Efficacy of Psychological self-monitoring and goal-setting Intervention in Anterior Cruciate Ligament Reconstruction Rehabilitation mid-phase: A Randomized Controlled Trial
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Despite achieving clinical stability, many athletes fail to reach their pre-injury level of activity following anterior cruciate ligament reconstruction due to unresolved psychological barriers. Factors such as kinesiophobia, low self-efficacy, and a lack of psychological readiness often persist even when physical milestones are met, creating a “psychological gap” in traditional rehabilitation. Current evidence suggests that addressing these modifiable deficits through targeted interventions is essential for a successful return to sport.
Objective
This randomized controlled trial evaluated the impact of a structured psychological self-monitoring and goal-setting intervention on kinesiophobia, psychological readiness, and adherence during the mid-phase of ACLR rehabilitation.
Methods
Twelve patients (N=12) in the mid-phase of ACLR recovery were randomized to receive either a 4-week integrated psychological intervention or standard-of-care physical therapy. The experimental protocol focused on goal setting, positive self-talk, and imagery—skills previously shown to correlate with higher adherence to home-based exercise.
Results
Conclusion
Implementing psychological self-monitoring and goal-setting during the mid-phase of ACLR rehabilitation addresses the biopsychosocial complexities of recovery. This approach potentially enhances the alignment between physical function and mental readiness, providing a more comprehensive pathway for athletes returning to pivoting sports.
Statements and Declarations
The authors declare that this work is original and has not been submitted elsewhere for publication, in whole or in part. All data presented in this manuscript were collected and analyzed with full ethical compliance, and no part of this work has been previously published or is under consideration by another journal. The authors confirm that there are no conflicts of interest, financial or otherwise, that could have influenced the design, execution, or interpretation of the findings reported herein. No funding were received.
