Factors influencing return to sports after anterior cruciate ligament reconstruction
Objectives: to assess the frequency of return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR) and to identify factors influencing RTS in individuals from Karachi, Pakistan. Methods: This retrospective cohort study included 109 participants who underwent ACLR between January...
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| Format: | Article |
| Language: | English |
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Khyber Medical University
2024-12-01
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| Series: | Khyber Medical University Journal |
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| Online Access: | https://www.kmuj.kmu.edu.pk/article/view/23483 |
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| author | Maryam Zaighum Sumaiya Khan Kazim Najjad Muhammad Sufyan Dhanesh Khatri Muhammad Anwar Gharira Batool Komal Saleem |
| author_facet | Maryam Zaighum Sumaiya Khan Kazim Najjad Muhammad Sufyan Dhanesh Khatri Muhammad Anwar Gharira Batool Komal Saleem |
| author_sort | Maryam Zaighum |
| collection | DOAJ |
| description | Objectives: to assess the frequency of return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR) and to identify factors influencing RTS in individuals from Karachi, Pakistan.
Methods: This retrospective cohort study included 109 participants who underwent ACLR between January 2016 and June 2021 at Liaquat National Hospital, Karachi, Pakistan. Patients aged 15–35 years with a pre-injury Tegner Activity Scale score of ≥6, a minimum of 12 months post-surgery, and completed rehabilitation were included. Patients with multi-ligamentous injuries or ACL re-ruptures were excluded. Participants were assessed using the Lysholm/Tegner score, the International Knee Documentation Committee (IKDC) subjective knee evaluation form, and the Tampa Scale for Kinesiophobia (TSK-11) to evaluate pre- and post-injury activity levels, knee function, and kinesiophobia, respectively.
Results: Among the 109 participants, 54.1% (n=59) returned to sports at a mean of 9.94±4.73 months post-ACLR; however, only 16.9% (n=10/59) of those who returned were able to achieve pre-injury performance levels. A significant proportion (45.9%, n=50/109) did not return to any level of sports. Those who returned demonstrated significantly higher IKDC (73.76 vs. 67.04, p<0.05) and Lysholm scores (95.45 vs. 85.82, p<0.05), and lower TSK-11 scores (37.44 vs. 44, p<0.05), indicating better knee function and lower kinesiophobia compared to non-RTS individuals.
Conclusion: Despite favorable functional outcomes post-ACLR, only half of the participants returned to sports, with an even lower proportion achieving pre-injury performance levels. Elevated kinesiophobia was significantly associated with reduced knee function and activity levels, emphasizing the need to address psychosocial factors in rehabilitation to improve RTS outcomes. |
| format | Article |
| id | doaj-art-0f235fa177494f228b6bd85e5a79d6cb |
| institution | DOAJ |
| issn | 2305-2643 2305-2651 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Khyber Medical University |
| record_format | Article |
| series | Khyber Medical University Journal |
| spelling | doaj-art-0f235fa177494f228b6bd85e5a79d6cb2025-08-20T03:07:21ZengKhyber Medical UniversityKhyber Medical University Journal2305-26432305-26512024-12-0116429730110.35845/kmuj.2024.234832255Factors influencing return to sports after anterior cruciate ligament reconstructionMaryam Zaighum0https://orcid.org/0000-0003-0072-7931Sumaiya Khan1https://orcid.org/0000-0002-1886-809XKazim Najjad2Muhammad Sufyan3Dhanesh Khatri4https://orcid.org/0009-0003-7959-9916Muhammad Anwar5https://orcid.org/0009-0009-6826-8410Gharira Batool6https://orcid.org/0009-0005-1647-5021Komal Saleem7https://orcid.org/0009-0002-2510-5549Department of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, PakistanDepartment of Orthopaedics, Liaquat National Hospital, Karachi, Pakistan Objectives: to assess the frequency of return to sports (RTS) after anterior cruciate ligament reconstruction (ACLR) and to identify factors influencing RTS in individuals from Karachi, Pakistan. Methods: This retrospective cohort study included 109 participants who underwent ACLR between January 2016 and June 2021 at Liaquat National Hospital, Karachi, Pakistan. Patients aged 15–35 years with a pre-injury Tegner Activity Scale score of ≥6, a minimum of 12 months post-surgery, and completed rehabilitation were included. Patients with multi-ligamentous injuries or ACL re-ruptures were excluded. Participants were assessed using the Lysholm/Tegner score, the International Knee Documentation Committee (IKDC) subjective knee evaluation form, and the Tampa Scale for Kinesiophobia (TSK-11) to evaluate pre- and post-injury activity levels, knee function, and kinesiophobia, respectively. Results: Among the 109 participants, 54.1% (n=59) returned to sports at a mean of 9.94±4.73 months post-ACLR; however, only 16.9% (n=10/59) of those who returned were able to achieve pre-injury performance levels. A significant proportion (45.9%, n=50/109) did not return to any level of sports. Those who returned demonstrated significantly higher IKDC (73.76 vs. 67.04, p<0.05) and Lysholm scores (95.45 vs. 85.82, p<0.05), and lower TSK-11 scores (37.44 vs. 44, p<0.05), indicating better knee function and lower kinesiophobia compared to non-RTS individuals. Conclusion: Despite favorable functional outcomes post-ACLR, only half of the participants returned to sports, with an even lower proportion achieving pre-injury performance levels. Elevated kinesiophobia was significantly associated with reduced knee function and activity levels, emphasizing the need to address psychosocial factors in rehabilitation to improve RTS outcomes.https://www.kmuj.kmu.edu.pk/article/view/23483anterior cruciate ligament reconstructionanterior cruciate ligament injuriesreturn to sportresumption of sporting activitysports medicinekinesiophobiawounds and injuriessportsmotor activity |
| spellingShingle | Maryam Zaighum Sumaiya Khan Kazim Najjad Muhammad Sufyan Dhanesh Khatri Muhammad Anwar Gharira Batool Komal Saleem Factors influencing return to sports after anterior cruciate ligament reconstruction Khyber Medical University Journal anterior cruciate ligament reconstruction anterior cruciate ligament injuries return to sport resumption of sporting activity sports medicine kinesiophobia wounds and injuries sports motor activity |
| title | Factors influencing return to sports after anterior cruciate ligament reconstruction |
| title_full | Factors influencing return to sports after anterior cruciate ligament reconstruction |
| title_fullStr | Factors influencing return to sports after anterior cruciate ligament reconstruction |
| title_full_unstemmed | Factors influencing return to sports after anterior cruciate ligament reconstruction |
| title_short | Factors influencing return to sports after anterior cruciate ligament reconstruction |
| title_sort | factors influencing return to sports after anterior cruciate ligament reconstruction |
| topic | anterior cruciate ligament reconstruction anterior cruciate ligament injuries return to sport resumption of sporting activity sports medicine kinesiophobia wounds and injuries sports motor activity |
| url | https://www.kmuj.kmu.edu.pk/article/view/23483 |
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