Some, but not all, patients experience full symptom resolution and a positive rehabilitation process after ACL reconstruction: an interview study

Piussi, Ramana; Magnusson, Cajsa; Andersson, Sara; Mannerkorpi, Kaisa; Thomeé, Roland; Samuelsson, Kristian; Senorski, Eric Hamrin

doi:10.1007/s00167-022-07271-1

Cited by 7 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This may be due to the nature of qualitative research which focuses on views and experiences and is often used to explore adjustment following amputation. The first new subtheme, `being able to adapt to and accept my limitations' appears to be a common theme described in the rehabilitation literature characterising recovery from trauma or the management of long term conditions, i.e., anterior cruciate reconstruction [84], Parkinson's Disease [85] and traumatic brain injury [86]. A study by Rosengren et al, [85] exploring the experiences of patients with Parkinson's disease found that greater life satisfaction is achievable as people adapt to their new life situation, which involves a process of transition often based on acceptance.…”

Section: Discussionmentioning

confidence: 99%

Development of the ECLIPSE model of meaningful outcome domains following lower limb amputation and prosthetic rehabilitation, through systematic review and best fit framework synthesis

Ostler,

Dickinson,

Metcalf

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Little is known about which outcome domains characterise meaningful recovery following prosthetic rehabilitation and should be measured. Our previous qualitative work developed a conceptual model of outcome domains which are meaningful to patients. This qualitative synthesis aims to develop that model by exploring views and experiences of recovery captured in the limb loss literature, and use these to produce a second iteration of the model describing outcome domains of importance following prosthetic rehabilitation from the patient's perspective. Methods Systematic searches were conducted using CINAHL, Psychinfo and Web of Science from 2011 to early 2023. Studies with a qualitative design focusing on views and experiences of lower limb prosthetic users were eligible for inclusion. Quality was assessed using the CASP tool. 'Best Fit' framework synthesis was used to synthesise the evidence and develop the conceptual model. Results 40 studies were included, describing the experiences of 539 participants. Data supported the pre-existing conceptual model and led to development of four of the five domains. The newly named ECLIPSE model describes meaningful outcome domains as 1) Being able to participate in important activities and roles, 2) Participating in the way I want to, 3) My prosthesis works for me, 4) If I am in pain, I can manage it, and 5) I am able to accept my new normal. Studies came from 15 countries showing good coverage of high-income settings. Few participants from low-and-middle-income countries were included, it is unclear if the ECLIPSE model describes outcome domains of importance in these settings. Conclusions This synthesis provides a rigorous foundation for understanding outcome domains of importance following lower limb prosthetic rehabilitation from the patient's perspective. The ECLIPSE model is an accessible representation of recovery which could direct rehabilitation programmes, as well as inform the evaluation of prosthetic care through the selection of outcome measures.

show abstract

Section: Discussionmentioning

confidence: 99%

Development of the ECLIPSE model of meaningful outcome domains following lower limb amputation and prosthetic rehabilitation, through systematic review and best fit framework synthesis

Ostler,

Dickinson,

Metcalf

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Professional athletes have been reported to suffer from loss of athletic identity after ACL injury17 and 6–12 months after ACL reconstruction 18. Up to 5 years after ACL reconstruction, interviewed patients might experience full symptom resolution or persistent symptoms and need to accept negative life-changing consequences due to the injury 19…”

Section: Introductionmentioning

confidence: 99%

“… 18 Up to 5 years after ACL reconstruction, interviewed patients might experience full symptom resolution or persistent symptoms and need to accept negative life-changing consequences due to the injury. 19 …”

Section: Introductionmentioning

confidence: 99%

Wrestling with a ghost: facing an opponent I can neither see nor clinch – the experience of professional wrestlers who have suffered an ACL injury

