Evidence map›Paper›PMID 40235177›Full record

ArticleJournal of athletic training2025

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

David Werner, Michelle Howell, Yvonne M Golightly, Michael D Rosenthal, Matthew A Tao, Elizabeth Wellsandt

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Article in Journal of athletic training, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

David WernerPostdoctoral Research Associate - College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE; Physical Therapy Program, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, NE; Office of Graduate Studies, University of Nebraska Medical Center, Omaha, NE.
Michelle HowellEducational Researcher and Assistant Professor - Department of Educational Psychology, University of Nebraska - Lincoln.
Yvonne M GolightlyAssistant Dean for Research - College of Allied Health Professions, University of Nebraska Medical Center; Professor - Physical Therapy Program, College of Allied Health Professions, University of Nebraska Medical Center.
Michael D RosenthalAssociate Professor - Physical Therapy Program, College of Allied Health Professions, University of Nebraska Medical Center.
Matthew A TaoAssociate Professor - Department of Orthopaedic Surgery and Rehabilitation, University of Nebraska Medical Center.
Elizabeth WellsandtAssociate Professor - Physical Therapy Program, College of Allied Health Professions, University of Nebraska Medical Center.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextIndividuals after anterior cruciate ligament reconstruction (ACLR) participate in less physical activity compared to uninjured peers. Physical activity in this population is important for both short and long-term health, particularly to reduce the risk of chronic conditions (eg, obesity, osteoarthritis).

objectiveThe purpose of this study was to assess the feasibility and acceptability of implementing a walking program early after ACLR.

designExplanatory Mixed Methods Study.

settingTelehealth. PATIENTS OR OTHER

participantsTen individuals (60% female, mean age 20.2 ± 3.9 years old, mean BMI 22.6 ± 2.9 kg/m2 ) within 8 weeks of a unilateral ACLR.

interventionA 12-week personalized progressive walking program to increase daily steps utilizing weekly virtual visits with a physical therapist.

main outcome measuresQuantitative data included rates of appointment attendance, activity monitor wear compliance, adverse events, and achievement of daily step goals. Qualitative analysis of field notebooks collected throughout the intervention and semi-structured post intervention interviews were performed to explain the quantitative feasibility metrics using a case study approach.

resultsParticipants wore their activity monitor 92.3% of days, attended 94.2% of appointments, met their recommended physical activity goal 54.8% of days, and 50% of individuals reached their physical activity target at least 50% of weeks. No adverse events related to the walking program were reported. Program-level and participant-level themes that promoted successful physical activity goal achievement were identified.

conclusionsThis study demonstrated mixed feasibility and acceptability of a progressive walking program early after ACLR. Participants demonstrated high adherence to wearing an activity monitor and completing weekly virtual physical activity program sessions. However, daily physical activity goals were only met approximately half of the time. Clinicians and researchers can use the themes identified from the qualitative analysis in future program designs to promote physical activity after ACLR.

Indexed as

physical activityrehabilitationtelehealth

Identifiers

PMID40235177
PMCPMC12495594

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.