サイトウ　ヒロキ   Saito Hiroki   斎藤　寛樹    所属   医療保健学部 リハビリテーション学科　理学療法学専攻    職種   助教
言語種別	日本語
発行・発表の年月	2024/07
形態種別	学術論文
査読	査読あり
標題	Effectiveness of psychological intervention following anterior cruciate ligament reconstruction: A systematic review and meta-analysis
執筆形態	共著
掲載誌名	Physical Therapy in Sport
掲載区分	国外
出版社・発行元	Elsevier
巻・号・頁	69,40-50頁
担当区分	最終著者,責任著者
著者・共著者	Yuichi Isaji, Shota Uchino, Ryuta Inada, Hiroki Saito
概要	Abstract Objective To determine the effectiveness of psychological interventions in postoperative anterior cruciate ligament reconstruction (ACLR) compared to standard rehabilitation. Methods The databases searched were PubMed, MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, Cumulative Index to Nursing & Allied Health Literature, and EMBASE were searched from each database inception to May 2023 for published studies. The methodological quality was assessed with the Cochrane Risk of Bias Assessment (RoB 2.0) tool. The evidence quality was evaluated using the Grading of Recommendations, Assessment, Development, and Evaluation approach. Results Six papers were included in the meta-analysis. Psychological intervention significantly improved Tampa Scale for Kinesiophobia at 3 months (Standard Mean Difference [SMD], −0.51. 95% Confidence Interval [CI], −0.85 to −0.17) and pain (Knee Injury and Osteoarthritis Outcome Score for Pain, Numeric Rating Scale, Visual Analog Scale) at 3 months (SMD, −0.92. 95%CI, −1.69 to −0.15) and at 6 months following ACLR (MD, −1.25. 95%CI, −1.82 to −0.68) when compared with the standard rehabilitation, according to very low-quality data. Self-efficacy and knee strength did not show significant differences. Conclusion Very low-quality evidence suggests that psychological intervention following ACLR yields better short-term outcomes compared to standard rehabilitation, with uncertainty about its clinically significant benefits over standard rehabilitation.
外部リンクURL	https://www.sciencedirect.com/science/article/pii/S1466853X24000749?via%3Dihub