OBJECTIVE: To determine the emotional and cognitive impact of injury and surgery on physical recovery in injured athletes. DESIGN: A prospective longitudinal study comparing the psychosocial and physical recovery of competitive and recreational athletes. SETTING: Tertiary-care sports medicine center. PARTICIPANTS: Twenty-seven athletes (15 men and 12 women) who required anterior cruciate ligament (ACL) reconstruction surgery. INTERVENTIONS: A repeated-measures design used to compare the psychosocial and physical changes for 6 months after ACL surgery. MAIN OUTCOME MEASURES: Emotional (mood) and cognitive (coping) functions and physical recovery (range of motion, physician-rated level of recovery, and physician permission to return to sport). RESULTS: There was a significant time-effect difference in mood, with a greater mood disturbance and recovery rate for competitive athletes than recreational athletes. Differences in mood and pain coping were significant at 2 weeks and 2 months after surgery. CONCLUSION: Athletes experience significant mood changes throughout rehabilitation, which may hinder rehabilitation early in the process. Longer-term rehabilitation was not impacted by mood or pain coping. Future studies might focus on examining the process over a longer time period (1-2 years after surgery). Physicians should be aware of these findings and appropriately counsel and motivate athletes toward more favorable positive psychological and physical outcomes.
OBJECTIVE: To determine the emotional and cognitive impact of injury and surgery on physical recovery in injured athletes. DESIGN: A prospective longitudinal study comparing the psychosocial and physical recovery of competitive and recreational athletes. SETTING: Tertiary-care sports medicine center. PARTICIPANTS: Twenty-seven athletes (15 men and 12 women) who required anterior cruciate ligament (ACL) reconstruction surgery. INTERVENTIONS: A repeated-measures design used to compare the psychosocial and physical changes for 6 months after ACL surgery. MAIN OUTCOME MEASURES: Emotional (mood) and cognitive (coping) functions and physical recovery (range of motion, physician-rated level of recovery, and physician permission to return to sport). RESULTS: There was a significant time-effect difference in mood, with a greater mood disturbance and recovery rate for competitive athletes than recreational athletes. Differences in mood and pain coping were significant at 2 weeks and 2 months after surgery. CONCLUSION: Athletes experience significant mood changes throughout rehabilitation, which may hinder rehabilitation early in the process. Longer-term rehabilitation was not impacted by mood or pain coping. Future studies might focus on examining the process over a longer time period (1-2 years after surgery). Physicians should be aware of these findings and appropriately counsel and motivate athletes toward more favorable positive psychological and physical outcomes.
Authors: Christopher V Nagelli; Kate E Webster; Stephanie Di Stasi; Samuel C Wordeman; Timothy E Hewett Journal: Clin Biomech (Bristol, Avon) Date: 2019-05-25 Impact factor: 2.063
Authors: Joshua S Everhart; Kristie Harris; Aaron Chafitz; James C Kirven; Moneer Abouljoud; Steven Schiele; Charles Emery; David C Flanigan Journal: J Sports Sci Med Date: 2020-05-01 Impact factor: 2.988
Authors: Julie P Burland; Adam S Lepley; Marc Cormier; Lindsay J DiStefano; Robert Arciero; Lindsey K Lepley Journal: Sports Med Date: 2019-05 Impact factor: 11.136