Alexander James L N, Ezzat Allison M, Culvenor Adam G, De Oliveira Silva Danilo, Haberfield Melissa, Esculier Jean-François, Barton Christian J
La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia.
Department of Physical Therapy, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Br J Sports Med. 2025 Jul 1;59(14):981-991. doi: 10.1136/bjsports-2024-108838.
To examine the experiences, knowledge and beliefs of recreational runners with a history of knee surgery regarding (i) enablers and barriers to running participation, (ii) the association of running and knee joint health, and (iii) perceived benefits and motivations for running.
17 runners (≥3 times/week, ≥10 km/week) with a history of knee surgery (7±7 years post-surgery, 9 women, age 36±8 years) participated in one-on-one semi-structured interviews. Interviews were recorded, transcribed verbatim and analysed using reflexive thematic analysis. Trustworthiness was built by following established qualitative research guidelines and by participant validation of findings in the final analysis stages.
We identified 9 themes (5 subthemes) for aim (i); 3 themes (10 subthemes) for aim (ii); and 2 themes (4 subthemes) for aim (iii). Positive health professional support including education, exercise rehabilitation and a tailored return-to-run plan enabled participants to return to running following surgery. Effective load management either independently or with coach assistance, and consistent strength training were considered key to maintaining participation. Barriers to running following surgery included unhelpful health professional encounters, persistent knee symptoms and muscle weakness, new running-related injuries, anxiety and fear about reinjury, and difficulty finding time. Participants had varying beliefs about running and knee joint health, although most believed that running benefited long-term knee health. Improved mental health and social connection were the most common motivators to run.
Our qualitative findings may inform strategies to support adults to commence, or return to, and maintain running participation following knee surgery.
探讨有膝关节手术史的休闲跑步者在以下方面的经历、知识和信念：（i）跑步参与的促进因素和障碍；（ii）跑步与膝关节健康的关联；（iii）跑步的感知益处和动机。
17名有膝关节手术史的跑步者（每周≥3次，每周≥10公里）（术后7±7年，9名女性，年龄36±8岁）参与了一对一的半结构化访谈。访谈进行了录音，逐字转录，并采用反思性主题分析法进行分析。通过遵循既定的定性研究指南以及在最终分析阶段让参与者对研究结果进行验证来确保可信度。
我们为目标（i）确定了9个主题（5个子主题）；为目标（ii）确定了3个主题（10个子主题）；为目标（iii）确定了2个主题（4个子主题）。积极的健康专业人员支持，包括教育、运动康复和量身定制的恢复跑步计划，使参与者能够在术后恢复跑步。独立或在教练协助下进行有效的负荷管理以及持续的力量训练被认为是维持参与的关键。术后跑步的障碍包括与健康专业人员的不良接触、持续的膝关节症状和肌肉无力、新的跑步相关损伤、对再次受伤的焦虑和恐惧，以及难以找到时间。参与者对跑步和膝关节健康有不同的信念，尽管大多数人认为跑步有益于膝关节的长期健康。改善心理健康和社会联系是跑步最常见的动机。
我们的定性研究结果可能为支持成年人在膝关节手术后开始、恢复并维持跑步参与的策略提供参考。
