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Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors

BACKGROUND: Most of the research in the area of psychosocial factors in rehabilitation after sports injuries has focused on risk behaviors, while relatively few studies have focused on behaviors that facilitate rehabilitation. The objective of our study was to understand the psychosocial features th...

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Autores principales: Johnson, Urban, Ivarsson, Andreas, Karlsson, Jón, Hägglund, Martin, Waldén, Markus, Börjesson, Mats
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947363/
https://www.ncbi.nlm.nih.gov/pubmed/27429759
http://dx.doi.org/10.1186/s13102-016-0046-9
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author Johnson, Urban
Ivarsson, Andreas
Karlsson, Jón
Hägglund, Martin
Waldén, Markus
Börjesson, Mats
author_facet Johnson, Urban
Ivarsson, Andreas
Karlsson, Jón
Hägglund, Martin
Waldén, Markus
Börjesson, Mats
author_sort Johnson, Urban
collection PubMed
description BACKGROUND: Most of the research in the area of psychosocial factors in rehabilitation after sports injuries has focused on risk behaviors, while relatively few studies have focused on behaviors that facilitate rehabilitation. The objective of our study was to understand the psychosocial features that characterize elite female football players who express a resilient behaviour during rehabilitation after a first-time anterior cruciate ligament (ACL) injury and reconstruction. METHODS: A qualitative method was used based on individual in-person interviews and video communication of players who incurred a first-time ACL tear during the 2012 season of the Swedish Women’s Elite Football League. In total, 13 players had a first-time ACL and were interviewed post-season. The interviews were followed by a thematic content analysis. Based on this, eight players were identified as showing resilient behaviors during their rehabilitation and were included in the final analysis. RESULTS: Three core themes representing psychosocial factors that help players cope successfully with rehabilitation were identified: (I) constructive communication and rich interaction with significant others; (II) strong belief in the importance and efficacy of one’s own actions; and (III) the ability to set reasonable goals. CONCLUSIONS: The findings suggest three core themes of psychosocial factors that characterize first-time ACL-injured elite female football players showing resilience during rehabilitation after ACL reconstruction. Suggestions for medical teams about ways to support communication, self-efficacy, and goal-setting during the rehabilitation process, are provided.
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spelling pubmed-49473632016-07-17 Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors Johnson, Urban Ivarsson, Andreas Karlsson, Jón Hägglund, Martin Waldén, Markus Börjesson, Mats BMC Sports Sci Med Rehabil Research Article BACKGROUND: Most of the research in the area of psychosocial factors in rehabilitation after sports injuries has focused on risk behaviors, while relatively few studies have focused on behaviors that facilitate rehabilitation. The objective of our study was to understand the psychosocial features that characterize elite female football players who express a resilient behaviour during rehabilitation after a first-time anterior cruciate ligament (ACL) injury and reconstruction. METHODS: A qualitative method was used based on individual in-person interviews and video communication of players who incurred a first-time ACL tear during the 2012 season of the Swedish Women’s Elite Football League. In total, 13 players had a first-time ACL and were interviewed post-season. The interviews were followed by a thematic content analysis. Based on this, eight players were identified as showing resilient behaviors during their rehabilitation and were included in the final analysis. RESULTS: Three core themes representing psychosocial factors that help players cope successfully with rehabilitation were identified: (I) constructive communication and rich interaction with significant others; (II) strong belief in the importance and efficacy of one’s own actions; and (III) the ability to set reasonable goals. CONCLUSIONS: The findings suggest three core themes of psychosocial factors that characterize first-time ACL-injured elite female football players showing resilience during rehabilitation after ACL reconstruction. Suggestions for medical teams about ways to support communication, self-efficacy, and goal-setting during the rehabilitation process, are provided. BioMed Central 2016-07-16 /pmc/articles/PMC4947363/ /pubmed/27429759 http://dx.doi.org/10.1186/s13102-016-0046-9 Text en © The Author(s). 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Johnson, Urban
Ivarsson, Andreas
Karlsson, Jón
Hägglund, Martin
Waldén, Markus
Börjesson, Mats
Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title_full Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title_fullStr Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title_full_unstemmed Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title_short Rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
title_sort rehabilitation after first-time anterior cruciate ligament injury and reconstruction in female football players: a study of resilience factors
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4947363/
https://www.ncbi.nlm.nih.gov/pubmed/27429759
http://dx.doi.org/10.1186/s13102-016-0046-9
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