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Psychosocial factors influencing the recovery of athletes with anterior cruciate ligament injury: A systematic review
Author(s) -
Wierike S. C. M.,
Sluis A.,
AkkerScheek I.,
ElferinkGemser M. T.,
Visscher C.
Publication year - 2013
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.12010
Subject(s) - psychosocial , biopsychosocial model , athletes , rehabilitation , anterior cruciate ligament , physical therapy , medicine , psycinfo , psychological intervention , acl injury , physical medicine and rehabilitation , clinical psychology , medline , psychiatry , surgery , political science , law
This review describes the psychosocial factors that affect recovery following anterior cruciate ligament ( ACL ) injury and reconstructive surgery in athletes. A systematic search in literature with inclusion and exclusion criteria on P ub M ed, PsycINFO , and E mbase was performed. Articles used in this review were divided in five different parts according to the biopsychosocial model of W iese‐ B jornstal, with the addition of intervention studies. The results showed that a high internal Health Locus of Control and a high self‐efficacy were useful cognitive factors to facilitate the recovery. Athletes with a low level of fear of reinjury had the best knee outcome after the injury followed by a reconstruction. In addition, athletes who returned to sport had less fear of reinjury and were more experienced and established athletes compared with athletes who did not return to sport. Furthermore, researchers showed that there was a positive relation between goal setting and adherence, which in turn yielded a positive relation with the outcome of the rehabilitation of an ACL injury. There were several psychosocial interventions that appeared to be facilitating the rehabilitation process.