Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties
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 i...
| Main Authors: | , , , |
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| 格式: | Journal article |
| 语言: | English |
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John Wiley & Sons Ltd
2016
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| _version_ | 1826304904748072960 |
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| author | Filbay, S Ackerman, I Russell, T Crossley, K |
| author_facet | Filbay, S Ackerman, I Russell, T Crossley, K |
| author_sort | Filbay, S |
| collection | OXFORD |
| description | 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 (AQoL-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 AQoL-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. |
| first_indexed | 2024-03-07T06:24:47Z |
| format | Journal article |
| id | oxford-uuid:f3e7f984-2f5c-48a3-b180-e551b5f6eee7 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T06:24:47Z |
| publishDate | 2016 |
| publisher | John Wiley & Sons Ltd |
| record_format | dspace |
| spelling | oxford-uuid:f3e7f984-2f5c-48a3-b180-e551b5f6eee72022-03-27T12:15:41ZReturn to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficultiesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f3e7f984-2f5c-48a3-b180-e551b5f6eee7EnglishSymplectic Elements at OxfordJohn Wiley & Sons Ltd2016Filbay, SAckerman, IRussell, TCrossley, KMany 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 (AQoL-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 AQoL-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. |
| spellingShingle | Filbay, S Ackerman, I Russell, T Crossley, K Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title | Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title_full | Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title_fullStr | Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title_full_unstemmed | Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title_short | Return to sport matters-longer-term quality of life after ACL reconstruction in people with knee difficulties |
| title_sort | return to sport matters longer term quality of life after acl reconstruction in people with knee difficulties |
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