Influence of surgery and rehabilitation conditioning on psychophysiological fitness

Abstract

The purpose of this study was to assess changes in psychophysiological fitness following reconstructive knee surgery and early phase (2.5 months) physical rehabilitation. Nine patients (7 male, 2 female; mean age, 29.9 years) electing to undergo anterior cruciate ligament reconstructive surgery (central third, bone-patella tendon-bone graft) were assessed on four separate assessment occasions post-surgery. Repeated measures ANOVAs showed significant condition (injured/non-injured leg) by test occasion (2 weeks pre-surgery and 6, 8 and 10 weeks post-surgery) interactions for knee ligamentous compliance (anterior tibiofemoral displacement), peak force and electromechanical delay associated with the knee flexors of the injured and noninjured legs (F3,24 = 4.7 to 6.6; p < 0.01), together with individualized emotional profile disturbance scores that were significantly less at 10 weeks post-surgery compared to pre-surgery, 6 weeks and 8 weeks post-surgery (F3,24 = 7.6; p < 0.01). Spearman rank correlation coefficients identified significant relationships between musculoskeletal fitness and emotional profile scores at pre-surgery (r = 0.69–0.72; p < 0.05) and at 8 weeks post-surgery (r = 0.70–0.73; p < 0.05). The 6 Bi-POMS subscales and the 12 ERAIQ responses found inconsistent patterns of response and relationships across the assessment occasions. Overall, the patterning of changes and associations amongst emotional performance profile discrepancy scores in conjunction with those scores from indices of musculoskeletal fitness performance capability offered important support for the efficacy of an approach which integrates self-perceptive and objective measurements of fitness capability during rehabilitation following surgery to a synovial joint