Mental Skills Training for Athletes After ACL Reconstruction

(ROAR 3 Trial)

AM
DM
Overseen ByDai M Sugimoto, PhD
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Boston Children's Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether mental skills training (MST) can help young athletes better cope after ACL (a knee ligament) surgery. The goal is to determine if MST improves psychological readiness and reduces stress, anxiety, and depression as they return to sports. Participants will either receive MST or not, and researchers will monitor their progress through various surveys. This trial suits English-speaking athletes under 25 who have had a complete ACL tear and plan to return to sports after surgery at Boston Children's Hospital. As an unphased trial, this study offers young athletes a unique opportunity to contribute to innovative research that could enhance recovery strategies.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.

What prior data suggests that Mental Skills Training is safe for athletes after ACL reconstruction?

Research has shown that Mental Skills Coaching, such as the Mental Skills Training (MST) used in this trial, is generally safe for individuals recovering from ACL (anterior cruciate ligament) injuries. This support aids recovery without harmful side effects. In studies on MST, participants did not report significant negative effects, indicating the program is well-tolerated. MST assists athletes in mentally coping with their recovery, which is crucial as injuries often lead to stress or anxiety. Overall, MST appears to be a safe method for supporting mental recovery after ACL surgery.12345

Why are researchers excited about this trial?

Researchers are excited about Mental Skills Training (MST) because it focuses on the psychological recovery of athletes after ACL reconstruction, an area often overlooked in traditional rehab programs. Unlike standard treatments that primarily address physical rehabilitation, MST aims to enhance mental resilience, motivation, and focus, which are crucial for athletes returning to high-performance levels. This approach could lead to improved overall recovery outcomes by addressing both the mind and body, offering a more holistic path back to sports.

What evidence suggests that Mental Skills Training is effective for improving coping skills in athletes after ACL reconstruction?

Research has shown that Mental Skills Training (MST), which participants in this trial may receive, helps athletes manage the stress of returning to sports after ACL surgery. Studies have found that MST boosts coping skills, mental readiness, and a sense of belonging in sports. As a result, athletes feel more prepared and confident when they return to their sport. Additionally, psychological methods like MST effectively lower stress, anxiety, and depression. This training aids athletes in handling the mental challenges of knee surgery and recovery, reducing the chance of setbacks.16789

Who Is on the Research Team?

MD

Matthew D Milewski, MD

Principal Investigator

Boston Children's Hospital

Are You a Good Fit for This Trial?

This trial is for English-speaking young athletes aged 8 to 25 who are having their first ACL reconstruction at Boston Children's Hospital and plan to return to sports. People with previous ACL tears, major additional knee injuries needing surgery, or who don't plan to play sports again can't join.

Inclusion Criteria

I have been diagnosed with a complete ACL tear.
I am having ACL reconstruction at Boston Children's Hospital with a study surgeon.
I am between 8 and 25 years old.
See 1 more

Exclusion Criteria

Previous ACL tear
Non-English speaking patient/family
Lack of intention to return to sports/sporting activities
See 1 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Pre-operative Mental Skills Training (MST)

Participants undergo MST led by masters-level mental skills specialist before surgery

1-2 weeks
1 visit (in-person)

Post-operative MST and Monitoring

Participants receive MST at 3, 6, and 9 months post-operatively and are monitored for psychological readiness and coping skills

9 months
3 visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment, with assessments at 1 year and 2 years post-operatively

15 months
2 visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • Mental Skills Training (MST)

Trial Overview

The study compares mental skills training (MST) led by specialists versus no MST in young athletes after ACL surgery. MST sessions happen before and several times after surgery. The goal is to see if MST helps with coping, psychological readiness, and reduces stress or anxiety when returning to sport.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Mental Skills Training (MST) CohortExperimental Treatment1 Intervention
Group II: Non-MST CohortActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Boston Children's Hospital

Lead Sponsor

Trials
801
Recruited
5,584,000+

Citations

Feasibility of mental skills training during rehabilitation after ...

This study aimed to determine if it would be feasible to institute a mental skills training (MST) program during the post-ACL reconstruction ...

Feasibility of mental skills training during rehabilitation after ...

This study aimed to determine if it would be feasible to institute a mental skills training (MST) program during the post‐ACL reconstruction ...

Readiness Outcomes Affecting Return to Sport 3.0

The primary aim is to determine if MST will improve coping skills in young athletes returning to sport after ACLR as measured by ACSI-28.

Impact of Psychological Factors on Rehabilitation After ... - PMC

Patients with a TSK-11 score of ≥19 at the time of RTS were found to be 13 times more likely to suffer a second ACL tear. Younger patients with ...

An Interactive Cognitive-Behavioural Multimedia Program ...

Psychological interventions have been found effective in helping athletes cope with the challenges associated with knee surgery.

Mental Skills Coaching for ACL Tear (ROAR 2:Pilot Trial)

Research has shown that Mental Skills Coaching, a type of psychological support, is generally safe for people recovering from ACL injuries. This coaching helps ...

Return to sport and patient reported outcomes in athletes ...

This study aims to assess anterior cruciate ligament reconstruction (ACLR) outcomes and return to pre‐injury sports (RTPS) characteristics ...

Psychological Rehabilitation From Anterior Cruciate Ligament ...

Research has shown that some of the more common psychological responses to injury (ie, depression, anger, anxiety) are amplified in cases of traumatic injury.

(PDF) Neuromuscular Training following Anterior Cruciate ...

Objectives: To determine the effectiveness of neuromuscular physical Therapy as compared to strength training following anterior cruciate ...