The Psychological Impact of Mindfulness Intervention to Anterior Cruciate Ligament Reconstruction

Обзор

Anterior cruciate ligament (ACL) reconstruction surgery is a common procedure performed by orthopedic surgeons. Postoperatively, patients often experience pain, muscle tension, and concerns about their ability to return to sports. These factors influence the recovery and return to sports capabilities of ACL patients. According to research, only 64% of patients are able to recover to their pre-injury level after surgery, and the success rate for returning to competitive sports is only 56%. Psychological factors during the recovery process may explain this disparity. ACL injury is associated with anxiety, pain reaction, and emotional disorders, with fear of re-injury being the most common obstacle to returning to sports, accounting for 19%. A study by Lentz et al. (2015) also found no significant differences in pain assessments between individuals who were afraid of re-injury and those who were able to return to sports at six months and one year after surgery. This suggests that fear of pain may limit activity and increase the risk of unsuccessful return to sports. Mindfulness intervention is a psychological approach that involves non-judgmental awareness and focus on moment to moment. Mindfulness practice is known to reduce stress in athletes, promote recovery, enhance athletic performance, and improve sleep quality. Good sleep quality contributes to emotional stability and physical recovery. Even short daytime naps can be beneficial for athletes. A review of 37 studies of moderate quality found that daytime napping can improve physical and cognitive performance, psychological state, and nighttime sleep. Therefore, investigators hypothesize that integrating mindfulness practice into daytime napping may lead to improved spirit upon waking, reduce sleep inertia, and over time, potentially increase the rate of return to sports after ACL reconstruction.

Вмешательства

• Поведенческое mindfulness practice of body scan
  Mindfulness intervention is one kind of psychological intervention. The founder of Mindfulness-Based Stress Reduction (MBSR), Jon Kabat-Zinn, described mindfulness as \"awareness that arises through paying attention, on purpose, in the present moment, non-judgmentally\" (Kabat-Zinn, 2003). Moreover, these attitudes can be nurtured through various practices such as body scan, meditation, yoga, mindful eating, and mindful walking. Mindfulness practices are recognized for their ability to a
• Поведенческое listening to light music
  listening to light music asa control

Первичные конечные точки

• Electroencephalogram (EEG) [Срок оценки: 5 times in one month after ACL reconstruction]
• Electrooculography (EOG) [Срок оценки: 5 times in one month after ACL reconstruction]
• Electromyography (EMG) [Срок оценки: 5 times in one month after ACL reconstruction]
• ECG (Electrocardiography) [Срок оценки: 5 times in one month after ACL reconstruction]
• Nasal/Oral airflow [Срок оценки: 5 times in one month after ACL reconstruction]
• Thermistor [Срок оценки: 5 times in one month after ACL reconstruction]
• Chest and abdominal belt [Срок оценки: 5 times in one month after ACL reconstruction]
• Oximetry [Срок оценки: 5 times in one month after ACL reconstruction]
• Snoring [Срок оценки: 5 times in one month after ACL reconstruction]

Вторичные конечные точки (4)

• Karolinska Sleepiness Scale (KSS) [Срок оценки: 5 times in one month after ACL reconstruction]
• Five Facet Mindfulness Questionnaire (FFMQ) [Срок оценки: before and after five times in one month after ACL reconstruction, 6-month, 12-month follow-up]
• State-Trait Anxiety Inventory (STAIS) [Срок оценки: before and after five times in one month after ACL reconstruction, 6-month, 12-month follow-up]
• Anterior Cruciate Ligament Return to Sport After Injury Scale (ACL-RSI) (Short Version) [Срок оценки: before and after five times in one month after ACL reconstruction, 6-month, 12-month follow-up]

Критерии участия

Критерии включения

• Within the first month after ACL reconstruction without mindfulness practice experience

Критерии исключения

• below 18 years old, previous exposure to mindfulness intervention

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Тайвань · 1 центр

• ChangGungMH — Keelung

Идентификаторы

NCT: NCT06382324 · 202301280B0

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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