Actively Recruiting

Phase Not Applicable
Age: 18Years - 45Years
All Genders
ID07423767

Effects of a Preoperative Cognitive-Behavioral Intervention on Kinesiophobia and Function in Anterior Cruciate Ligament Reconstruction

Led by Peking University Third Hospital · Updated on 2026-04-13

44

Participants Needed

2

Research Sites

8 weeks

Total Duration

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AI-Summary

What this Trial Is About

Researchers are evaluating the combined effects of psychological rehabilitation on brain activity, psychological state, and motor function in patients with anterior cruciate ligament (ACL) rupture. This randomized controlled trial involves 44 patients aged 18 to 45 years, all scheduled for ACL reconstruction surgery. The study aims to gather neuroscience evidence to help develop precise rehabilitation strategies by measuring questionnaire scores, motor performance (including gait, jogging, and postural stability), and brain activity using EEG. Participants are randomly assigned to either a cognitive-behavioral intervention group or a control group. The intervention group receives standard preoperative care plus one 60-minute in-person cognitive-behavioral therapy (CBT) session focused on pain-free movement practice and weekly phone follow-ups for 3 to 4 weeks to provide psychological support and encourage continued knee activity without assistive devices. The control group receives only standard preoperative care without additional psychological intervention. Throughout the study, participants complete baseline assessments and repeat them on the day of hospital admission for surgery. These assessments include motor tests, EEG, and questionnaires such as the Tampa Scale for Kinesiophobia (TSK). Researchers will measure changes in kinesiophobia, motor performance, and brain activity over time. The study also includes follow-ups at 12 and 24 weeks post-surgery to monitor longer-term effects and safety. Total participation covers the period from initial assessment through post-surgery follow-up.

CONDITIONS

Brief Title

Effects of a Preoperative Cognitive-Behavioral Intervention on Kinesiophobia and Function in Anterior Cruciate Ligament Reconstruction

Who Can Participate

Age: 18Years - 45Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 18 to 45 years with a diagnosis of anterior cruciate ligament (ACL) rupture.
  • ACL rupture occurred within 3 months before enrollment.
  • First-time ACL rupture with planned reconstruction surgery at this hospital.
  • The affected knee shows no significant redness, swelling, pain, or inflammation, and basic daily activities are restored.
  • No injury or only mild (grade I) injury to the posterior cruciate ligament, medial collateral ligament, or lateral collateral ligament.
Not Eligible

You will not qualify if you...

  • Body mass index (BMI) less than 18.5 or greater than 35 kg/m².
  • Age younger than 18 years or older than 45 years.
  • ACL rupture lasting more than 3 months.
  • Severe injury (greater than grade I sprain) to the posterior cruciate ligament, medial collateral ligament, or lateral collateral ligament.
  • Severe meniscal tear.
  • History of prior knee surgery such as meniscal repair, ligament reconstruction, joint replacement, or arthroscopic debridement.
  • Other significant knee conditions like osteoarthritis, knee tumor, rheumatoid arthritis, tuberculosis, or active infections/inflammation.
  • Concurrent fracture, dislocation, or other bone injuries involving the knee.
  • Unwillingness to follow the study treatment protocol.

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Run-in Period

Duration - 3 to 4 weeks

Participants complete baseline assessments including motor tests, EEG, and questionnaires, then are randomized to groups. The intervention group receives a single 60-minute cognitive-behavioral therapy session focusing on guided practice of pain-free movements, followed by weekly phone follow-ups to support and encourage activity.

1 in-person session and weekly phone calls for 3 to 4 weeks

Surgery

Duration - 1 day

Participants undergo anterior cruciate ligament reconstruction surgery after completing preoperative assessments and interventions.

1 visit (hospital admission for surgery)

Trial Site Locations

Total: 2 locations

1

Peking university third hospital, Beijing,

Beijing, None Selected, China, 100191

Actively Recruiting

2

Peking university third hospital, Beijing,

Beijing, China

Not Yet Recruiting

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Research Team

S

Shuang Ren, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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