Psychological impairments after ACL injury - Do we know what we are addressing? Experiences from sports physical therapists.
Adaptation, Psychological
Adult
Anterior Cruciate Ligament Injuries
/ psychology
Anterior Cruciate Ligament Reconstruction
/ psychology
Data Analysis
Denial, Psychological
Emotions
Female
Focus Groups
Goals
Humans
Male
Mental Disorders
/ rehabilitation
Middle Aged
Patient Education as Topic
Physical Therapists
Psychological Distress
Qualitative Research
Sports
/ psychology
evaluation
knee
knowledge
psychology
rehabilitation
Journal
Scandinavian journal of medicine & science in sports
ISSN: 1600-0838
Titre abrégé: Scand J Med Sci Sports
Pays: Denmark
ID NLM: 9111504
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
revised:
15
03
2021
received:
17
11
2020
accepted:
22
03
2021
pubmed:
28
3
2021
medline:
24
6
2021
entrez:
27
3
2021
Statut:
ppublish
Résumé
Psychological impairments can follow an anterior cruciate ligament (ACL) injury and can impact the rehabilitation process. Our aim was to investigate experiences of sports physical therapists (PTs) in addressing psychological impairments in patients after ACL injury. We conducted four focus group interviews with fourteen sports PTs. The PTs' experiences of working with psychological impairments after ACL injury were summarized in four main categories: (1) "Calling for a guiding light", where PTs stated that the most common method of acquiring knowledge on addressing psychological impairments was through discussions with colleagues, and, at the same time, PTs expressed an insufficient knowledge of how to address psychological impairments; (2) "Meeting the burden of psychological impairments" where PTs stated that psychological impairments are greater than physical; (3) "Trying to balance physical and psychological aspects" where patient education and assessments were reported to be important in order to understand psychological impairments during rehabilitation; and (4) "Goal setting: a helpful challenge" where sports PTs expressed a need for specific knowledge of the rehabilitation of psychological impairments following ACL injury. To help provide the current best practice, we encourage researchers to develop psychologically centered interventions for rehabilitation after an ACL injury, and PTs to stay up-to-date with the literature published on the subject, including to implement eventual interventions.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1508-1517Informations de copyright
© 2021 The Authors. Scandinavian Journal of Medicine & Science In Sports published by John Wiley & Sons Ltd.
Références
Montalvo AM, Schneider DK, Webster KE, et al. Anterior cruciate ligament injury risk in sport: a systematic review and meta-analysis of injury incidence by sex and sport classification. J Athl Train. 2019;54(5):472-482.
Filbay SR, Culvenor AG, Ackerman IN, Russell TG, Crossley KM. Quality of life in anterior cruciate ligament-deficient individuals: a systematic review and meta-analysis. Br J Sports Med. 2015;49(16):1033-1041.
Wang D, Jones MH, Khair MM, Miniaci A. Patient-reported outcome measures for the knee. J Knee Surg. 2010;23(3):137-151.
Wiese-Bjornstal DM, Smith AM, Shaffer SM, Morrey MA. An integrated model of response to sport injury: psychological and sociological dynamics. J Appl Sport Psychol. 1998;10(1):46-69.
Podlog L, Heil J, Schulte S. Psychosocial factors in sports injury rehabilitation and return to play. Phys Med Rehabil Clin N Am. 2014;25(4):915-930.
Crichlow RJ, Andres PL, Morrison SM, Haley SM, Vrahas MS. Depression in orthopaedic trauma patients. prevalence and severity. J Bone Joint Surg Am. 2006;88(9):1927-1933.
Heil J. Psychology of Sport Injury. Champaign, IL: Human Kinetics Publishers; 1993.
Podlog L, Dimmock J, Miller J. A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes. Phys Ther Sport. 2011;12(1):36-42.
