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NCT05949177NARecruiting

Graded Exposure and Mindfulness Meditation for Patients Post-ACL Reconstruction

University of North Carolina, Chapel Hill

Start Date

10/30/2024

Completion Date

7/31/2026

Summary

To evaluate the effect of graded exposure and mindfulness meditation after ACLR, the investigators will determine the effect of graded exposure and mindfulness meditation to 1) decrease self-reported injury-related fear and reinjury anxiety, and 2) improve lower extremity reaction time when compared to a waitlist control group.

Detailed Description

Injury-related fear after anterior cruciate ligament reconstruction (ACLR) is associated with secondary ACL injury and slower reaction time. Graded exposure (GE) and mindfulness meditation (MM) have reduced injury-related fear, but has not been explored together in patients post-ACLR. GE and MM delivered via the Headspace application is feasible for individuals post-ACLR. GEMM allows athletic trainers' to easily implement MM into their practice. The aim of this randomized single-blinded clinical trial is to determine the efficacy of 5-weeks of GEMM to decrease injury-related fear and reinjury anxiety and improve reaction time in participants 6 months to 10-years post-ACLR. Participants will be randomized into a GEMM group or waitlist control group. Participants will complete the Photographic Series of Sports Activities for ACLR, Reinjury Anxiety Inventory, the Tampa Scale of Kinesiophobia-11 and a lower extremity reaction time task pre and post the 5-week period. The investigators hypothesize that participants in the GEMM group will exhibit decreased injury-related fear and reinjury anxiety and faster reaction time when compared to the waitlist controls.

Eligibility Criteria

Age Range: 14 years to 35 years

Inclusion Criteria: * Ages 14-35 years * Have self-reported levels of fear on the Tampa Scale of Kinesiophobia-11 and the Photographic Series of Sports Activities for ACLR * Injured their knee playing or training for sports (recreational or organized) * Have a history of unilateral ACLR * 6 months to 10-years post-ACLR Exclusion Criteria: * History of secondary ACL injury * Do not exhibit elevated injury-related fear * Concomitant surgeries at the time of ACL reconstruction

Interventions

BEHAVIORAL

Graded Exposure and Mindfulness Meditation

BEHAVIORAL

Waitlist Control

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Conditions

Anterior Cruciate Ligament Injuries

Locations

Woollen Gymnasium, 300 South Road

Chapel Hill, North Carolina 27514

United States