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Psychological Responses Matter in Returning to Preinjury Level of Sport After Anterior Cruciate Ligament Reconstruction Surgery.
- Source :
- American Journal of Sports Medicine; Jul2013, Vol. 41 Issue 7, p1549-1558, 10p
- Publication Year :
- 2013
-
Abstract
- Background: Up to two-thirds of athletes may not return to their preinjury level of sport by 12 months after anterior cruciate ligament (ACL) reconstruction surgery, despite being physically recovered. This has led to questions about what other factors may influence return to sport. Purpose: To determine whether psychological factors predicted return to preinjury level of sport by 12 months after ACL reconstruction surgery. Study Design: Case control study; Level of evidence, 3. Methods: Recreational and competitive-level athletes seen at a private orthopaedic clinic with an ACL injury were consecutively recruited. The primary outcome was return to the preinjury level of sports participation. The psychological factors evaluated were psychological readiness to return to sport, fear of reinjury, mood, emotions, sport locus of control, and recovery expectations. Participants were followed up preoperatively and at 4 and 12 months postoperatively. Results: In total, 187 athletes participated. At 12 months, 56 athletes (31%) had returned to their preinjury level of sports participation. Significant independent contributions to returning to the preinjury level by 12 months after surgery were made by psychological readiness to return to sport, fear of reinjury, sport locus of control, and the athlete's estimate of the number of months it would take to return to sport, as measured preoperatively (x2 2 = 18.3, P\.001, classification accuracy = 70%) and at 4 months postoperatively (x2 4 = 38.7, P\.001, classification accuracy = 86%). Conclusion: Psychological responses before surgery and in early recovery were associated with returning to preinjury level of sport at 12 months, suggesting that attention to psychological recovery in addition to physical recovery after ACL injury and reconstruction surgery may be warranted. Clinical screening for maladaptive psychological responses in athletes before and soon after surgery may help clinicians identify athletes at risk of not returning to their preinjury level of sport by 12 months. [ABSTRACT FROM AUTHOR]
- Subjects :
- MENTAL health
WOUNDS & injuries
SPORTS participation
AFFECT (Psychology)
ANTERIOR cruciate ligament surgery
ATHLETES
ATHLETIC ability
CHI-squared test
CONFIDENCE intervals
CONVALESCENCE
STATISTICAL correlation
EPIDEMIOLOGY
FEAR
FORECASTING
GOODNESS-of-fit tests
LOCUS of control
LONGITUDINAL method
PSYCHOLOGICAL tests
QUESTIONNAIRES
RECREATION
REGRESSION analysis
SPORTS psychology
SPORTS injuries
T-test (Statistics)
U-statistics
WORLD Wide Web
LOGISTIC regression analysis
STATISTICAL power analysis
DATA analysis
BLIND experiment
CASE-control method
RECEIVER operating characteristic curves
DATA analysis software
PATIENTS' attitudes
DESCRIPTIVE statistics
PSYCHOLOGY
Subjects
Details
- Language :
- English
- ISSN :
- 03635465
- Volume :
- 41
- Issue :
- 7
- Database :
- Complementary Index
- Journal :
- American Journal of Sports Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 88799418
- Full Text :
- https://doi.org/10.1177/0363546513489284