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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Fältnamn	Indikatorer	Metadata
000		04561naa a2200373 4500
001		oai:DiVA.org:liu-185833
003		SwePub
008		220615s2023 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
009		oai:prod.swepub.kib.ki.se:149739818
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1858332 URI
024	7	a https://doi.org/10.1177/194173812210947802 DOI
024	7	a http://kipublications.ki.se/Default.aspx?queryparsed=id:1497398182 URI
040		a (SwePub)liud (SwePub)ki
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Slater, Dianeu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten4 aut0 (Swepub:liu)n/a
245	1 0	a Biopsychosocial Factors Associated With Return to Preinjury Sport After ACL Injury Treated Without Reconstruction: NACOX Cohort Study 12-Month Follow-up
264		c 2022-05-27
264	1	b SAGE PUBLICATIONS INC,c 2023
338		a print2 rdacarrier
500		a 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]
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Sjukgymnastik0 (SwePub)303072 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Physiotherapy0 (SwePub)303072 hsv//eng
653		a knee; prognosis; rehabilitation; return to sport; sports medicine
700	1	a Kvist, Joannau Karolinska Institutet,Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Karolinska Inst, Sweden4 aut0 (Swepub:liu)joakv97
700	1	a Ardern, Clareu Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,La Trobe Univ, Australia; Univ British Columbia, Canada4 aut0 (Swepub:liu)claar40
710	2	a Linköpings universitetb Avdelningen för prevention, rehabilitering och nära vård4 org
773	0	t SPORTS HEALTH-A MULTIDISCIPLINARY APPROACHd : SAGE PUBLICATIONS INCg 15:2, s. 176-184q 15:2<176-184x 1941-7381x 1941-0921
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-185833
856	4 8	u https://doi.org/10.1177/19417381221094780
856	4 8	u http://kipublications.ki.se/Default.aspx?queryparsed=id:149739818

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

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