liu.seSearch for publications in DiVA
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Ways of experiencing participation and factors affecting the activity level after nonreconstructed anterior cruciate ligament injury: a qualitative study
Linköping University, Department of Medical and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-6792-5468
Linköping University, Department of Medical and Health Sciences, Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0003-3527-5488
Linköping University, Department of Medical and Health Sciences, Medical Pedagogics. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0001-5066-8728
2013 (English)In: Journal of Orthopaedic and Sports Physical Therapy, ISSN 0190-6011, E-ISSN 1938-1344, Vol. 43, no 3, 172-183 p.Article in journal (Refereed) Published
Abstract [en]

STUDY DESIGN: Phenomenographic, cross-sectional. OBJECTIVES: To describe ways of experiencing participation in activities of individuals with a nonreconstructed anterior cruciate ligament injury and to describe the emotional aspects related to participation. Further, the objective was to explore factors affecting the activity level. BACKGROUND: The importance of assessing different factors (knee status, muscle performance, psychological factors, performance-based tests, and subjective rating of knee function) after an anterior cruciate ligament injury has been emphasized. However, the results of these assessments do not answer the question of how the individuals themselves experience their participation in activities. METHODS: Semi-structured interviews were conducted with 19 strategically selected informants (age range, 18-43 years) who had sustained an anterior cruciate ligament injury 18 to 67 months previously. A phenomenographic approach, which describes individuals' ways of experiencing a phenomenon, was used. RESULTS: Five qualitatively different categories were identified: (A) unconditioned participation, (B) participation as conditioned by risk appraisal, (C) participation as conditioned by experienced control of the knee, (D) participation as conditioned by experienced knee impairment, and (E) participation as conditioned by neglecting the knee injury. Within each category, 5 interrelated aspects were discerned: focus, level of performance, activities, strategies, and feelings. Categories A, C, and E reflected experiences of full participation, whereas categories B and D reflected experiences of modified participation. There were mostly positive feelings regarding participation. Negative feelings were expressed in category D. Factors affecting the activity level were grouped according to the framework of the International Classification of Functioning, Disability and Health and described as facilitating or hindering the activity level. Facilitating factors included regaining and maintaining physical function, regaining confidence in knee function, and learning/relearning movement patterns. Hindering factors included fear of injury/reinjury, uncontrollable giving way, and loss of motivation. CONCLUSION: With different strategies, most of the informants achieved a satisfactory activity level, despite impairments and decreased activity level. Both physical and psychological factors were described to affect the activity level, as well as time since injury.

Place, publisher, year, edition, pages
2013. Vol. 43, no 3, 172-183 p.
Keyword [en]
control of knee, knee impairment, neglect, phenomenography, risk appraisal
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-90145DOI: 10.2519/jospt.2013.4278ISI: 000325781400009PubMedID: 23160240OAI: oai:DiVA.org:liu-90145DiVA: diva2:612152
Available from: 2013-04-11 Created: 2013-03-20 Last updated: 2017-12-06Bibliographically approved

Open Access in DiVA

fulltext(513 kB)432 downloads
File information
File name FULLTEXT01.pdfFile size 513 kBChecksum SHA-512
2b69aa3b960fb377f892e269b88b99761270ac63dac2e2ca6d92b277c259c83f9da9e1a15e0bdd20bb678b1d6a5df78c793ca247169aae037b255625b3c361eb
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Authority records BETA

Österberg, AnnikaKvist, JoannaAbrandt Dahlgren, Madeleine

Search in DiVA

By author/editor
Österberg, AnnikaKvist, JoannaAbrandt Dahlgren, Madeleine
By organisation
PhysiotherapyFaculty of Health SciencesMedical Pedagogics
In the same journal
Journal of Orthopaedic and Sports Physical Therapy
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 432 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 205 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf