Middlebrook Andrew, Rushton Alison B, Halpin Charlotte, Heneghan Nicola R
Musculoskeletal Physiotherapy Department, Sandwell and West Birmingham NHS Trust, West Bromwich, UK.
School of Physical Therapy, Western University Faculty of Health Sciences, London, Ontario, Canada.
BMJ Open. 2025 Apr 28;15(4):e097437. doi: 10.1136/bmjopen-2024-097437.
Anterior cruciate ligament (ACL) injuries are a common yet significant musculoskeletal problem and are increasingly prevalent outside of elite athlete populations. As a result, individuals may undergo ACL reconstruction (ACLR), but long-term complications frequently persist. Individuals commonly believe that post-ACLR, they will eventually return to preinjury levels of function. However, for multiple reasons, the reality is that more than half fail to reach this preinjury level. Rehabilitation has traditionally focused on physical factors, which have been researched extensively. More recently, psychological factors affecting recovery have been examined. However, most literature focuses on 'outcome', with the patient voice, in terms of their views and perceptions of ACLR neglected. Therefore, the aim of this systematic review is to understand individuals' perceptions, expectations and experiences pre-ACLR and post-ACLR and to understand key factors influencing this journey. Such knowledge would assist in maximising the chances of successful recovery.
This meta-aggregative systematic review protocol is reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols. Medline, CINAHL, EMBASE and SportDiscus databases, grey literature and key journals will be searched from inception. Qualitative research of any study design that includes individuals aged 16+ years who are awaiting or have undergone ACL reconstruction will be included. Studies focusing on ACL revision, ACL repair or multiligament reconstruction surgeries will be excluded. Two independent reviewers will conduct searches, determine study eligibility, extract data, assess methodological quality (Joanna Briggs Institute (JBI) critical appraisal checklist for qualitative research) and rate the overall confidence in findings (JBI ConQual).
Findings will be published in a peer-reviewed journal, as well as presented at conferences and locally to physiotherapy teams. Ethical approval is not required for this systematic review.
CRD42024594621.
前交叉韧带（ACL）损伤是一种常见且严重的肌肉骨骼问题，在精英运动员群体之外的人群中越来越普遍。因此，个体可能会接受ACL重建（ACLR），但长期并发症往往持续存在。人们通常认为，在ACLR后，他们最终会恢复到受伤前的功能水平。然而，由于多种原因，现实情况是超过一半的人未能达到这一受伤前水平。传统上，康复侧重于身体因素，对此已进行了广泛研究。最近，影响恢复的心理因素也受到了审视。然而，大多数文献关注的是“结果”，而患者对ACLR的看法和认知这一声音却被忽视了。因此，本系统评价的目的是了解个体在ACLR前后的看法、期望和经历，并了解影响这一过程的关键因素。此类知识将有助于最大限度地提高成功恢复的机会。
本元聚合系统评价方案按照系统评价与元分析方案的首选报告项目进行报告。将从创刊起检索Medline、CINAHL、EMBASE和SportDiscus数据库、灰色文献及关键期刊。将纳入任何研究设计的定性研究，研究对象为年龄在16岁及以上、正在等待或已接受ACL重建的个体。聚焦于ACL翻修、ACL修复或多韧带重建手术的研究将被排除。两名独立评审员将进行检索、确定研究的合格性、提取数据、评估方法学质量（乔安娜·布里格斯研究所（JBI）定性研究批判性评价清单）并对研究结果的总体可信度进行评分（JBI ConQual）。
研究结果将发表在同行评审期刊上，并在会议上以及向当地物理治疗团队进行展示。本系统评价无需伦理批准。
PROSPERO注册号：CRD42024594621。
