title: Psychological factors are important to return to pre-injury sport activity after anterior cruciate ligament reconstruction: expect and motivate to satisfy.
abstract: OBJECTIVE
  To describe individuals' expectations, motivation, and satisfaction before, during, and after rehabilitation for ACL reconstruction and to explore how these factors were associated with return to pre-injury sport activity at 1-year follow-up.
  
  
  METHODS
  Sixty-five individuals (34 males), median age 22 (15-45) years, scheduled for ACL reconstruction participated. Participants completed the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF) and questions about expectations, satisfaction, and motivation pre-operatively and at 16 and 52 weeks after surgery.
  
  
  RESULTS
  Prior to surgery, 86 % of participants stated that their goal was to return to their pre-injury sport activity. Those who had returned to their pre-injury sport activity at 52 weeks were more motivated during rehabilitation to return to their pre-injury activity level, more satisfied with their activity level and knee function at 52 weeks, and scored significantly higher on the IKDC-SKF [median 92.0 (range 66.7-100.0)] at 52 weeks, compared to those who had not returned [median 77.6 (range 50.6-97.7)].
  
  
  CONCLUSIONS
  Prior to ACL reconstruction, most participants expected to return to their pre-injury activity level. Higher motivation during rehabilitation was associated with returning to the pre-injury sport activity. The participants who had returned to their pre-injury sport activity were more satisfied with their activity level and knee function 1 year after the ACL reconstruction. Facilitating motivation might be important to support individuals in achieving their participation goals after ACL reconstruction.
  
  
  METHODS
  Prospective cohort study, Level II.
authors: Division of Physiotherapy, Linköping University, 581 83, Linköping, Sweden. Sofi.sonesson@liu.se.
authors: Sofi
authors: S
authors: Sonesson
authors: Division of Physiotherapy, Linköping University, 581 83, Linköping, Sweden.
authors: Joanna
authors: J
authors: Kvist
authors: Division of Physiotherapy, Linköping University, 581 83, Linköping, Sweden.|School of Allied Health, Faculty of Health Sciences, La Trobe University, Melbourne, VIC, Australia.|Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.
authors: Clare
authors: C
authors: Ardern
authors: Division of Physiotherapy, Linköping University, 581 83, Linköping, Sweden.|Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden.
authors: Annika
authors: A
authors: Österberg
authors: Department of Physical Therapy, University of Delaware, Newark, DE, USA.
authors: Karin Grävare
authors: KG
authors: Silbernagel
mesh_terms: D000293:Adolescent; D000328:Adult; D016118:Anterior Cruciate Ligament / Q000601:surgery*; D000070598:Anterior Cruciate Ligament Injuries / Q000523:psychology* / Q000601:surgery; D059549:Anterior Cruciate Ligament Reconstruction / Q000523:psychology* / Q000534:rehabilitation; D001265:Athletic Injuries / Q000523:psychology* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009042:Motivation; D017060:Patient Satisfaction; D011446:Prospective Studies; D000068958:Return to Sport / Q000523:psychology*; D055815:Young Adult
keywords: ACL; Activity level; Patient perspective; Patient-reported outcome; Psychology; Return to sport