FOTO Rehab Outcomes

Including Web Support Intervention to Promote Recovery Post ACL Reconstruction

Technology is typically considered an asset. This time around though, I'm not convinced that including a web support intervention is quite worth it.anterior-cruciate-ligament-reconstruction-aclI want you to think about anterior cruciate ligament reconstructions. What is the main concern after this procedure? To me, the largest concern is either 1) retear or 2) contralateral anterior cruciate ligament injury. If this is truly the biggest concern, then I'd like to think that this concern would be considered within research. I could be very wrong, but I don't believe a web-support intervention will truly provide value to the bottom line concern.

Below you will find a quick view of the abstract. 

A novel web-support intervention to promote recovery following Anterior Cruciate Ligament reconstruction: A pilot randomised controlled trial.

 

Abstract

BACKGROUND:

Self-efficacy is positively associated with adherence behaviours and rehabilitation outcomes following Anterior Cruciate Ligament (ACL) reconstruction. An internet resource can be an effective way to provide information, goal setting, patient monitoring and hence support overall self-management.

PURPOSE:

This study examined the feasibility of a three month 'internet-based intervention' (mobile-oriented site) to enhance recovery for patients following ACL reconstruction. The potential effect of the internet-based intervention on knee pain, function, self-efficacy and fear of pain were also assessed.

METHOD:

This was a pilot randomised controlled trial (RCT) with pre and post intervention design (assessments at one week and three months following ACL reconstruction) comparing: (1) a control group and (2) an intervention group (internet-based intervention). A set of qualitative and quantitative assessments were included to evaluate potential improvements in self-efficacy, pain and function and perception of the internet intervention.

RESULTS AND CONCLUSION:

Seventeen participants were available for analysis (n = 10 intervention and n = 7 control group). Participants reported the internet-based intervention to be a useful tool for information, reminder and reinforcement for performing their exercise rehabilitation with 30.3% (±35.3%) adherence to the internet-based intervention. No differences were observed between the groups over time on the outcome questionnaires (p > 0.05). Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12616001379404.

 2017 Sep;27:29-37. doi: 10.1016/j.ptsp.2017.06.001. Epub 2017 Jun 8.