Factors associated with playing football after anterior cruciate ligament reconstruction in female football players

Fältström, Anne; Hägglund, Martin; Kvist, Joanna

doi:10.1111/sms.12588

Cited by 52 publications

(56 citation statements)

References 43 publications

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“…Furthermore, patients who return to sport have been found to have less impairment during sport and recreation and enhanced knee-related quality of life after ACL reconstruction as compared to patients who do not return to sport [8, 16]. However, it is not known whether there is any discrepancy in subjective knee function between patients of different ages who return to sporting activities.…”

Section: Introductionmentioning

confidence: 99%

Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction

Beischer

Senorski

Thomeé³

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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PurposeThe purpose of this study was to evaluate the return to knee-strenuous sport rate, muscle function and subjective knee function among adolescent patients (15–20 years of age) and adult patients (21–30 years of age) 8 and 12 months, respectively, after anterior cruciate ligament (ACL) reconstruction. It was hypothesised that no differences in outcome would be found between age groups at 8 or 12 months after ACL reconstruction.MethodsCross-sectional data from five tests of muscle function, from the Knee injury and Osteoarthritis Outcome Score (KOOS) and the Tegner Activity Scale (Tegner), performed at 8 and 12 months after a primary ACL reconstruction, were extracted from a rehabilitation outcome register. A total of 270 (51% women) athletes, aged 15–30 years, who were all involved in knee-strenuous sport prior the injury, were included at 8 months after ACL reconstruction. At 12 months 203 (51% women) were included. The return to knee-strenuous-sport rates and the rate of achieving a limb symmetry index of ≥ 90% in all five tests of muscle function, defined as recovery of muscle function, and subjective knee function scores, as measured with the KOOS, were compared between age groups.ResultsThe adolescent patients had a higher (50%) return to knee-strenuous sport rate compared with the adult patients (38%) 8 months after ACL reconstruction (p = 0.04). At the 12-month follow-up, no difference was found between the age groups; 74 and 63%, respectively. At the 8-month follow-up, 29% of the patients, in both age groups, who had returned to sport had recovered their muscle function in all five tests of muscle function. At the 12-month follow-up, the corresponding results were 20% for the adolescents and 28% for the adult patients. No difference in mean KOOS scores was found between the age groups at 8 or at 12 months after ACL reconstruction.ConclusionThe majority of young athletes make an early return to knee-strenuous sport after a primary ACL reconstruction, without recovering their muscle function. To set realistic expectations, clinicians are recommended to ensure that young athletes receive information about not to return before muscle function is recovered and that this may take longer time than 12 months.Level of evidenceII.

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Section: Introductionmentioning

confidence: 99%

Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction

Beischer

Senorski

Thomeé³

et al. 2017

Knee Surg Sports Traumatol Arthrosc

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“…We hypothesized that patients’ motivation during ACL rehabilitation would be essential for optimal outcomes in terms of returning to the pre-injury sport activity. In support of this, female football players who reported higher motivation to return to sports were more likely to return to playing football after ACL reconstruction [17]. …”

Section: Discussionmentioning

confidence: 96%

“…Impaired mood has a negative impact on ACL rehabilitation [31], and in line with this, high optimism is associated with better knee function after rehabilitation [38]. High motivation also seems to be of importance for returning to sport after an ACL reconstruction [17, 21]. …”

Section: Introductionmentioning

confidence: 99%

Psychological factors are important to return to pre-injury sport activity after anterior cruciate ligament reconstruction: expect and motivate to satisfy

Sonesson

Kvist

Ardern

et al. 2016

Knee Surg Sports Traumatol Arthrosc

158

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PurposeTo 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.MethodsSixty-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.ResultsPrior 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)].ConclusionPrior 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 evidenceProspective cohort study, Level II.

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“…Return to sport (RTS) outcomes after severe injury are consistently poor 1 2. Psychological factors are important influences on returning to sport3 yet what it means to be psychologically ready to RTS is unclear 4.…”

mentioning

confidence: 99%

Psychological readiness to return to sport: three key elements to help the practitioner decide whether the athlete is REALLY ready?

2016

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Factors associated with playing football after anterior cruciate ligament reconstruction in female football players

Cited by 52 publications

References 43 publications

Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction

Young athletes return too early to knee-strenuous sport, without acceptable knee function after anterior cruciate ligament reconstruction

Psychological factors are important to return to pre-injury sport activity after anterior cruciate ligament reconstruction: expect and motivate to satisfy

Psychological readiness to return to sport: three key elements to help the practitioner decide whether the athlete is REALLY ready?

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