Effect of Health Locus of Control on Early Rehabilitation After Anterior Cruciate Ligament Reconstruction
10.13471/j.cnki.j.sun.yat-sen.univ（med.sci）.2022.0619
- VernacularTitle:健康心理控制源对前交叉韧带重建术后早期康复效果的影响
- Author:
Yue XU
1
;
Wei-ping LI
1
;
Bin SONG
1
;
Hua-mei CAI
2
;
Wan-ting YANG
3
;
Chuan JIANG
1
;
Zheng-zheng ZHANG
1
;
Zhong CHEN
1
Author Information
1. Department of Sports Medicine， Sun Yat-sen Memorial Hospital， Guangzhou 510120， China
2. Zhongshan School of Medicine， Sun Yat-sen University， Guangzhou 510080， China
3. Department of Psychology， Sun Yat-sen University， Guangzhou 510006， China
- Publication Type:Journal Article
- Keywords:
anterior cruciate ligament;
internal-external control;
rehabilitation
- From:
Journal of Sun Yat-sen University(Medical Sciences)
2022;43(6):1028-1034
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the effect of health locus of control on the early rehabilitation after anterior cruciate ligament（ACL） reconstruction. MethodsFrom July 2019 to October 2019， a prospective cohort study of 155 ACL patients receiving reconstruction （male=124 and female=31） in our hospital was conducted. The general data questionnaire， MHLC-C， Tegner activity score， IKDC Score， Lysholm Score and Y-Balance Test were used for further analysis. The correlation between HLC and early rehabilitation after ACL reconstruction was explored by Wilcoxon signed-rank tests， correlation analysis and Logistics regression analysis. ResultsPositive correlations were found between the internality health locus of control （IHLC） and the IKDC score （r3m=0.77， r6m=0.70， P<0.001）， as well as the Lysholm scores （r3m=0.68， r6m=0.64， P<0.001） and the Tegner activity score （r3m=0.24， r6m=0.46， P<0.05） in 3 and 6 months after surgery， and higher IHLC score indicated a better y-balance test outcome［OR 95%CI=0.86（0.76， 0.97）， P=0.016］. Chance health locus of control （CHLC） was negatively correlated with the IKDC score （r3m=-0.71， r6m=-0.67， P<0.001）， the Lysholm score （r3m=-0.49， r6m=-0.43， P<0.001） and the Tegner activity score （r3m=-0.22， r6m=-0.35， P<0.05） in 3 and 6 months after surgery， and higher CHLC score indicated worse outcome of y-balance test ［OR 95%CI=1.26（1.12， 1.41）， P<0.001］. There was a negative correlation between the Powerful others health locus of control （PHLC） and the IKDC score （r3m=-0.51， r6m=-0.50， P<0.001）， the Lysholm scores （r3m=-0.36， r6m=-0.40， P<0.001）， but there was no correlation with the Tegner activity score in 3 and 6 months after surgery（P>0.05）. The risk of poor y-balance test increased by higher score of PHLC ［OR 95%CI=1.74（1.29， 2.34）， P<0.001］. ConclusionA significant correlation was found between the health locus of control and the early rehabilitation effect after ACL reconstruction. Higher internality health locus of control scores indicated a better rehabilitation outcome， while higher scores of external loci of control indicated higher risk of worse rehabilitation outcome.
