PTQualitativeInternational journal of sports physical therapy2024

A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction.

Christin Zwolski, Timothy Rethorn, Staci Thomas and 4 others

PMID 39267628

WHAT IT FOUND

Young athletes after ACL reconstruction described fear, soreness, and lost time as barriers, yet kept moving through body awareness, personal meaning, and social accountability.

Key findings

01Participants described persistent barriers to physical activity years after ACL reconstruction, including physical limitations and fear of reinjury.

02All participants expressed an ingrained desire to be active, and movement was tied to mental wellness, enjoyment, and identity.

03Participants unanimously named their social networks as the most important external motivator for movement.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The findings come from ten young athletes recruited to represent adolescents who undergo ACL reconstruction with intent to return to sport, so they may be limited to a younger athletic population after primary ACL reconstruction. No participant had a second ACL injury, although second injury occurs in some adolescents after primary ACL reconstruction, so views may reflect athletes who adjusted successfully. Interviews occurred during the COVID-19 pandemic, when gyms, schools, and facilities were closed or limited, which may have shaped perceptions. Participants were interviewed a median of 5.9 years after surgery, so recollection of early recovery may be incomplete. The study reports perceptions and themes, not measured physical activity levels or effects of treatment.

Declared interests

Funders played no role in the design, conduct, or reporting of this study.

The easy way to misread this

Do not read these themes as proof that social accountability or group exercise increases physical activity after ACL reconstruction. The study interviewed ten people about their perceptions, not about whether an intervention changed activity.

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