Guided imagery to improve functional outcomes post-anterior cruciate ligament repair: randomized-controlled pilot trial Maddison, R., Prapavessis, H., Clatworthy, M., Hall, C., Foley, L., Harper, T., Cupal, D. and Brewer, B. 2012, Guided imagery to improve functional outcomes post-anterior cruciate ligament repair: randomized-controlled pilot trial, Scandinavian journal of medicine science and sports, vol. 22, no. 6, pp. 816-821, doi: 10.1111/j.1600-0838.2011.01325.x. Attached Files Name Description MIMEType Size Downloads Title Guided imagery to improve functional outcomes post-anterior cruciate ligament repair: randomized-controlled pilot trial Author(s) Maddison, R. orcid.org/0000-0001-8564-5518 Prapavessis, H. Clatworthy, M. Hall, C. Foley, L. Harper, T. Cupal, D. Brewer, B. Journal name Scandinavian journal of medicine science and sports Volume number 22 Issue number 6 Start page 816 End page 821 Total pages 6 Publisher Wiley Place of publication London, Eng. Publication date 2012-12 ISSN 1600-0838 Keyword(s) Adult Analysis of Variance Anterior Cruciate Ligament Reconstruction Dopamine Epinephrine Female Humans Imagery (Psychotherapy) Joint Instability Knee Joint Male Middle Aged Muscle Strength Norepinephrine Pilot Projects Recovery of Function Self Efficacy Single-Blind Method Summary Imagery can improve functional outcomes post-anterior cruciate ligament repair (ACLR). Research is needed to investigate potential mechanisms for this effect. The aim of this study was to (a) evaluate the effectiveness of an imagery intervention to improve functional outcomes post-ACLR, and (b) explore potential mechanisms. A randomized-controlled pilot trial was conducted. Participants were randomized to guided imagery and standard rehabilitation or standard rehabilitation alone (control). The primary outcome was knee strength 6-month post-operatively. Secondary outcomes were knee laxity at 6-months, and change in psychological (self-efficacy) and neurohormonal (adrenaline, noradrenaline, dopamine) variables. Participants (n=21; 62% male) were 34.86 (SD 8.84) years. Following the intervention, no statistical differences between groups for knee strength extension at 180°/s (t=-0.43, P=0.67), or at 60°/s (t=-0.72, P=0.48) were found. A statistically significant effect was found for knee laxity, F=4.67, P<0.05, mean difference of -3.02 (95% CI -4.44 to -1.60), favoring the intervention. No differences were found for self-efficacy; however, an overall effect was found for noradrenaline, F(1, 19) 19.65, P<0.001, η(2) =0.52, and dopamine, F(1, 19) 6.23, P=0.02, η(2) =0.29, favoring the intervention. This imagery intervention improved knee laxity and healing-related neurobiological factors. Language eng DOI 10.1111/j.1600-0838.2011.01325.x Field of Research 110699 Human Movement and Sports Science not elsewhere classified 1106 Human Movement And Sports Science Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1.1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2011, John Wiley & Sons Persistent URL http://hdl.handle.net/10536/DRO/DU:30081675 Document type: Journal Article Collections: Faculty of Health School of Exercise and Nutrition Sciences Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Versions Version Filter Type Wed, 24 Feb 2016, 15:00:05 EST Thu, 25 Feb 2016, 04:01:21 EST Thu, 25 Feb 2016, 05:09:52 EST Fri, 23 Sep 2016, 10:32:00 EST Fri, 23 Sep 2016, 10:45:32 EST Fri, 23 Sep 2016, 10:48:29 EST Filtered Full Citation counts:   Cited 27 times in TR Web of Science Cited 29 times in Scopus Search Google Scholar Access Statistics: 356 Abstract Views, 1 File Downloads  -  Detailed Statistics Created: Wed, 24 Feb 2016, 15:00:05 EST

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