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The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction
Open accessAbstract
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.
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An athlete's psychological readiness is associated with their ability to return to sport after ACL reconstruction.
“In the context of ACLR, it has been well documented that an athlete’s psychological readiness is associated with their ability to RTS (Ardern et al., 2014; Czuppon et al., 2014; Fones et al., 2020; Welling et al., 2020).”
From The relationship between psychological readiness to return to sport and kinesiophobia in teens and young adults after anterior cruciate ligament reconstruction (2025) · cites this paper as Ardern et al., 2014
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Ardern, C. L., Glasgow, P., Schneiders, A., Witvrouw, E., Clarsen, B., Cools, A., Gojanovic, B., Griffin, S., Khan, K. M., Moksnes, H., et al. (2016) · British Journal of Sports Medicine · doi:10.1136/bjsports-2016-096278 · Cited by 985
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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
- bronze
- doi.org
- 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
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