Table 1.
Scale | Psychosocial Responses Assessed | Suggested Intervention/Talking Points |
---|---|---|
ACL-RSI 60 | Risk appraisal, patient confidence, perceived readiness to return to functional activities | Talk to the individual and assess what his/her goals after ACLR are; whether that be return to some form of functional activities or not |
TSK 27,28 | Fear of pain/reinjury with associated movement patterns, kinesiophobia | Graded exposure to activities or movements that elicit a sense of fear |
K-SES 52,53,55 | Certainty regarding performance of daily activities, sports and leisure activities, physical activities, future knee function | Early and continuous exposure to tasks that the individual feels comfortable completing and progressing in difficulty as he/she becomes more confident and exhibits more perceived self-efficacy |
PRSII 23 | Feelings of devastation, dispirited, reorganization, feeling cheated, and restlessness, emotional response | Early education on the healing process and risk factors for reinjury may help relieve fears that develop. Correct any false expectations on the length and requirements of rehabilitation |
KOOS-QOL 49 | Awareness of knee, modifications to lifestyle, lack of confidence, difficulties with knee | Talk to the individual and assess what his/her goals after ACLR are; whether that be return to some form of functional activities or not. Graded exposure to tasks requiring varying levels of confidence and awareness of the knee |
ACLR, anterior cruciate ligament reconstruction; ACL-RSI, Anterior Cruciate Ligament–Return to Sport After Injury Scale; KOOS-QOL, Knee injury and Osteoarthritis Outcome Scale–Quality of Life; K-SES, Knee Self-Efficacy Scale; PRSII, Psychological Response to Sport Injury Inventory; TSK, Tampa Scale of Kinesiophobia.