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Psychological factors are important to return to pre-injury sport activity after anterior cruciate ligament reconstruction: expect and motivate to satisfy.
Linkoping Univ, Div Physiotherapy, S-58183 Linkoping, Sweden.
Linkoping Univ, Div Physiotherapy, S-58183 Linkoping, Sweden.
Linkoping Univ, Div Physiotherapy, S-58183 Linkoping, Sweden.; La Trobe Univ, Sch Allied Hlth, Fac Hlth Sci, Melbourne, Vic, Australia.; Aspetar Orthopaed & Sports Med Hosp, Doha, Qatar.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD). Linkoping Univ, Div Physiotherapy, S-58183 Linkoping, Sweden.
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2017 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 25, no 5, p. 1375-1384Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To describe individuals' expectations, motivation, and satisfaction before, during, and after rehabilitation for ACL reconstruction and to explore how these factors were associated with return to pre-injury sport activity at 1-year follow-up.

METHODS: Sixty-five individuals (34 males), median age 22 (15-45) years, scheduled for ACL reconstruction participated. Participants completed the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF) and questions about expectations, satisfaction, and motivation pre-operatively and at 16 and 52 weeks after surgery.

RESULTS: Prior to surgery, 86 % of participants stated that their goal was to return to their pre-injury sport activity. Those who had returned to their pre-injury sport activity at 52 weeks were more motivated during rehabilitation to return to their pre-injury activity level, more satisfied with their activity level and knee function at 52 weeks, and scored significantly higher on the IKDC-SKF [median 92.0 (range 66.7-100.0)] at 52 weeks, compared to those who had not returned [median 77.6 (range 50.6-97.7)].

CONCLUSION: Prior to ACL reconstruction, most participants expected to return to their pre-injury activity level. Higher motivation during rehabilitation was associated with returning to the pre-injury sport activity. The participants who had returned to their pre-injury sport activity were more satisfied with their activity level and knee function 1 year after the ACL reconstruction. Facilitating motivation might be important to support individuals in achieving their participation goals after ACL reconstruction.

LEVEL OF EVIDENCE: Prospective cohort study, Level II.

Place, publisher, year, edition, pages
2017. Vol. 25, no 5, p. 1375-1384
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Medical and Health Sciences
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URN: urn:nbn:se:uu:diva-314788DOI: 10.1007/s00167-016-4294-8ISI: 000401438900004PubMedID: 27562372OAI: oai:DiVA.org:uu-314788DiVA, id: diva2:1071818
Available from: 2017-02-06 Created: 2017-02-06 Last updated: 2017-06-22Bibliographically approved

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