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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.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-1929-0605
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-3527-5488
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. School of Allied Health, La Trobe University, Melbourne, Australia, Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.ORCID iD: 0000-0001-8102-3631
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.ORCID iD: 0000-0002-6792-5468
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2017 (English)In: Knee Surgery, Sports Traumatology, Arthroscopy, ISSN 0942-2056, E-ISSN 1433-7347, Vol. 25, no 5, 1375-1384 p.Article 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
Springer London, 2017. Vol. 25, no 5, 1375-1384 p.
Keyword [en]
ACL, Activity level, Patient perspective, Patient-reported outcome, Psychology, Return to sport
National Category
Medical and Health Sciences Health Sciences Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-136031DOI: 10.1007/s00167-016-4294-8ISI: 000401438900004PubMedID: 27562372OAI: oai:DiVA.org:liu-136031DiVA: diva2:1084751
Note

Funding agencies: Faculty of Health Sciences at Linkoping University; Swedish Centre for Research in Sports

Available from: 2017-03-27 Created: 2017-03-27 Last updated: 2017-06-13

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Sonesson, SofiKvist, JoannaArdern, ClareÖsterberg, Annika
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