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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Autores principales:	Jenifer Presley, Lane Bailey, Kevin Maloney, Brian Duncan, Mathew Reid, Christopher Juneau, Walter R Lowe
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/c6992a9990c44fd8a0aa02b51a76a8d0
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spelling	oai:doaj.org-article:c6992a9990c44fd8a0aa02b51a76a8d02021-12-02T16:01:55ZThe Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study10.26603/001c.187942159-2896https://doaj.org/article/c6992a9990c44fd8a0aa02b51a76a8d02021-02-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/18794-the-influence-of-mode-of-injury-on-psychological-readiness-for-return-to-sport-following-anterior-cruciate-ligament-reconstruction-a-matched-controll.pdfhttps://doaj.org/toc/2159-2896# 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.Jenifer PresleyLane BaileyKevin MaloneyBrian DuncanMathew ReidChristopher JuneauWalter R LoweNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 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
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
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
title	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_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_sort	influence of mode-of-injury on psychological readiness for return-to-sport following anterior cruciate ligament reconstruction: a matched-controlled study
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/c6992a9990c44fd8a0aa02b51a76a8d0
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The Influence of Mode-of-Injury on Psychological Readiness for Return-To-Sport Following Anterior Cruciate Ligament Reconstruction: A Matched-Controlled Study

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