The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study
# Background Self-efficacy and fear of re-injury have been documented as factors related to an athlete’s ability to return-to-sport after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare psychological readiness between athletes injured in their primary mode o...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2021-02-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.18794 |
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| _version_ | 1825197121592098816 |
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| author | Jenifer Presley Lane Bailey Kevin Maloney Brian Duncan Mathew Reid Christopher Juneau Walter R Lowe |
| author_facet | Jenifer Presley Lane Bailey Kevin Maloney Brian Duncan Mathew Reid Christopher Juneau Walter R Lowe |
| author_sort | Jenifer Presley |
| collection | DOAJ |
| description | # Background
Self-efficacy and fear of re-injury have been documented as factors related to an athlete’s ability to return-to-sport after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare psychological readiness between athletes injured in their primary mode of sport versus those injured outside of their primary sport following ACL reconstruction.
# Hypothesis
Athletes sustaining ‘in-sport’ injuries will demonstrate poorer psychological readiness when compared their matched counterparts injured outside of their primary sport.
# Study Design
Case-Control Study
# Methods
A single-surgeon database of 638 patients following ACL reconstruction was used to conduct a matched case-control analysis. Psychological readiness was examined 16-weeks postoperatively using the ACL-Return to Sport after Injury (ACL-RSI) questionnaire with subgroup analyses for the ‘emotional’, ‘confidence’ and ‘injury-risk’ subscales. Subject matching was performed for baseline patient and surgical demographics. All statistical comparisons were performed using a one-way (group) analysis variance (ANOVA) at a significance level of α = .05.
# Results
Ninety-two matched patients (49 ‘in-sport’ injuries, 43 ‘out-of-sport’ injuries) were included in the final analysis. The ‘in-sport’ group exhibited significantly lower total ACL-RSI scores (55.3 ±12.9 versus 60.8 ±11.6, t = 2.747, P < .001) when compared to the ‘out-of-sport’ group. Subscale comparisons indicated lower ‘emotional’ (P < .016) and higher ‘injury risk’ (P < .001) psychological constructs for ‘in-sport’ athletes versus ‘out-of-sport’ athletes. No differences were found between groups for the ‘confidence’ subscale (P = .987).
# Conclusions
Athletes sustaining ‘in-sport’ ACL injuries demonstrated poorer psychological readiness when compared to athletes injured outside their primary sport when in preparation for return-to-sport activities following ACL reconstruction.
# Clinical Relevance
Clinicians should consider the potential impact of mode of injury on psychological readiness when returning athletes to sport after ACL reconstruction. |
| format | Article |
| id | doaj-art-c6992a9990c44fd8a0aa02b51a76a8d0 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-c6992a9990c44fd8a0aa02b51a76a8d02025-02-11T20:26:58ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-02-01161The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled StudyJenifer PresleyLane BaileyKevin MaloneyBrian DuncanMathew ReidChristopher JuneauWalter R Lowe# Background Self-efficacy and fear of re-injury have been documented as factors related to an athlete’s ability to return-to-sport after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare psychological readiness between athletes injured in their primary mode of sport versus those injured outside of their primary sport following ACL reconstruction. # Hypothesis Athletes sustaining ‘in-sport’ injuries will demonstrate poorer psychological readiness when compared their matched counterparts injured outside of their primary sport. # Study Design Case-Control Study # Methods A single-surgeon database of 638 patients following ACL reconstruction was used to conduct a matched case-control analysis. Psychological readiness was examined 16-weeks postoperatively using the ACL-Return to Sport after Injury (ACL-RSI) questionnaire with subgroup analyses for the ‘emotional’, ‘confidence’ and ‘injury-risk’ subscales. Subject matching was performed for baseline patient and surgical demographics. All statistical comparisons were performed using a one-way (group) analysis variance (ANOVA) at a significance level of α = .05. # Results Ninety-two matched patients (49 ‘in-sport’ injuries, 43 ‘out-of-sport’ injuries) were included in the final analysis. The ‘in-sport’ group exhibited significantly lower total ACL-RSI scores (55.3 ±12.9 versus 60.8 ±11.6, t = 2.747, P < .001) when compared to the ‘out-of-sport’ group. Subscale comparisons indicated lower ‘emotional’ (P < .016) and higher ‘injury risk’ (P < .001) psychological constructs for ‘in-sport’ athletes versus ‘out-of-sport’ athletes. No differences were found between groups for the ‘confidence’ subscale (P = .987). # Conclusions Athletes sustaining ‘in-sport’ ACL injuries demonstrated poorer psychological readiness when compared to athletes injured outside their primary sport when in preparation for return-to-sport activities following ACL reconstruction. # Clinical Relevance Clinicians should consider the potential impact of mode of injury on psychological readiness when returning athletes to sport after ACL reconstruction.https://doi.org/10.26603/001c.18794 |
| spellingShingle | Jenifer Presley Lane Bailey Kevin Maloney Brian Duncan Mathew Reid Christopher Juneau Walter R Lowe The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study International Journal of Sports Physical Therapy |
| title | The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study |
| title_full | The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study |
| title_fullStr | The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study |
| title_full_unstemmed | The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study |
| title_short | The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study |
| title_sort | influence of mode of injury on psychological readiness for return to sport following anterior cruciate ligament reconstruction a matched controlled study |
| url | https://doi.org/10.26603/001c.18794 |
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