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Psychological Factors in the ACL Reconstruction Population: Are They Predictive of Patient Outcomes?

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The ACL-Deficient Knee

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Abstract

Anterior cruciate ligament (ACL) reconstruction research has focused on technical aspects of surgery and rehabilitation. These factors however may only partially contribute to patient outcome [50]. Less attention has been paid to psychological factors that may influence an athlete’s return to sport [8, 50, 73, 106, 107]. Despite successful ACL reconstruction and rehabilitation as determined by pre- and postoperative comparisons of patient-perceived function and symptoms [92] and performance-based tests such as the single and triple hop for distance [38, 44, 75, 87], the percentage of patients that successfully return to preinjury sports participation levels is less impressive. Improving our understanding of a patient’s psychological profile prior to ACL reconstruction, rehabilitation, and return to sport may assist the surgical and rehabilitative decision-making process.

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  1. Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, First Floor ACB 550 South Jackson St., Louisville, KY, 40202, USA

    John Nyland DPT, SCS, EdD, ATC, CSCS, FACSM & Emily Brand BA

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  1. Depto. Cirugia Ortopédica, Hospital Arnau de Vilanova, c/San Clemente 12, Valencia, 46015, Spain

    Vicente Sanchis-Alfonso

  2. , Orthopaedic Surgery, Hospital de Sant Pau, St Antoni m Claret 167, Barcelona, 08025, Spain

    Joan Carles Monllau

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Nyland, J., Brand, E. (2013). Psychological Factors in the ACL Reconstruction Population: Are They Predictive of Patient Outcomes?. In: Sanchis-Alfonso, V., Monllau, J. (eds) The ACL-Deficient Knee. Springer, London. https://doi.org/10.1007/978-1-4471-4270-6_17

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