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Effect of personality traits on rehabilitation effect after anterior cruciate ligament reconstruction: An observational study - 05/08/22

Doi : 10.1016/j.rehab.2021.101570 
Yue Xu a, Hua-Mei Cai b, Wan-Ting Yang c, Wei-Ping Li a, , Bin Song a, , Chuan Jiang a, Zheng-Zheng Zhang a, Zhong Chen a, Yu-Heng Li a, Hao-Zhi Zhang a
a Department of Sports Medicine, Sun Yat-sen Memorial Hospital, No.107 on Yanjiang Road West, 510120 Guangzhou, Guangdong, China 
b Sun Yat-sen University Medical school, 510080 Guangzhou, Guangdong, China 
c Department of Psychology, Sun Yat-sen University, 510006 Guangzhou, Guangdong, China 

Corresponding authors.

Highlights

Personality traits may hinder rehabilitation after anterior cruciate ligament surgery early in the process.
Personality traits were significantly correlated with rehabilitation outcome.
Physicians should evaluate personality in designing a personalized recovery strategy.

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Abstract

Background

Anterior cruciate ligament (ACL) reconstruction requires an extended period of postoperative rehabilitation. Psychological factors can affect recovery after surgery. Study of psychological factors is still limited to self-motivation, fear and pain. Study of personality traits associated with early rehabilitation outcome after ACL reconstruction is scarce.

Objective

We aimed to explore the effect of personality traits on early rehabilitation after ACL reconstruction and provide a reference for clinicians in designing a personalized rehabilitation plan.

Methods

This prospective analysis investigated 155 patients at 3 and 6 months after ACL reconstruction. Follow-up involved administration of a general data questionnaire, the Chinese Big Five Personality Inventory Brief Version, the Tegner activity score, the International Knee Documentation Committee Subjective Knee Score, the Knee injury and Osteoarthritis Outcome Score, the Lysholm Score and a balance test.

Results

Among the 155 patients included (124 males), Neuroticism was negatively correlated with subjective knee scores at 3 and 6 months after surgery (p<0.001). The odds of a poor balance test result was increased for each 1-point increase in Neuroticism score (odds ratio [OR] 1.74, 95% confidence interval [CI] 1.28–2.36, p<0.001). We found a positive correlation between Conscientiousness score and subjective knee scores at 3 and 6 months after surgery (p<0.001). For every 1-point increase in Conscientiousness score, the odds of a poor balance test result were decreased (OR 0.29, 95% CI 0.16–0.54, p<0.001). Agreeableness and Openness to experience scores were positively correlated with subjective knee scores at 3 and 6 months after surgery (p<0.001). We found no correlation between Extraversion and subjective knee scores at 3 and 6 months after surgery (p>0.05) but a positive correlation with the Tegner activity score at 3 and 6 months after surgery (p<0.05).

Conclusion

We found a significant correlation between the Big Five personality dimensions and the early rehabilitation effect after ACL reconstruction, which can provide a reference for clinicians in designing a personalized rehabilitation plan.

Le texte complet de cet article est disponible en PDF.

Keywords : ACL, Reconstruction, Big five personality, Rehabilitation


Plan


 Trial registration: China Clinical Trials Registry (ChiCTR2100043481).


© 2021  Elsevier Masson SAS. Tous droits réservés.
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Vol 65 - N° 4

Article 101570- juin 2022 Retour au numéro
Article précédent Article précédent
  • Local vibration training improves the recovery of quadriceps strength in early rehabilitation after anterior cruciate ligament reconstruction: A feasibility randomised controlled trial
  • Claire Coulondre, Robin Souron, Alexandre Rambaud, Étienne Dalmais, Loïc Espeit, Thomas Neri, Alban Pinaroli, Gilles Estour, Guillaume Y. Millet, Thomas Rupp, Léonard Feasson, Pascal Edouard, Thomas Lapole
| Article suivant Article suivant
  • Isokinetic quadriceps symmetry helps in the decision to return to running after anterior cruciate ligament reconstruction
  • Marc Dauty, Pascal Edouard, Pierre Menu, Olivier Mesland, Alban Fouasson-Chailloux

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