Presley Jenifer, Bailey Lane, Maloney Kevin, Duncan Brian, Reid Mathew, Juneau Christopher, Lowe Walter R
Memorial Hermann Ironman Sports Medicine Institute, Department of Sports Medicine & Rehabilitation.
McGovern Medical School at UT Health, Department of Orthopaedic Surgery.
Int J Sports Phys Ther. 2021 Feb 1;16(1):177-184. doi: 10.26603/001c.18794.
Self-efficacy and fear of re-injury have been documented as factors related to an athlete's ability to return-to-sport after anterior cruciate ligament (ACL) reconstruction. The purpose of this study was to compare psychological readiness between athletes injured in their primary mode of sport versus those injured outside of their primary sport following ACL reconstruction.
Athletes sustaining 'in-sport' injuries will demonstrate poorer psychological readiness when compared their matched counterparts injured outside of their primary sport.
Case-Control Study.
A single-surgeon database of 638 patients following ACL reconstruction was used to conduct a matched case-control analysis. Psychological readiness was examined 16-weeks postoperatively using the ACL-Return to Sport after Injury (ACL-RSI) questionnaire with subgroup analyses for the 'emotional', 'confidence' and 'injury-risk' subscales. Subject matching was performed for baseline patient and surgical demographics. All statistical comparisons were performed using a one-way (group) analysis variance (ANOVA) at a significance level of α = .05.
Ninety-two matched patients (49 'in-sport' injuries, 43 'out-of-sport' injuries) were included in the final analysis. The 'in-sport' group exhibited significantly lower total ACL-RSI scores (55.3 ±12.9 versus 60.8 ±11.6, t = 2.747, P < .001) when compared to the 'out-of-sport' group. Subscale comparisons indicated lower 'emotional' (P < .016) and higher 'injury risk' (P < .001) psychological constructs for 'in-sport' athletes versus 'out-of-sport' athletes. No differences were found between groups for the 'confidence' subscale (P = .987).
Athletes sustaining 'in-sport' ACL injuries demonstrated poorer psychological readiness when compared to athletes injured outside their primary sport when in preparation for return-to-sport activities following ACL reconstruction.
Clinicians should consider the potential impact of mode of injury on psychological readiness when returning athletes to sport after ACL reconstruction.
自我效能感和再次受伤恐惧已被证明是与运动员在接受前交叉韧带（ACL）重建后恢复运动能力相关的因素。本研究的目的是比较ACL重建后，在主要运动项目中受伤的运动员与在主要运动项目之外受伤的运动员之间的心理准备情况。
与在主要运动项目之外受伤的匹配运动员相比，在主要运动项目中受伤的运动员将表现出较差的心理准备。
病例对照研究。
使用一个由638例ACL重建术后患者组成的单外科医生数据库进行匹配病例对照分析。术后16周使用损伤后ACL恢复运动（ACL-RSI）问卷检查心理准备情况，并对“情绪”“信心”和“受伤风险”分量表进行亚组分析。对患者基线和手术人口统计学特征进行匹配。所有统计比较均使用单向（组）方差分析（ANOVA），显著性水平α = 0.05。
最终分析纳入了92例匹配患者（49例“运动中”受伤，43例“运动外”受伤）。与“运动外”组相比，“运动中”组的ACL-RSI总分显著更低（55.3±12.9对60.8±11.6，t = 2.747，P < 0.001）。分量表比较表明，“运动中”运动员与“运动外”运动员相比，“情绪”得分更低（P < 0.016），“受伤风险”心理结构得分更高（P < 0.001）。两组在“信心”分量表上未发现差异（P = 0.987）。
与在主要运动项目之外受伤的运动员相比，在准备ACL重建后恢复运动活动时，在主要运动项目中遭受ACL损伤的运动员表现出较差的心理准备。
在运动员ACL重建后恢复运动时，临床医生应考虑受伤方式对心理准备的潜在影响。
