Guided Mental Imagery in ACL Rehabilitation: Impact on Functional Outcomes: A Critically Appraised Topic

Location

Turner Gymnasium

Access Type

Open Access

Presentation Type

Digital poster

Entry Number

2358

Start Date

4-16-2025 12:00 PM

End Date

4-16-2025 1:15 PM

School

School of Medicine and Health Sciences

Department

Athletic Training

Keywords

Psychological interventions, functional recovery, return to sport, ACL rehabilitation, imagery use.

Abstract

Guided Mental Imagery in ACL Rehabilitation: Impact on Functional Outcomes

Clinical Scenario: Anterior cruciate ligament (ACL) injuries are common and debilitating, often requiring extensive rehabilitation. While traditional rehabilitation focuses on physical recovery, evidence suggests that psychological interventions, such as guided mental imagery (GMI), can enhance functional outcomes.

Focused Clinical Question: In patients recovering from ACL reconstruction, how does incorporating GMI into rehabilitation impact functional outcomes (range of motion, pain reduction, and return-to-sport timelines) over a 12-week period?

Summary of Key Findings: A systematic review identified several studies supporting GMI integration into ACL rehab. Patients who incorporated GMI showed improved neuromuscular activation, reduced pain, greater confidence, and quicker return-to-sport times. GMI activates motor pathways critical for recovery and reduces reinjury anxiety, which is common in ACL rehabilitation. Mental imagery has proven effective in improving motor control and proprioception, addressing both physical deficits and psychological barriers, like fear of reinjury. Furthermore, GMI boosts adherence to rehab programs, helping patients remain motivated throughout their recovery.

Due to the complexity of ACL recovery, which requires neuromuscular control for knee stability, GMI offers a non-physical way to reinforce essential movement patterns. It helps reduce anxiety around reinjury and boosts confidence in knee stability, ultimately promoting faster recovery.

Clinical Bottom Line: Guided mental imagery is a simple, cost-effective tool to enhance both physical and mental recovery in ACL rehabilitation. It aids muscle activation, reduces fear of reinjury, and keeps athletes engaged in their rehab. Clinicians should incorporate GMI into rehab programs to improve functional outcomes.

Strength of Recommendation: Based on the available evidence, GMI has a moderate to strong recommendation (grade 1-2 evidence) for improving ACL rehab outcomes.

Key Words: Psychological interventions, functional recovery, return to sport, ACL rehabilitation, imagery use.

Word Count: 284

Primary Faculty Mentor(s)

Dr. Debbie Bradney Dr. Emily Evans

Primary Faculty Mentor(s) Department

Athletic Training

Rights Statement

The right to download or print any portion of this material is granted by the copyright owner only for personal or educational use. The author/creator retains all proprietary rights, including copyright ownership. Any editing, other reproduction or other use of this material by any means requires the express written permission of the copyright owner. Except as provided above, or for any other use that is allowed by fair use (Title 17, §107 U.S.C.), you may not reproduce, republish, post, transmit or distribute any material from this web site in any physical or digital form without the permission of the copyright owner of the material.

Share

COinS
 
Apr 16th, 12:00 PM Apr 16th, 1:15 PM

Guided Mental Imagery in ACL Rehabilitation: Impact on Functional Outcomes: A Critically Appraised Topic

Turner Gymnasium

Guided Mental Imagery in ACL Rehabilitation: Impact on Functional Outcomes

Clinical Scenario: Anterior cruciate ligament (ACL) injuries are common and debilitating, often requiring extensive rehabilitation. While traditional rehabilitation focuses on physical recovery, evidence suggests that psychological interventions, such as guided mental imagery (GMI), can enhance functional outcomes.

Focused Clinical Question: In patients recovering from ACL reconstruction, how does incorporating GMI into rehabilitation impact functional outcomes (range of motion, pain reduction, and return-to-sport timelines) over a 12-week period?

Summary of Key Findings: A systematic review identified several studies supporting GMI integration into ACL rehab. Patients who incorporated GMI showed improved neuromuscular activation, reduced pain, greater confidence, and quicker return-to-sport times. GMI activates motor pathways critical for recovery and reduces reinjury anxiety, which is common in ACL rehabilitation. Mental imagery has proven effective in improving motor control and proprioception, addressing both physical deficits and psychological barriers, like fear of reinjury. Furthermore, GMI boosts adherence to rehab programs, helping patients remain motivated throughout their recovery.

Due to the complexity of ACL recovery, which requires neuromuscular control for knee stability, GMI offers a non-physical way to reinforce essential movement patterns. It helps reduce anxiety around reinjury and boosts confidence in knee stability, ultimately promoting faster recovery.

Clinical Bottom Line: Guided mental imagery is a simple, cost-effective tool to enhance both physical and mental recovery in ACL rehabilitation. It aids muscle activation, reduces fear of reinjury, and keeps athletes engaged in their rehab. Clinicians should incorporate GMI into rehab programs to improve functional outcomes.

Strength of Recommendation: Based on the available evidence, GMI has a moderate to strong recommendation (grade 1-2 evidence) for improving ACL rehab outcomes.

Key Words: Psychological interventions, functional recovery, return to sport, ACL rehabilitation, imagery use.

Word Count: 284