Examining the Effects of Mirror Therapy on Psychological Readiness and Perception of Pain in ACL-Injured Female Football Players

Virtual reality-guided imagery (VRGI) and mirror therapy (MT) have been used in isolation to treat patients suffering from different injuries. However, no attempts have been made tounderstand the effects of combined VRGI and MT added to conventional physical therapy, and noinformation exists regarding perceptual responses to these rehabilitation strategies in female football players. Thus, this study aimed to examine the effect of MT added to conventional rehabilitationon psychological readiness and perception of pain in ACL-injured female football players. ThirtyACL-injured female football players competing in the 2nd and 3rd Italian tier who underwent anACL rehabilitation program from the same clinic participated in this study. Players were randomlydistributed in an MT group (n = 15) and a CON group (n = 15). All participants reported their perception of pain on a VAS before and after the interventions and their psychological readiness toreturn to sport after ACL injury and reconstruction surgery on the ACL-RSI scale after the intervention. An independent-sample t-test was performed to assess between-group differences in post-intervention ACL-RSI, and a further independent-sample t-test to assume non-significant differencesbetween VAS values before the intervention. A two-way repeated-measures analysis of variancewas used to test the null hypothesis of no different change in VAS over time between groups. Afterthe intervention, the MT group perceived largely greater psychological readiness (p < 0.01). MT andCON groups experienced a large reduction in VAS after the intervention (p < 0.001). However, asmall time × group interaction was observed (p = 0.023). MT reported a greater perception of thepsychological readiness of the soccer players and a lower perception of pain than those who performed conventional therapy.