Trainor LR, Crocker PRE, Bundon A, Ferguson L. The rebalancing act: injured varsity women athletes’ experiences of global and sport psychological well-being. Psychol Sport Exerc. 2020;49:101713.
te Wierike SC, van der Sluis A, van den Akker-Scheek I, Elferink-Gemser MT, Visscher C. Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: a systematic review. Scand J Med Sci Sports. 2013;23(5):527-540.
Hamrin Senorski E, Samuelsson K, Thomee C, Beischer S, Karlsson J, Thomee R. Return to knee-strenuous sport after anterior cruciate ligament reconstruction: a report from a rehabilitation outcome registry of patient characteristics. Knee Surg Sports Traumatol Arthrosc. 2017;25(5):1364-1374.
Paterno MV, Schmitt LC, Thomas S, Duke N, Russo R, Quatman-Yates CC. Patient and parent perceptions of rehabilitation factors that influence outcomes after anterior cruciate ligament reconstruction and clearance to return to sport in adolescents and young adults. J Orthop Sports Phys Ther. 2019;49(8):576-583.
Nwachukwu BU, Adjei J, Rauck RC, et al. How much do psychological factors affect lack of return to play after anterior cruciate ligament reconstruction? A systematic review. Orthop J Sports Med. 2019;7(5):2325967119845313.
Brewer BW, Cornelius AE, Van Raalte JL, et al. Age-related differences in predictors of adherence to rehabilitation after anterior cruciate ligament reconstruction. J Athl Train. 2003;38(2):158-162.
Greenfield BH, Greene B, Johanson MA. The use of qualitative research techniques in orthopedic and sports physical therapy: moving toward postpositivism. Phys Ther Sport. 2007;8(1):44-54.
Ivarsson AJU. Psychological Bases of Sport Injuries, 4th ed. Morgantown, WV: Fitnesss Information Tech; 2020.
Heaney CA, Rostron CL, Walker NC, Green AJ. Is there a link between previous exposure to sport injury psychology education and UK sport injury rehabilitation professionals’ attitudes and behaviour towards sport psychology? Phys Ther Sport. 2017;23:99-104.
Alexanders J, Anderson A, Henderson S. Musculoskeletal physiotherapists’ use of psychological interventions: a systematic review of therapists’ perceptions and practice. Physiotherapy. 2015;101(2):95-102.
Driver C, Kean B, Oprescu F, Lovell GP. Knowledge, behaviors, attitudes and beliefs of physiotherapists towards the use of psychological interventions in physiotherapy practice: a systematic review. Disabil Rehabil. 2017;39(22):2237-2249.
Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-357.
Filbay SR, Crossley KM, Ackerman IN. Activity preferences, lifestyle modifications and re-injury fears influence longer-term quality of life in people with knee symptoms following anterior cruciate ligament reconstruction: a qualitative study. J Physiother. 2016;62(2):103-110.
Nordahl B, Sjostrom R, Westin M, Werner S, Alricsson M. Experiences of returning to elite alpine skiing after ACL injury and ACL reconstruction. Int J Adolesc Med Health. 2014;26(1):69-77.
Ross CA, Clifford A, Louw QA. Factors informing fear of reinjury after anterior cruciate ligament reconstruction. Physiother Theory Pract. 2017;33(2):103-114.
Scott SM, Perry MA, Sole G. Not always a straight path: patients’ perspectives following anterior cruciate ligament rupture and reconstruction. Disabil Rehabil. 2018;40(19):2311-2317.
Guest G, Bunce A, Johnson L. How many interviews are enough? Field Methods. 2016;18(1):59-82.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105-112.
Graneheim UH, Lindgren BM, Lundman B. Methodological challenges in qualitative content analysis: a discussion paper. Nurse Educ Today. 2017;56:29-34.
Merriam SB, Tisdell EJ. Qualitative research: a guide to design and implementation, 4th edn. San Francisco: Jossey-Bass; 2016.
Castonguay LG, Oltmanns TF. Psychopathology: From Science to Clinical Practice. New York, NY: The Guilford Press; 2013.
