Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to the Preinjury Physical Activity

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Ardern, ClareLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,School of Allied Health, La Trobe University, Melbourne, Australia (author)

Satisfaction With Knee Function After Primary Anterior Cruciate Ligament Reconstruction Is Associated With Self-Efficacy, Quality of Life, and Returning to the Preinjury Physical Activity

Article/chapterEnglish2016

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Elsevier BV,2016
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LIBRIS-ID:oai:DiVA.org:uu-307896
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-307896URI
https://doi.org/10.1016/j.arthro.2016.01.035DOI
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-131910URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Purpose: To assess whether patient-reported outcomes (psychological factors, appraisals of knee function, and physical activity participation) were associated with satisfaction with knee function after anterior cruciate ligament (ACL) reconstruction. Methods: Participants who were aged 18 to 45 years and a minimum 12 months post primary ACL reconstruction completed a questionnaire battery evaluating knee self-efficacy, knee-related quality of life, self-reported function, and physical activity participation. Participants' responses to the question "If you were to spend the rest of your life with your knee just the way it has been in the last week, would you feel.... (7-point ordinal scale; 1 = happy, 7 = unhappy)" were categorized as satisfied, mostly satisfied, or dissatisfied and used as the primary outcome. Ordinal regression was used to examine associations between independent variables and the primary outcome. Results: A total of 177 participants were included at an average of 3 years after primary ACL reconstruction. At follow-up, 44% reported they would be satisfied, 28% mostly satisfied, and 28% dissatisfied with the outcome of ACL reconstruction. There were significant differences in psychological responses and appraisal of knee function between the 3 groups (P = .001), and significantly more people in the satisfied group had returned to their preinjury activity (58%) than in the mostly satisfied (28%) and dissatisfied (26%) groups (P = .001). Multivariable analysis demonstrated that the odds of being satisfied increased by a factor of 3 with higher self-efficacy, greater knee-related quality of life, and returning to the preinjury activity. Conclusions: People who had returned to their preinjury physical activity and who reported higher knee-related self-efficacy and quality of life were more likely to be satisfied with the outcome of ACL reconstruction.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Ortopedi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Orthopaedics hsv//eng

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Österberg, AnnikaLinköpings universitet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Linkoping Univ, Div Physiotherapy, Linkoping, Sweden.,Avdelningen för fysioterapi,Medicinska fakulteten(Swepub:liu)annos47 (author)
Tagesson, SofiLinköpings universitet,Avdelningen för fysioterapi,Medicinska fakulteten,Region Östergötland, Onkologiska kliniken US(Swepub:liu)softa47 (author)
Gauffin, HåkanLinköpings universitet,Avdelningen för kliniska vetenskaper,Medicinska fakulteten,Region Östergötland, Ortopedkliniken i Linköping(Swepub:liu)hakga25 (author)
Webster, Kate E.La Trobe Univ, Sch Allied Hlth, Melbourne, Vic, Australia.,La Trobe University, Australia (author)
Kvist, JoannaLinköpings universitet,Avdelningen för fysioterapi,Hälsouniversitetet(Swepub:liu)joakv97 (author)
Linköpings universitetAvdelningen för fysioterapi (creator_code:org_t)

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In:Arthroscopy: Elsevier BV32:8, s. 1631-+0749-80631526-3231

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By the author/editor: Ardern, Clare; Österberg, Annik ...; Tagesson, Sofi; Gauffin, Håkan; Webster, Kate E.; Kvist, Joanna

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Surgery

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Orthopaedics

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