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Return to sport matters—longer‐term quality of life after ACL reconstruction in people with knee difficulties
Author(s) -
Filbay S. R.,
Ackerman I. N.,
Russell T. G.,
Crossley K. M.
Publication year - 2017
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.12698
Subject(s) - anterior cruciate ligament reconstruction , medicine , quality of life (healthcare) , physical therapy , osteoarthritis , body mass index , return to sport , overweight , anterior cruciate ligament , rehabilitation , surgery , alternative medicine , nursing , pathology
Many individuals experience long‐term quality of life ( QOL ) impairment following anterior cruciate ligament reconstruction ( ACLR ). Factors contributing to poor QOL and psychological health >5 years after ACLR remain unclear. This study aimed to describe QOL and psychological health outcomes in people with knee difficulties (pain, symptoms, or functional limitations) 5–20 years following ACLR and identify factors explaining variability in these outcomes. Participants with knee difficulties 5–20 years following ACLR completed a battery of validated patient‐reported outcomes [including the Knee injury and Osteoarthritis Outcome Score ( KOOS ), ACL ‐ QOL , and the Assessment of QOL ( AQ oL‐8D) instrument]. Multivariable linear regression was used to identify factors explaining variability in outcomes. One hundred sixty‐two participants aged 38 ± 9 (mean ± SD ) years completed questionnaires 9 ± 4 (range 5–20) years following ACLR . Thirty‐nine percent of participants returned to competitive sport, 28% returned to a lower level, and 32% did not return to sport after ACLR . Not returning to sport after ACLR was associated with worse KOOS ‐ QOL (β = 0.29, P = 0.001 [mean ± SD (55 ± 20)], ACL ‐ QOL [β = 0.48, P < 0.001; (57 ± 21)], and AQ oL‐8D [β = 0.22, P = 0.02 (0.80 ± 0.14)]) scores. Increased body mass index (56% were overweight/obese) was related to worse QOL and more depressive symptoms. Subsequent knee surgery and contralateral ACLR were also associated with poorer QOL outcomes in these individuals.