Readiness to return to ADL after ACL reconstruction
Psychological readiness to return to sport, recovery expectations, sport locus of control and self- efficacy regarding knee function are psychological factors that have been shown to predict returning to the pre-injury sport at 12months after ACL reconstruction. Fear of sustaining another injury has also being associated with non returning to sport up to 7 years. The aim of the current study was to examine whether appraisal of knee function, psychological and demographic factors were related to returning to the preinjury sport and recreational activity after ACL reconstruction.
Participants who had returned to their pre-injury sport or recre- ational activity had more positive responses to the psychological outcomes, a higher knee-related quality of life and self-reported knee function, were more satisfied with their current knee function, and reported better knee function in sport and recreational activities compared with those who had not returned. The factor most strongly associated with returning to the pre-injury activity was the ACL-RSI scale, which evaluates psychological readiness to return to sport and recreational activity after ACL reconstruction.
Age, sex and pre-injury activity level were not associated with returning to the preinjury sport or recreational activity. The most common reasons given by participants for not returning to the preinjury activity were: not trusting the knee, fear of another injury and poor knee function.
> From: Ardern et al., Br J Sports Med (2014) (Epub ahead of print). All rights reserved to BMJ Publishing Group Ltd. Click here for the Pubmed summary.