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Gignac MA, Cao X, Ramanathan S, et al. Perceived personal importance of exercise and fears of re-injury: a longitudinal study of psychological factors related to activity after anterior cruciate ligament reconstruction. BMC Sports Sci Med Rehabil. 2015;7:4doi: 10.1186/2052-1847-7-4.
Gignac, M. A., Cao, X., Ramanathan, S., White, L. M., Hurtig, M., Kunz, M., & Marks, P. H. (2015). Perceived personal importance of exercise and fears of re-injury: a longitudinal study of psychological factors related to activity after anterior cruciate ligament reconstruction. BMC sports science, medicine & rehabilitation, 74. https://doi.org/10.1186/2052-1847-7-4
Gignac, Monique Am, et al. "Perceived personal importance of exercise and fears of re-injury: a longitudinal study of psychological factors related to activity after anterior cruciate ligament reconstruction." BMC sports science, medicine & rehabilitation vol. 7 (2015): 4. doi: https://doi.org/10.1186/2052-1847-7-4
Gignac MA, Cao X, Ramanathan S, White LM, Hurtig M, Kunz M, Marks PH. Perceived personal importance of exercise and fears of re-injury: a longitudinal study of psychological factors related to activity after anterior cruciate ligament reconstruction. BMC Sports Sci Med Rehabil. 2015 Jan 21;7:4. doi: 10.1186/2052-1847-7-4. eCollection 2015. PMID: 25973208; PMCID: PMC4429315.
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BMC Sports Sci Med Rehabil. 2015 Jan 21;7:4. doi: 10.1186/2052-1847-7-4. eCollection 2015.

Perceived personal importance of exercise and fears of re-injury: a longitudinal study of psychological factors related to activity after anterior cruciate ligament reconstruction.

BMC sports science, medicine & rehabilitation

Monique Am Gignac, Xingshan Cao, Subha Ramanathan, Lawrence M White, Mark Hurtig, Monica Kunz, Paul H Marks

Affiliations

  1. Institute for Work and Health; Division of Health Care & Outcomes Research, Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute; Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
  2. Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute, Toronto, Canada.
  3. Postdoctoral Fellow, Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Canada.
  4. Joint Department of Medical Imaging, Faculty of Medicine, University Health Network, Mount Sinai Hospital, Women's College Hospital, University of Toronto, Toronto, Canada.
  5. Ontario Veterinary College, University of Guelph, Guelph, Canada.
  6. Division of Orthopaedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Canada.
  7. Division of Orthopaedic Surgery, Faculty of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.

PMID: 25973208 PMCID: PMC4429315 DOI: 10.1186/2052-1847-7-4

Abstract

BACKGROUND: Psychological perceptions are increasingly being recognized as important to recovery and rehabilitation post-surgery. This research longitudinally examined perceptions of the personal importance of exercise and fears of re-injury over a three-year period post anterior cruciate ligament (ACL) reconstruction. Stability and change in psychological perceptions was examined, as well as the association of perceptions with time spent in different types of physical activity, including walking, household activities, and lower and higher risk for knee injury activities.

METHODS: Participants were athletes, 18-40 years old, who underwent ACL reconstruction for first-time ACL injuries. They were recruited from a tertiary care centre in Toronto, Canada. Participants completed interviewer-administered questionnaires pre-surgery and at years one, two and three, postoperatively. Questions assessed demographics, pain, functional limitations, perceived personal importance of exercise, fear of re-injury and physical activities (i.e., walking; household activities; lower risk for knee injury activities; higher risk for knee injury activities). Analyses included fixed-effect longitudinal modeling to examine the association of a fear of re-injury and perceived personal importance of exercise and changes in these perceptions with the total hours spent in the different categories of physical activities, controlling for other factors.

RESULTS: Baseline participants were 77 men and 44 women (mean age = 27.6 years; SD = 6.2). At year three, 78.5% of participants remained in the study with complete data. Fears of re-injury decreased over time while personal importance of exercise remained relatively stable. Time spent in walking and household activities did not significantly change with ACL injury or surgery. Time spent in lower and higher risk of knee injury physical activity did not return to pre-injury levels at three years, post-surgery. Greater time spent in higher risk of knee injury activities was predicted by decreases in fears of re-injury and by greater personal importance of exercise.

