehabil 9:329–338

    Google Scholar 

  18. Sordoni C, Hall C, Forwell L (2002) The use of imagery in athletic injury rehabilitation and its relationship to self-efficacy. Physiother Can 54:177–185

    Google Scholar 

  19. Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49

    PubMed  Google Scholar 

  20. Theodorakis Y, Beneca A, Malliou P, Goudas M (1997) Examining psychological factors during injury rehabilitation. J Sport Rehabil 6:355–363

    Google Scholar 

  21. Zaffagnini S, Bruni D, Marcheggiani Muccioli GM, Bonanzinga T, Lopomo N, Bignozzi S, Marcacci M (2011) Single-bundle patellar tendon versus non-anatomical double-bundle hamstrings ACL reconstruction: a prospective randomized study at 8-year minimum follow-up. Knee Surg Sports Traumatol Arthrosc 19:390–397

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors certify that the above-named manuscript describes their own original work on properly conducted and documented research and that all authors contributed to the conception and design of the study or acquisition of data, analysis and interpretation of data, and revising the final version of the article. All authors believe that the manuscript represents honest work. This paper has not been submitted to, or published by, any other journal, nor will it be submitted to any other journal without prior written notification to the Editor-in-Chief that the manuscript is to be withdrawn. The authors declare that there was neither financial nor personal relationship including employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registration and grants with other people or organization that could inappropriately influence (bias) their work.

Author information

Authors and Affiliations

  1. 2nd Orthopaedic and Traumatology Clinic, Istituto Ortopedico Rizzoli, University of Bologna, Bologna, Italy

    Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli & Maurilio Marcacci

  2. Laboratorio di Biomeccanica, Codivilla-Putti Research Center, Istituto Ortopedico Rizzoli, University of Bologna, via di Barbiano, 1/10, 40100, Bologna, Italy

    Stefano Zaffagnini

  3. Videoinsight® Center, via Bonsignore, 7, 10131, Turin, Italy

    Rebecca Luciana Russo

Authors
  1. Stefano Zaffagnini
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Rebecca Luciana Russo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Giulio Maria Marcheggiani Muccioli
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Maurilio Marcacci
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stefano Zaffagnini.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MPG 4182 kb)

Supplementary material 2 (MPG 4350 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Zaffagnini, S., Russo, R.L., Marcheggiani Muccioli, G.M. et al. The Videoinsight® method: improving rehabilitation following anterior cruciate ligament reconstruction—a preliminary study. Knee Surg Sports Traumatol Arthrosc 21, 851–858 (2013). https://doi.org/10.1007/s00167-013-2392-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00167-013-2392-4

Keywords

Search

Navigation