Piussi,

Nilsson,

Karlsson

et al. 2024

BMJ Open Sport Exerc Med

Self Cite

View full text Add to dashboard Cite

This study explored professional wrestlers’ experiences of the consequences of an anterior cruciate ligament (ACL) injury and their perception of whether the ACL injury could have been prevented. We interviewed 10 professional wrestlers (60% women, age range 21–34) treated with ACL reconstruction with semistructured interviews. Transcripts were analysed using qualitative content analysis: One major theme, ‘Wrestling with a ghost: facing an opponent I can neither see nor clinch’, supported by five main categories, emerged from the collected data. The five main categories were: My ACL injury: bad luck or bad planning?; The way back: a fight to return to sport; Only performance counts; The injury’s impact on life: a wrestling with emotions; In hindsight, personal growth. Professional wrestlers who experienced an ACL injury expressed that not only the injury itself but also the subsequent recovery posed major challenges that they did not know how to deal with and that, in some cases, ended the athletes’ wrestling careers. Professional wrestlers attributed their ACL injuries to bad luck or large training loads and wished that they had more support from the wrestling community when injured.

show abstract

“…6 More than 5 years after their ACL-R, patients either experience symptom resolution or feel forced to accept the negative aspects of necessary lifestyle changes as a result from the ACL injury. 7 Regardless of treatment, rehabilitation after ACL injury is typically considered long and demanding, including both physical and psychological challenges. [8][9][10] The determination of which patients will derive sufficient benefit from rehabilitation alone without the need for additional ACL-R remains unclear.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, the rehabilitation setting seems to influence the rehabilitation process more than expected 6 . More than 5 years after their ACL‐R, patients either experience symptom resolution or feel forced to accept the negative aspects of necessary lifestyle changes as a result from the ACL injury 7 . Regardless of treatment, rehabilitation after ACL injury is typically considered long and demanding, including both physical and psychological challenges 8–10 .…”

Section: Introductionmentioning

confidence: 99%

To achieve the unachievable—Patients' experiences of opting for delayed anterior cruciate ligament reconstruction after trying rehabilitation alone as primary treatment: A qualitative study

Simonsson,

Magnusson,

Piussi

et al. 2024

Scandinavian Med Sci Sports

Self Cite

View full text Add to dashboard Cite

IntroductionAbout 50% of patients who sustain an anterior cruciate ligament (ACL) injury are treated without ACL reconstruction (ACL‐R). A significant proportion of these patients opt for late ACL‐R. Patients' experience of changing treatment has not yet been investigated and presented in the scientific literature.AimTo explore patients' experiences before and after changing treatment from ACL rehabilitation alone to ACL‐R.MethodFifteen patients were interviewed in semi‐structured interviews, which were recorded, transcribed, and analyzed with qualitative content analysis, based on the method described by Graneheim and Lundman. Patients were between 26 and 58 years old, and had tried rehabilitation for a minimum of 9 months prior to ACL‐R.ResultsTwo themes, “Expecting what could not be achieved: the struggle to recover and not becoming stable”, and “Internal completeness: expectations can be achieved”, emerged from the analysis. Each theme was supported by three main categories and 5–6 subcategories. The first theme represents the journey before ACL‐R, where patients experienced getting stronger, but perceived the knee as unstable. The second theme represents the journey after ACL‐R, where patients expressed that they felt whole after their ACL‐R, and where able to achieve their expections. Patients experienced a greater support from the healthcare system, and ultimately expressed a feeling of having achieved the unachievable after ACL‐R.SummaryPatients who cross over from ACL rehabilitation to ACL‐R experienced rehabilitation alone as insufficient to achieve the desired outcomes, which resulted in a need to opt for delayed ACL‐R. Healthcare providers need to support patients, who primarily choose to undergo rehabilitation alone and later opt for ACL‐R, throughout the whole rehabilitation process.

show abstract

Some, but not all, patients experience full symptom resolution and a positive rehabilitation process after ACL reconstruction: an interview study

Cited by 7 publications

References 24 publications

Development of the ECLIPSE model of meaningful outcome domains following lower limb amputation and prosthetic rehabilitation, through systematic review and best fit framework synthesis

Development of the ECLIPSE model of meaningful outcome domains following lower limb amputation and prosthetic rehabilitation, through systematic review and best fit framework synthesis

Wrestling with a ghost: facing an opponent I can neither see nor clinch – the experience of professional wrestlers who have suffered an ACL injury

To achieve the unachievable—Patients' experiences of opting for delayed anterior cruciate ligament reconstruction after trying rehabilitation alone as primary treatment: A qualitative study

Contact Info

Product

Resources

About