Effect of Patient Resilience on Return to Sport Post ACL Reconstruction Surgery

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT03013231
Recruitment Status : Recruiting
First Posted : January 6, 2017
Last Update Posted : October 11, 2018
Information provided by (Responsible Party):
Scott Kaar, MD, St. Louis University

Brief Summary:
Despite the large majority of patients that undergo ACL reconstruction reporting successful outcomes in regard to tests of knee function, only about 2/3 return to their prior level or athletic activity after surgery. A large amount of research has been conducted investigating the effects of psychological factors on return to sports after ACL reconstruction; however, the specific role of resilience has yet to be solely analyzed. This study aims to determine the effect of variations in patient resilience on their return to sports after surgery.

Condition or disease Intervention/treatment
Anterior Cruciate Ligament Reconstruction Behavioral: Brief Resilience Scale

Detailed Description:

Meta-analysis of post ACL reconstruction return to sport suggests that despite approximately 90% of patients achieving successful outcomes in terms of objectively measurable knee function, only 63% return to their pre-injury sport participation rate. This leads one to question what factors other than knee function may contribute to such a discrepancy. Prior studies have shown psychological factors, such as fear of re-injury, can play in role in whether a patient returns to play. However, the role of patient resilience on recovery is less clear. This research will examine the effect of patient resilience on post-ACLR return to sport. The Brief Resiliency Scale (BRS), a proven method of assessing ability to recover from stressful situations, will be used to evaluate patient resilience. The role of resilience on recovery post shoulder surgery, as well as rehabilitation in post-operative orthopaedic geriatric patients has been examined; however, the effect of resilience on specifically ACLR return to sport has yet to be studied.

This research will provide insight as to how to identify patients at high risk for not returning to sport, the first step in improving return to sport outcomes in ACL reconstruction patients.

Study Type : Observational
Estimated Enrollment : 100 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Effect of Patient Resilience on Return to Sport Post ACL Reconstruction Surgery
Actual Study Start Date : January 20, 2017
Estimated Primary Completion Date : September 2019
Estimated Study Completion Date : September 2019

Resource links provided by the National Library of Medicine

Group/Cohort Intervention/treatment
s/p ACLR
Patients having undergone ACL Reconstruction Surgery with goal of returning to sport. 6 months post-op, patients will complete the BRS survey as a method of evaluating resilience.
Behavioral: Brief Resilience Scale
6 months post-op, patients will complete the BRS survey as a method of evaluating resilience.
Other Name: BRS

Primary Outcome Measures :
  1. Return to Sport [ Time Frame: 1 year ]
    Whether the patient has returned to sport s/p ACLR

Information from the National Library of Medicine

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Ages Eligible for Study:   14 Years to 50 Years   (Child, Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
English speaking patients 14 yrs of age or older with isolated ACL tear and having undergone surgical reconstruction.

Inclusion Criteria:

  • English speaking patients
  • Isolated ACL tear having undergone surgical reconstruction.

Exclusion Criteria:

  • Non-English speaking patients.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT03013231

Contact: Scott Kaar, MD 314 256-3850

United States, Missouri
SSM Health Saint Louis University Hospital Recruiting
Saint Louis, Missouri, United States, 63110
Contact: Scott Kaar, MD   
Sponsors and Collaborators
St. Louis University
Principal Investigator: Scott Kaar, MD St. Louis University

Responsible Party: Scott Kaar, MD, Associate Professor, Dept. of Orthopaedic Surgery, St. Louis University Identifier: NCT03013231     History of Changes
Other Study ID Numbers: 47659
27659 ( Other Identifier: SLU IRB )
First Posted: January 6, 2017    Key Record Dates
Last Update Posted: October 11, 2018
Last Verified: October 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Scott Kaar, MD, St. Louis University:
ACL Reconstruction
Return to Sport