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Are demographics, physical function and psychological response associated with return to sport at one year following ACL-reconstruction?

Cronström, Anna LU ; Ageberg, Eva LU orcid and Häger, Charlotte K. (2024) In Physical Therapy in Sport 68. p.22-30
Abstract

Objective: To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional cohort study. Methods: We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic... (More)

Objective: To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional cohort study. Methods: We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic regression model to establish the relative contribution of factors associated with RTS. Results: Sixty-four (45%) of the participants had returned to sport at one year post-ACLR. In the regression model, greater hip abduction peak torque (OR = 1.70, 95% CI; 1.01 to 2.84) and greater psychological readiness to RTS (OR = 2.32, 95% CI; 1.30 to 4.12) were the only variables associated with RTS (R2 = 0.352). Conclusions: The significant contribution of hip abduction strength and psychological readiness to RTS was still relatively small, suggesting other potential factors explaining RTS which may not be captured by common RTS criteria.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Anterior cruciate ligament, Physical function, Psychological factors, Return-to-sport
in
Physical Therapy in Sport
volume
68
pages
9 pages
publisher
Elsevier
external identifiers
  • scopus:85196317666
ISSN
1466-853X
DOI
10.1016/j.ptsp.2024.06.001
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2024 The Authors
id
9102fa1a-6f1a-4f68-88e2-b4078a9b8f8e
date added to LUP
2024-08-14 14:40:39
date last changed
2024-08-14 14:41:03
@article{9102fa1a-6f1a-4f68-88e2-b4078a9b8f8e,
  abstract     = {{<p>Objective: To determine the relative contribution of each of the following aspects: demographics, physical function, and patient-reported outcome measures (PROMs), including both physical and psychological constructs, to return to sport (RTS) (any level) one-year post anterior cruciate ligament reconstruction (ACLR). Design: Cross-sectional cohort study. Methods: We included data for 143 participants (73 women, mean (SD) age 24 (5.8) years) ∼ one-year post-ACLR. Data comprised demographics, physical function (hop performance, hip and knee peak torque) and PROMs (Knee Osteoarthritis Outcome Score subscales, perceived stress, and ACL Return to Sport after Injury scale (ACL-RSI)). We then used a Z-normalized multivariable logistic regression model to establish the relative contribution of factors associated with RTS. Results: Sixty-four (45%) of the participants had returned to sport at one year post-ACLR. In the regression model, greater hip abduction peak torque (OR = 1.70, 95% CI; 1.01 to 2.84) and greater psychological readiness to RTS (OR = 2.32, 95% CI; 1.30 to 4.12) were the only variables associated with RTS (R<sup>2</sup> = 0.352). Conclusions: The significant contribution of hip abduction strength and psychological readiness to RTS was still relatively small, suggesting other potential factors explaining RTS which may not be captured by common RTS criteria.</p>}},
  author       = {{Cronström, Anna and Ageberg, Eva and Häger, Charlotte K.}},
  issn         = {{1466-853X}},
  keywords     = {{Anterior cruciate ligament; Physical function; Psychological factors; Return-to-sport}},
  language     = {{eng}},
  pages        = {{22--30}},
  publisher    = {{Elsevier}},
  series       = {{Physical Therapy in Sport}},
  title        = {{Are demographics, physical function and psychological response associated with return to sport at one year following ACL-reconstruction?}},
  url          = {{http://dx.doi.org/10.1016/j.ptsp.2024.06.001}},
  doi          = {{10.1016/j.ptsp.2024.06.001}},
  volume       = {{68}},
  year         = {{2024}},
}