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Int J Sports Med
DOI: 10.1055/a-2270-3306
Orthopedics & Biomechanics

Reasons for Not Returning to Pre-injury Sport Level After ACL-Reconstruction

Khaldoon M. Bashaireh 
1   Department of Special Surgery, Jordan University of Science and Technology, Irbid central post o, Jordan
,
Mohammad A. Yabroudi
2   Division of physical therapy, Dept. of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
,
David Logerstedt
3   Physical Therapy, Saint Joseph’s University, Philadelphia, United States
,
Lynn Snyder-mackler
4   Physical Therapy, University of Delaware, Newark, United States
,
Zakariya H. Nawasreh
2   Division of physical therapy, Dept. of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
› Institutsangaben Funding Information Jordan University of Science and Technology — 109/2017
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Abstract

The study aimed to identify athlete-reported reasons for not returning to pre-injury sports level after anterior cruciate ligament reconstruction (ACLR) and to identify the factors associated with these reasons. Ninety-one athletes with 2 years post-ACLR indicated whether or not they had returned to their pre-injury sport level (same frequency, duration, and intensity). Athletes who did not return were asked to provide the reasons. Athletes’ characteristics and injury-related factors were used to determine factors associated with the reasons for not returning. Only nine athletes (10%) returned to pre-injury sport level after ACLR. The most common reasons for not returning were lack of confidence or concerns about re-injury (48.8%), followed by continued post-surgical impairments in the reconstructed knee (39%). Having episodes of the knee giving way after ACLR was the only significant predictor of post-surgical impairments (48.8%; OR=8.3, 95%CI=2.48–27.42, p=0.001). Lack of confidence, concerns about re-injury, or post-surgical impairments in the reconstructed knee were the most frequently reported reasons for not returning to pre-injury sports level with 2 years post-ACLR. Reported dynamic knee instability was the only factor associated with ongoing post-surgical knee impairments after ACLR. Rehabilitation programs should address athletes’ psychological responses and resolve knee impairments to optimize return to pre-injury sport level after ACLR.

Keywords

anterior cruciate ligament - knee surgery - return to sport


Publikationsverlauf

Eingereicht: 14. September 2023

Angenommen: 08. Februar 2024

Artikel online veröffentlicht:
08. Mai 2024

© 2024. Thieme. All rights reserved.

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