CONCLUSIONS: This study highlights not only fears of re-injury, which has been documented in previous studies, but also the perceived personal importance of exercise in predicting activity levels following ACL reconstructive surgery. The findings can help in developing interventions to aid individuals make decisions about physical activities post knee injury and surgery.

Keywords: ACL injuries; Anterior cruciate ligament reconstruction; Exercise identity; Fear of re-injury; Osteoarthritis; Perceived importance of exercise; Physical activity; Psychological factors; Sports injuries

References

  1. Z Gerontol Geriatr. 2007 Feb;40(1):43-51 - PubMed
  2. Am J Sports Med. 1998 May-Jun;26(3):350-9 - PubMed
  3. J Clin Epidemiol. 1994 Mar;47(3):271-81 - PubMed
  4. Soc Sci Med. 2013 Mar;81:87-93 - PubMed
  5. Acta Orthop Scand. 1995 Apr;66(2):107-12 - PubMed
  6. Phys Ther Sport. 2010 Feb;11(1):23-9 - PubMed
  7. Br J Sports Med. 2014 Mar;48(5):356-64 - PubMed
  8. J Sci Med Sport. 2009 Nov;12 (6):622-7 - PubMed
  9. Annu Rev Psychol. 2011;62:583-619 - PubMed
  10. Scand J Med Sci Sports. 2008 Jun;18(3):325-35 - PubMed
  11. Ann Acad Med Singapore. 2008 Apr;37(4):273-8 - PubMed
  12. Am J Clin Nutr. 2008 Feb;87(2):279-91 - PubMed
  13. Knee Surg Sports Traumatol Arthrosc. 2002 Jan;10 (1):10-9 - PubMed
  14. Psychol Sport Exerc. 2010 Jan 1;11(1):1-5 - PubMed
  15. Am J Sports Med. 2013 Jul;41(7):1549-58 - PubMed
  16. Sports Med. 2010 Jul 1;40(7):565-600 - PubMed
  17. J Bone Joint Surg Br. 2010 Aug;92 (8):1096-9 - PubMed
  18. Percept Mot Skills. 1994 Jun;78(3 Pt 1):747-51 - PubMed
  19. J Am Acad Orthop Surg. 2006 Jul;14(7):397-405 - PubMed
  20. Cochrane Database Syst Rev. 2005 Apr 18;(2):CD001356 - PubMed
  21. Cochrane Database Syst Rev. 2015 Jan 09;1:CD004376 - PubMed
  22. Clin Orthop Relat Res. 2012 Oct;470(10 ):2930-40 - PubMed
  23. J Chronic Dis. 1978;31(12):741-55 - PubMed
  24. Scand J Med Sci Sports. 1998 Dec;8(6):439-48 - PubMed
  25. J Gerontol B Psychol Sci Soc Sci. 2012 Mar;67(2):226-31 - PubMed
  26. J Orthop Sports Phys Ther. 2012 Nov;42(11):893-901 - PubMed
  27. Knee Surg Sports Traumatol Arthrosc. 2008 May;16(5):442-8 - PubMed
  28. Am J Sports Med. 2007 Sep;35(9):1450-8 - PubMed
  29. Acta Orthop Belg. 2008 Oct;74(5):643-51 - PubMed
  30. Sports Health. 2012 Mar;4(2):155-61 - PubMed
  31. Br J Sports Med. 2011 Jun;45(7):596-606 - PubMed
  32. J Rheumatol. 2009 Jun;36(6):1109-17 - PubMed
  33. J Rheumatol. 2006 Apr;33(4):744-56 - PubMed
  34. Am J Public Health. 2005 Nov;95(11):2042-8 - PubMed
  35. Arthritis Care Res (Hoboken). 2011 Nov;63 Suppl 11:S208-28 - PubMed
  36. J Community Health. 2008 Feb;33(1):40-50 - PubMed
  37. Knee Surg Sports Traumatol Arthrosc. 2005 Jul;13(5):393-7 - PubMed
  38. J Am Acad Orthop Surg. 2000 May-Jun;8(3):141-50 - PubMed
  39. Am J Sports Med. 2007 Oct;35(10 ):1756-69 - PubMed
  40. Arthritis Care Res (Hoboken). 2013 Jul;65(7):1070-6 - PubMed
  41. J Gerontol B Psychol Sci Soc Sci. 2012 Mar;67(2):206-20 - PubMed
  42. Am J Sports Med. 2010 Jul;38(7):1389-94 - PubMed

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