The Videoinsight® method: improving rehabilitation following anterior cruciate ligament reconstruction—a preliminary study

  • Stefano Zaffagnini
  • Rebecca Luciana Russo
  • Giulio Maria Marcheggiani Muccioli
  • Maurilio Marcacci



The purpose of this randomized double blind controlled study was to investigate if the vision of contemporary art video according to the Videoinsight® method could produce better short-term clinical and subjective outcomes after anterior cruciate ligament (ACL) reconstruction.


One-hundred and six patients treated with single-bundle ACL reconstruction plus extra-articular tenodesis were enrolled in this study and randomly assigned to Group A (53 patients) and Group B (53 patients). Group A received one art video that was established to produce positive and therapeutic “insight”, while Group B received one art video with an “insight” unfavourable to the psychological recovery. All patients were instructed to watch the video 3 times a week for the first 2 months during the execution of the same rehabilitative protocol. Patients were evaluated pre-operatively and 3 months after surgery with Tegner, subjective International Knee Documentation Committee (IKDC), physical and mental SF-36 scores and Tampa Scale of Kinesiophobia (TSK). Time to crutches discharge was collected at final follow-up as well.


Five patients were lost to follow-up and 101 patients (Group A: 51 patients; Group B: 50 patients) were available at mean 3.0 ± 0.2 months follow-up. Age at surgery was 33.0 ± 17.0 years. The two groups were homogeneous regarding pre-operative demographic data, meniscal lesions and clinical outcomes. Significant improvements were observed in Group A compared to Group B at final follow-up for subjective IKDC (82.0 ± 13.8 vs. 71.0 ± 19.7, p = 0.0470), TKS (28.1 ± 6.0 vs. 32.0 ± 5.8, p = 0.0141) and time to crutches discharge (20.9 ± 5.0 vs. 26.5 ± 8.2 days, p = 0.0012). A positive significant correlation between TSK and time to crutches discharge (r = 0.35, p = 0.0121) was observed.


The Videoinsight® method combined to adequate rehabilitation could be an effective tool in order to improve short-term clinical and functional outcomes in patients who underwent ACL reconstruction.

Level of evidence



Knee Rehabilitation Anterior cruciate ligament reconstruction Contemporary art video Videoinsight® method 


Conflict of interest

The authors certify that the above-named manuscript describes their own original work on properly conducted and documented research and that all authors contributed to the conception and design of the study or acquisition of data, analysis and interpretation of data, and revising the final version of the article. All authors believe that the manuscript represents honest work. This paper has not been submitted to, or published by, any other journal, nor will it be submitted to any other journal without prior written notification to the Editor-in-Chief that the manuscript is to be withdrawn. The authors declare that there was neither financial nor personal relationship including employment, consultancies, stock ownership, honoraria, paid expert testimony, patent applications/registration and grants with other people or organization that could inappropriately influence (bias) their work.

Supplementary material

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Stefano Zaffagnini
    • 1
    • 2
  • Rebecca Luciana Russo
    • 3
  • Giulio Maria Marcheggiani Muccioli
    • 1
  • Maurilio Marcacci
    • 1
  1. 1.2nd Orthopaedic and Traumatology Clinic, Istituto Ortopedico RizzoliUniversity of BolognaBolognaItaly
  2. 2.Laboratorio di Biomeccanica, Codivilla-Putti Research Center, Istituto Ortopedico RizzoliUniversity of BolognaBolognaItaly
  3. 3.Videoinsight® CenterTurinItaly

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