Schinke RJ, Stambulova NB, Si G, Moore Z. International society of sport psychology position stand: athletes’ mental health, performance, and development. Int J Qual Health Care. 2017;16(6):622-639.
Holopainen R, Simpson P, Piirainen A, et al. Physiotherapists’ perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: a systematic review and metasynthesis of qualitative studies. Pain. 2020;161(6):1150-1168.
Arvinen-Barrow M, Hemmings B, Becker CA, Booth L. Sport psychology education: a preliminary survey on chartered physiotherapists’ preferred methods of training delivery. J Sport Rehabil. 2008;17(4):399-412.
Sackett DL. Evidence-based medicine. Semin Perinatol. 1997;21(1):3-5.
Arvinen-Barrow M, Clement D. The Psychology of Sport and Performance Injury: An Interprofessional Case-Based Approach. London: Taylor & Francis; 2019.
DiSanti J, Lisee C, Erickson K, Bell D, Shingles M, Kuenze C. Perceptions of rehabilitation and return to sport among high school athletes with anterior cruciate ligament reconstruction: a qualitative research study. J Orthop Sports Phys Ther. 2018;48(12):951-959.
Brewer BW. Developmental differences in psychological aspects of sport-injury rehabilitation. J Athl Train. 2003;38(2):152-153.
Wiese-Bjornstal DM. Psychology and socioculture affect injury risk, response, and recovery in high-intensity athletes: a consensus statement. Scand J Med Sci Sports. 2010;20(Suppl 2):103-111.
Andrade R, Pereira R, van Cingel R, Staal JB, Espregueira-Mendes J. How should clinicians rehabilitate patients after ACL reconstruction? A systematic review of clinical practice guidelines (CPGs) with a focus on quality appraisal (AGREE II). Br J Sports Med. 2020;54(9):512-519.
Coronado RA, Bird ML, Van Hoy EE, Huston LJ, Spindler KP, Archer KR. Do psychosocial interventions improve rehabilitation outcomes after anterior cruciate ligament reconstruction? A systematic review. Clin Rehabil. 2018;32(3):287-298.
Silva Guerrero AV, Maujean A, Campbell L, Sterling M. A systematic review and meta-analysis of the effectiveness of psychological interventions delivered by physiotherapists on pain, disability and psychological outcomes in musculoskeletal pain conditions. Clin J Pain. 2018;34(9):838-857.
Jason H. Manual skills and good judgment are vital but insufficient: clinicians must also be effective educators. J Manipulative Physiol Ther. 2013;5(4):178.
Pinto RZ, Ferreira ML, Oliveira VC, et al. Patient-centred communication is associated with positive therapeutic alliance: a systematic review. J Physiother. 2012;58(2):77-87.
Spiegelhalter DJ, Abrams KR, Myles JP. Bayesian Approaches to Clinical Trials and Health-Care Evaluation, Vol. 13. Chichester, England: John Wiley & Sons; 2004.
Johnson U. Short-term psychological intervention: a study of long-term-injured competitive athletes. J Sport Rehabil. 2000;9(3):207-218.
Johnson U, Ivarsson A, Karlsson J, Hagglund M, Walden M, Borjesson M. Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors. BMC Sports Sci Med Rehabil. 2016;8(1):20.
Kleinginna PR, Kleinginna AM. A categorized list of motivation definitions, with a suggestion for a consensual definition. Motiv Emot. 1981;5(3):263-291.
Levack WM, Weatherall M, Hay-Smith JC, Dean SG, McPherson K, Siegert RJ. Goal setting and strategies to enhance goal pursuit in adult rehabilitation: summary of a Cochrane systematic review and meta-analysis. Eur J Phys Rehabil Med. 2016;52(3):400-416.
Walker A, Hing W, Lorimer A. The influence, barriers to and facilitators of anterior cruciate ligament rehabilitation adherence and participation: a scoping review. Sports Med Open. 2020;6(1):32.