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Feasibility and Acceptability of Implementing a Progressive Walking Program after ACL Reconstruction: A Mixed Methods

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Summary

A telehealth walking program showed mixed success for individuals after anterior cruciate ligament reconstruction (ACLR). While adherence was high, daily physical activity goals were met only about half the time, indicating a need for refined interventions.

Keywords:
physical activityrehabilitationtelehealth

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Rehabilitation Science

Background:

  • Individuals following anterior cruciate ligament reconstruction (ACLR) often exhibit reduced physical activity levels compared to their uninjured counterparts.
  • Low physical activity post-ACLR increases the risk of chronic health conditions such as obesity and osteoarthritis, underscoring the need for effective interventions.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of an early-stage, telehealth-delivered walking program for patients undergoing ACLR.
  • To identify factors influencing the success of physical activity interventions in the ACLR population.

Main Methods:

  • An explanatory mixed-methods study was conducted with ten participants within 8 weeks of ACLR.
  • A 12-week personalized, progressive walking program was implemented, incorporating weekly virtual physical therapist visits.
  • Feasibility was assessed through appointment attendance, activity monitor compliance, adverse events, and daily step goal achievement, supplemented by qualitative interviews.

Main Results:

  • Participants demonstrated high adherence, with 92.3% activity monitor wear and 94.2% attendance at virtual sessions.
  • Daily physical activity goals were achieved on 54.8% of days, and 50% of participants met their weekly target for at least 50% of the weeks.
  • No adverse events were reported; qualitative analysis revealed themes promoting physical activity engagement.

Conclusions:

  • A telehealth walking program presents mixed feasibility and acceptability for individuals early after ACLR.
  • High adherence to program components suggests potential, but inconsistent achievement of daily goals highlights areas for improvement.
  • Identified qualitative themes can inform future program designs to enhance physical activity promotion in the post-ACLR population.