Biopsychosocial Factors Associated With Return to Preinjury Sport After ACL Injury Treated Without Reconstruction: NACOX Cohort Study 12-Month Follow-up

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Slater, DianeLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten (författare)

Biopsychosocial Factors Associated With Return to Preinjury Sport After ACL Injury Treated Without Reconstruction: NACOX Cohort Study 12-Month Follow-up

Artikel/kapitelEngelska2023

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2022-05-27
SAGE PUBLICATIONS INC,2023
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LIBRIS-ID:oai:DiVA.org:liu-185833
https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-185833URI
https://doi.org/10.1177/19417381221094780DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:149739818URI

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Språk:engelska
Sammanfattning på:engelska

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Funding Agencies|Swedish Medical Research Council [VR 2015-03687, VR 2018-02563]; Swedish Research Council for Sport Science (CIF) [P2017-0151, P2018-0132, P2019-0071]; Medical Research Council of Southeast Sweden [FORSS 662081]; ALF Grants Region Ostergotland [LIO-798907, 900721, 934538]
Background: The limited research on prognosis after nonsurgical management of anterior cruciate ligament (ACL) injury has focused on physical factors. We aimed to assess relationships between key patient-reported outcomes, in line with a biopsychosocial approach, and returning to preinjury sport at 12 months after ACL injury treated without reconstruction. Hypothesis: We hypothesized that biopsychosocial factors would be associated with returning to preinjury sport at 12 months after ACL injury. Study Design: Prospective single cohort study. Level of Evidence: Level 2. Methods: Patients who had an ACL injury and did not have reconstruction during the first year after injury were recruited from healthcare clinics in Sweden, and followed up at 3, 6, and 12 months after injury. Return to preinjury sport at 12 months was the primary outcome. Explanatory variables were psychological readiness to return to sport, knee-related quality of life, and self-reported knee function. Using generalized estimating equations, we evaluated the relationships between the explanatory variables and the primary outcome at each timepoint. Results: Data were analyzed for 88 participants with a median age of 27 years (15-40 years). Soccer was the most frequently reported preinjury sport (n = 22). Forty participants (46%) had returned to their preinjury sport at 12 months after ACL injury. The odds of returning to preinjury sport at 12 months increased with higher self-reported knee function at 6 months (odds ratio [OR], 1.1; 95% CI, 1.0-1.1), and the odds of being returned to the preinjury sport at 12 months doubled for every 1-point increase (1-10 scale) in psychological readiness to return to sport measured at 12 months (OR, 1.9; 95% CI, 1.2-3.2). Conclusion: Superior self-reported knee function at 6 months and greater psychological readiness to return to sport at 12 months were associated with returning to the preinjury sport 1 year after ACL injury treated without reconstruction.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Sjukgymnastik hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Physiotherapy hsv//eng
knee; prognosis; rehabilitation; return to sport; sports medicine

Biuppslag (personer, institutioner, konferenser, titlar ...)

Kvist, JoannaKarolinska Institutet,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Karolinska Inst, Sweden(Swepub:liu)joakv97 (författare)
Ardern, ClareLinköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,La Trobe Univ, Australia; Univ British Columbia, Canada(Swepub:liu)claar40 (författare)
Linköpings universitetAvdelningen för prevention, rehabilitering och nära vård (creator_code:org_t)

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Ingår i:SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH: SAGE PUBLICATIONS INC15:2, s. 176-1841941-73811941-0921

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Av författaren/redakt...: Slater, Diane; Kvist, Joanna; Ardern, Clare

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Sjukgymnastik

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Av lärosätet: Linköpings universitet; Karolinska Institutet

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