Cited by 489Knee injuries and reconstruction techniquesSport Psychology and PerformanceSports injuries and prevention

The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.

The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction

Open access

Abstract

Background: This cross-sectional study aimed to examine whether appraisal of knee function, psychological and demographic factors were related to returning to the preinjury sport and recreational activity following anterior cruciate ligament (ACL) reconstruction. Method: 164 participants completed a questionnaire battery at 1–7 years after primary ACL reconstruction. The battery included questionnaires evaluating knee self-efficacy, health locus of control, psychological readiness to return to sport and recreational activity, and fear of reinjury; and self-reported knee function in sport-specific tasks, knee-related quality of life and satisfaction with knee function. The primary outcome was returning to the preinjury sport or recreational activity. Results: At follow-up, 40% (66/164) had returned to their preinjury activity. Those who returned had more positive psychological responses, reported better knee function in sport and recreational activities, perceived a higher knee-related quality of life and were more satisfied with their current knee function. The main reasons for not returning were not trusting the knee (28%), fear of a new injury (24%) and poor knee function (22%). Psychological readiness to return to sport and recreational activity, measured with the ACL-Return to Sport after Injury scale (was most strongly associated with returning to the preinjury activity). Age, sex and preinjury activity level were not related. Conclusions: Less than 50% returned to their preinjury sport or recreational activity after ACL reconstruction. Psychological readiness to return to sport and recreation was the factor most strongly associated with returning to the preinjury activity. Including interventions aimed at improving this in postoperative rehabilitation programmes could be warranted to improve the rate of return to sport and recreational activities.

Overview

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1136/bjsports-2014-093842

Cites

3 of 3 references verified0 citation errors · 0 not checkable

Statistics

Verification

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Citations

Cites

Flagged first, then by citations

Research works printed but not linked: 41

  1. 10.3928/01477447-20090502-01 · DOI
  2. 10.1177/0363546512456836 · DOI
  3. 10.1136/bjsm.2010.076364 · DOI · Paper page
  4. 10.1177/0363546511422999 · DOI
  5. 10.1177/0363546513489284 · DOI · Paper page
  6. Ardern, 2012, Return to the preinjury level of competitive sport following anterior cruciate ligament reconstruction surgery: two thirds of patients have not returned by 12 months following surgery, Am J Sports Med, 39, 538, 10.1177/0363546510384798 · DOI
  7. 10.1016/j.psychsport.2006.07.008 · DOI
  8. 10.1136/bjsports-2012-091203 · DOI
  9. Ardern CL , Taylor NF , Feller JA , et al . Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014;48:1543–52. · DOI · Paper page
  10. 10.1007/s00167-007-0433-6 · DOI
  11. 10.1007/s00167-004-0591-8 · DOI · Paper page
  12. 10.1037/0090-5550.52.1.74 · DOI
  13. 10.1016/j.arthro.2013.05.015 · DOI
  14. 10.2519/jospt.2013.4278 · DOI
  15. 10.1177/0363546503261722 · DOI
  16. 10.1111/j.1600-0838.1998.tb00484.x · DOI
  17. 10.1007/s001670050141 · DOI
  18. Outerbridge, 1961, The etiology of chondromalacia patellae, J Bone Joint Surg Br, 43-B, 752, 10.1302/0301-620X.43B4.752 · DOI
  19. Tegner, 1985, Rating systems in the evaluation of knee ligament injuries, Clin Orthop Relat Res, 198, 43, 10.1097/00003086-198509000-00007 · DOI · Paper page
  20. 10.1177/0363546513502309 · DOI
  21. 10.1111/j.1600-0838.2005.00472.x · DOI
  22. 10.1207/s15327752jpa6303_10 · DOI
  23. Kvist, 2013, Translation and measurement properties of the Swedish version of ACL-Return to Sports after Injury questionnaire, Scand J Med Sci Sports, 23, 568, 10.1111/j.1600-0838.2011.01438.x · DOI · Paper page
  24. 10.1016/j.ptsp.2007.09.003 · DOI · Paper page
  25. Kori, 1990, Kinesiophobia: a new view of chronic pain behaviour, Pain Manag, 3, 35
  26. 10.2519/jospt.1998.28.2.88 · DOI
  27. Mohtadi, 1998, Development and validation of the quality of life outcome measure (questionnaire) for chronic anterior cruciate ligament deficiency, Am J Sports Med, 26, 350, 10.1177/03635465980260030201 · DOI
  28. 10.1016/j.jclinepi.2014.03.012 · DOI
  29. Hoad K , Monks T . A note of the use of multiple comparison scenario techniques in education and practice. 2011 Winter Simulation Conference; 11–14 December 2011; Phoenix, AZ. · DOI
  30. Menard SW . Applied logistic regression analysis. 2nd edn. Thousand Oaks, CA: SAGE, 2001. · DOI
  31. 10.1136/bjsm.2007.044818 · DOI · Paper page
  32. 10.1111/j.1600-0838.2012.01523.x · DOI
  33. 10.1371/journal.pgen.1003572 · DOI
  34. 10.1249/MSS.0b013e31816722a9 · DOI
  35. 10.1002/acr.20632 · DOI
  36. 10.2519/jospt.2012.4077 · DOI
  37. 10.1177/0363546512459476 · DOI
  38. 10.1056/NEJMoa0907797 · DOI
  39. Dillman DA . Mail and telephone surveys: the total design method. New York, NY: Wiley, 1978.
  40. 10.1177/0363546510397813 · DOI
  41. 10.1016/j.arthro.2011.02.022 · DOI

Cited by

Sorted by citations

Metadata

Authors
Ardern, C. L., Österberg, A., Tagesson, S., Gauffin, H., Webster, K. E., & Kvist, J.
Affiliations
  • Linköping University (SE)
  • La Trobe University (AU)
Corresponding author
Ardern, Clare L
Venue
British Journal of Sports Medicine
Publisher
BMJ
Published
2014-10-07
Volume
48
Issue
22
Pages
1613-1619
ISSN
  • 0306-3674 (ISSN-L)
  • 1473-0480
OpenAlex
W2150854913
Cited by
489
References
3
Citations by year
2026: 49 · 2025: 49 · 2024: 50 · 2023: 50 · 2022: 45 · 2021: 59 · 2020: 48 · 2019: 45 · 2018: 35 · 2017: 28 · 2016: 20 · 2015: 11
FWCI
19.09
Type
journal article
Language
en
Open access
Locations
  • British Journal of Sports Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • DiVA (Linkoping University) (submittedVersion, other-oa)
  • Figshare (submittedVersion, cc-by)
  • HighWire Press Open Archive (submittedVersion)
  • La Trobe University
Funders
Linköpings Universitet
Topics
  • Health Sciences › Medicine › Surgery › Knee injuries and reconstruction techniques
  • Social Sciences › Psychology › Developmental and Educational Psychology › Sport Psychology and Performance
  • Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports injuries and prevention
Keywords
anterior cruciate ligament reconstruction, return to sport, psychological readiness, health locus of control, fear of reinjury, knee-related quality of life, knee function, recreational activities, postoperative rehabilitation
MeSH terms
Anterior Cruciate Ligament Injuries, Adolescent, Adult, Athletic Injuries, Cross-Sectional Studies, Female, Humans, Male, Quality of Life, Recreation, Patient Satisfaction, Recovery of Function, Self Efficacy, Young Adult, Anterior Cruciate Ligament Reconstruction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review