Predictors of Adherence to Home Rehabilitation Exercises Following Anterior Cruciate Ligament Reconstruction

Predictors of Adherence to Home Rehabilitation Exercises Following Anterior Cruciate Ligament Reconstruction
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DOI:
10.1037/a0031297
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发表时间:
2013-02-01
影响因子:
2.7
通讯作者:
Armeli, Stephen
Armeli, Stephen
中科院分区:
医学3区
文献类型:
--
作者:
Brewer, Britton W.;Cornelius, Allen E.;Armeli, Stephen

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目标:尽管前交叉韧带(ACL)重建后通常规定家庭锻炼,并认为这对获得成功的康复结果很重要,但对完成此类锻炼的相关因素知之甚少。因此,本研究旨在确定ACL手术后坚持家庭康复锻炼的预测因素。方法:参与者(33名女性,58名男性)在ACL手术前完成了运动身份,神经质,乐观和悲观的指数,以及术后42天的日常疼痛,消极情绪,压力和家庭锻炼完成情况。结果:参与者报告了高水平的遵守规定的方案。随着规定的家庭锻炼的数量下降,家庭锻炼的完成率随着时间的推移显着增加。个人因素不能预测家庭锻炼的完成。参与者在经历更多压力或消极情绪的日子里完成的家庭锻炼较少。结论:消极情绪和压力的日常变化可能有助于坚持规定的家庭锻炼。
Objective: Although home exercises are commonly prescribed following anterior cruciate ligament (ACL) reconstruction and are considered important in obtaining successful rehabilitation outcomes, little is known about factors associated with the completion of such exercises. Consequently, this study was designed to identify predictors of adherence to home rehabilitation exercises after ACL surgery. Method: Participants (33 women, 58 men) completed indices of athletic identity, neuroticism, optimism, and pessimism before ACL surgery and measures of daily pain, negative mood, stress, and home exercise completion for 42 days postoperatively. Results: Participants reported a high level of adherence to the prescribed regimen. Home exercise completion increased significantly over time as the number of sets of prescribed home exercises declined. Personal factors were not predictive of home exercise completion. Participants completed fewer home exercises on days when they experienced more stress or negative mood. Conclusions: Day-to-day variations in negative mood and stress may contribute to adherence to prescribed home exercises.