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The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0001-8102-3631
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences. Uppsala Univ, Ctr Clin Res Sormland, Eskilstuna, Sweden.ORCID iD: 0000-0002-6792-5468
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.ORCID iD: 0000-0002-1929-0605
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
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2014 (English)In: British Journal of Sports Medicine, ISSN 0306-3674, E-ISSN 1473-0480, Vol. 48, no 22, 1613-U50 p.Article in journal (Refereed) Published
Abstract [en]

Background This cross-sectional study aimed to examine whether appraisal of knee function, psychological and demographic factors were related to returning to the preinjury sport and recreational activity following anterior cruciate ligament (ACL) reconstruction. Method 164 participants completed a questionnaire battery at 1-7 years after primary ACL reconstruction. The battery included questionnaires evaluating knee self-efficacy, health locus of control, psychological readiness to return to sport and recreational activity, and fear of reinjury; and self-reported knee function in sport-specific tasks, knee-related quality of life and satisfaction with knee function. The primary outcome was returning to the preinjury sport or recreational activity. Results At follow-up, 40% (66/164) had returned to their preinjury activity. Those who returned had more positive psychological responses, reported better knee function in sport and recreational activities, perceived a higher knee-related quality of life and were more satisfied with their current knee function. The main reasons for not returning were not trusting the knee (28%), fear of a new injury (24%) and poor knee function (22%). Psychological readiness to return to sport and recreational activity, measured with the ACL-Return to Sport after Injury scale (was most strongly associated with returning to the preinjury activity). Age, sex and preinjury activity level were not related. Conclusions Less than 50% returned to their preinjury sport or recreational activity after ACL reconstruction. Psychological readiness to return to sport and recreation was the factor most strongly associated with returning to the preinjury activity. Including interventions aimed at improving this in postoperative rehabilitation programmes could be warranted to improve the rate of return to sport and recreational activities.

Place, publisher, year, edition, pages
BMJ Publishing Group , 2014. Vol. 48, no 22, 1613-U50 p.
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Physiotherapy Orthopedics
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URN: urn:nbn:se:liu:diva-112997DOI: 10.1136/bjsports-2014-093842ISI: 000345130900009PubMedID: 25293342OAI: oai:DiVA.org:liu-112997DiVA: diva2:779142
Available from: 2015-01-12 Created: 2015-01-08 Last updated: 2017-12-05

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Ardern, ClareÖsterberg, AnnikaTagesson (Sonesson), SofiGauffin, HåkanKvist, Joanna

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Ardern, ClareÖsterberg, AnnikaTagesson (Sonesson), SofiGauffin, HåkanKvist, Joanna
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Division of PhysiotherapyFaculty of Health SciencesDepartment of Orthopaedics in LinköpingDivision of Clinical Sciences
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British Journal of Sports Medicine
PhysiotherapyOrthopedics

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