Psychological factors are important to return to pre‑injury sport activity after anterior cruciate ligament reconstruction: expect and motivate to satisfy
Source: Knee Surg Sports Traumatol Arthrosc (2017) 25:1375–1384
A recent study conducted by Sofi Sonesson and colleagues sought 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.
Investigators included 65 individuals, median age 22, scheduled for ACL Reconstruction. Multiple measures were utilized including the IKDC-SKF, as well as questions to ascertain patient expectations, satisfaction and motivation levels pre-surgery and throughout the rehab process..
The authors found that 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)].
- The majority of participants expected to return to their pre-injury activity level after ACL reconstruction.
- Motivation during rehabilitation was associated with returning to the pre-injury sport activity.
- Participants who had returned to their pre-injury sport activity were more satisfied with their activity level and knee function 1 year after ACL reconstruction compared to those who had not returned to their pre-injury sport activity.