'I was young, I wanted to return to sport, and re-ruptured my ACL' - young active female patients' voices on the experience of sustaining an ACL re-rupture, a qualitative study.
Anterior cruciate ligament
Interviews
Mixed method
Qualitative
Re-rupture
Reconstruction
Revision
Second knee injury
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
09 Aug 2022
09 Aug 2022
Historique:
received:
19
11
2021
accepted:
27
07
2022
entrez:
8
8
2022
pubmed:
9
8
2022
medline:
11
8
2022
Statut:
epublish
Résumé
Despite anterior cruciate ligament (ACL) re-ruptures being common, research on patient experiences after knee trauma has primarily focused on the time after primary ACL reconstruction. Integrating qualitative research and patient experiences can facilitate researchers and clinicians in understanding the burden of an ACL re-rupture. The aim of the study was to explore the experiences of an ACL re-rupture journey in young active females aiming to return to knee-strenuous sports after primary ACL reconstruction. Fifteen young (19[range 16-23] years old) active females who suffered an ACL re-rupture were interviewed with semi-structured interviews. Qualitative content analysis using deductive approach based on Wiese-Bjornstal's 'integrated model of response to sport injury' was used. The results are presented in two timelines 1) from first ACL injury to ACL re-rupture, and 2) from ACL re-rupture to present day, and further stratified according to the domains of the 'integrated model of psychological response to injury'. Results in the first timeline are summarised into seven categories: Finding hope for the journey; Accepting my ACL injury; I succeeded; What matters now? Who am I?; Where will this end? What is going to happen? In the second timeline, eight categories were identified: Fighting spirit; A helping hand; Working hard; I am a new me; I am destroyed; Loneliness; Painful changes; and, I could have made it to the pro´s. Young active females who suffered an ACL re-rupture did not express any positive experience following their first ACL injury, however, in contrast, expressed positive experiences and personal growth after going through the ACL re-rupture journey, characterized by a lot of struggling, and ultimately led to the experience of becoming a new, stronger person.
Sections du résumé
BACKGROUND
BACKGROUND
Despite anterior cruciate ligament (ACL) re-ruptures being common, research on patient experiences after knee trauma has primarily focused on the time after primary ACL reconstruction. Integrating qualitative research and patient experiences can facilitate researchers and clinicians in understanding the burden of an ACL re-rupture. The aim of the study was to explore the experiences of an ACL re-rupture journey in young active females aiming to return to knee-strenuous sports after primary ACL reconstruction.
METHOD
METHODS
Fifteen young (19[range 16-23] years old) active females who suffered an ACL re-rupture were interviewed with semi-structured interviews. Qualitative content analysis using deductive approach based on Wiese-Bjornstal's 'integrated model of response to sport injury' was used.
RESULTS
RESULTS
The results are presented in two timelines 1) from first ACL injury to ACL re-rupture, and 2) from ACL re-rupture to present day, and further stratified according to the domains of the 'integrated model of psychological response to injury'. Results in the first timeline are summarised into seven categories: Finding hope for the journey; Accepting my ACL injury; I succeeded; What matters now? Who am I?; Where will this end? What is going to happen? In the second timeline, eight categories were identified: Fighting spirit; A helping hand; Working hard; I am a new me; I am destroyed; Loneliness; Painful changes; and, I could have made it to the pro´s.
CONCLUSION
CONCLUSIONS
Young active females who suffered an ACL re-rupture did not express any positive experience following their first ACL injury, however, in contrast, expressed positive experiences and personal growth after going through the ACL re-rupture journey, characterized by a lot of struggling, and ultimately led to the experience of becoming a new, stronger person.
Identifiants
pubmed: 35941679
doi: 10.1186/s12891-022-05708-9
pii: 10.1186/s12891-022-05708-9
pmc: PMC9360700
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
760Informations de copyright
© 2022. The Author(s).
Références
Best Pract Res Clin Rheumatol. 2019 Feb;33(1):33-47
pubmed: 31431274
Am J Sports Med. 2015 Jul;43(7):1583-90
pubmed: 25899429
J Orthop Surg Res. 2020 Jan 10;15(1):9
pubmed: 31924236
J Orthop Sports Phys Ther. 2018 Dec;48(12):951-959
pubmed: 29932875
J Athl Train. 2020 Jul 1;55(7):707-716
pubmed: 32702111
Spine (Phila Pa 1976). 2000 Dec 15;25(24):3130-9
pubmed: 11124729
Knee. 2020 Jun;27(3):949-957
pubmed: 32247810
BMC Sports Sci Med Rehabil. 2016 Jul 16;8:20
pubmed: 27429759
Am J Sports Med. 2014 May;42(5):1247-55
pubmed: 24318609
Health Qual Life Outcomes. 2003 Aug 01;1:29
pubmed: 12914662
Am J Sports Med. 2015 Mar;43(3):641-7
pubmed: 25548148
Knee Surg Sports Traumatol Arthrosc. 2005 Jul;13(5):393-7
pubmed: 15703963
Orthop J Sports Med. 2017 Aug 18;5(8):2325967117724196
pubmed: 28840155
J Orthop Sports Phys Ther. 2020 Feb;50(2):83-90
pubmed: 32005095
Br J Sports Med. 2016 Jun;50(12):716-24
pubmed: 26809259
Int J Sports Phys Ther. 2020 Aug;15(4):593-602
pubmed: 33354392
Knee Surg Sports Traumatol Arthrosc. 2022 Jul;30(7):2244-2250
pubmed: 34661692
N Engl J Med. 2010 Jul 22;363(4):331-42
pubmed: 20660401
Br J Sports Med. 2015 Aug;49(16):1033-41
pubmed: 26224582
Disabil Rehabil. 2018 Sep;40(19):2311-2317
pubmed: 28597696
Br J Psychiatry. 1979 Apr;134:382-9
pubmed: 444788
Physiother Theory Pract. 2017 Feb;33(2):103-114
pubmed: 28095091
J Psychosom Res. 2002 Feb;52(2):69-77
pubmed: 11832252
Orthop J Sports Med. 2022 Jan 18;10(1):23259671211066493
pubmed: 35071657
Nurse Educ Today. 2017 Sep;56:29-34
pubmed: 28651100
Am J Sports Med. 2014 Feb;42(2):336-42
pubmed: 24197615
J Bone Joint Surg Am. 2012 Mar 21;94(6):531-6
pubmed: 22438002
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Orthop Res. 2022 Jan;40(1):117-128
pubmed: 33650704
Int J Adolesc Med Health. 2014;26(1):69-77
pubmed: 23358350
Med Care. 1992 Jun;30(6):473-83
pubmed: 1593914
Scand J Med Sci Sports. 2017 May;27(5):514-524
pubmed: 27167588
Nurse Educ Today. 2004 Feb;24(2):105-12
pubmed: 14769454
Br J Sports Med. 2020 Sep;54(18):1099-1102
pubmed: 32046955