Study on Pre-Surgery Cognitive-Behavioral Therapy to Reduce Fear and Improve Movement in Adults Undergoing Anterior Cruciate Ligament Reconstruction

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.

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