“I feel I'm leading the charge.” Experiences of a virtual physiotherapist-guided knee health program for persons at-risk of osteoarthritis after a sport-related knee injury

Truong, Linda; Mosewich, Amber D.; Miciak, Maxi; Silvester-Lee, Trish; Li, Linda; Whittaker, Jackie L.

doi:10.1016/j.ocarto.2022.100333

Cited by 4 publications

(3 citation statements)

References 39 publications

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“… 33 With regard to the presence of uncertainty for future knee OA, the implementation of a virtual knee-health programme aimed to minimise impact of knee OA for people at risk of post-traumatic OA after a sport-related knee injury, has been reported to satisfy an unmet need. 34 Accordingly, the uncertainty for future knee OA has been highlighted in other geographical setting than those included in this study. Taken together, patients end up feeling the same way as they initially experienced treatment from the healthcare system, ‘wait and see’; hoping for symptom resolution but experiencing uncertainty.…”

Section: Discussionmentioning

confidence: 97%

“…Moreover, surgical treatment does not appear to reduce knee OA prevalence compared with rehabilitation alone as treatment 33. With regard to the presence of uncertainty for future knee OA, the implementation of a virtual knee-health programme aimed to minimise impact of knee OA for people at risk of post-traumatic OA after a sport-related knee injury, has been reported to satisfy an unmet need 34. Accordingly, the uncertainty for future knee OA has been highlighted in other geographical setting than those included in this study.…”

Section: Discussionmentioning

confidence: 99%

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When context creates uncertainty: experiences of patients who choose rehabilitation as a treatment after an ACL injury

Piussi

Simonson

Kjellander³

et al. 2023

BMJ Open Sport Exerc Med

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Up to 50% of patients who suffer an anterior cruciate ligament (ACL) injury receive or opt for rehabilitation alone as initial treatment in Scandinavia. Knowledge of whether patients treated with rehabilitation alone after ACL injury are satisfied is lacking. This study aimed to explore the experiences of patients treated with rehabilitation alone after an ACL injury. Fourteen patients (35.9 (19–56) years old) who suffered an ACL injury treated with rehabilitation alone, a mean of 32 months before inclusion, were interviewed. The interview transcripts were analysed using qualitative content analysis with an inductive approach. The experiences of patients treated with rehabilitation after an ACL injury were summarised in one theme: ‘Is the grass greener on the other side? Context characterised by uncertainty’, supported by three main categories and nine subcategories. Uncertainty permeated the context of all levels of knee-related life following ACL injury: (1) in the past, patients felt uncertainty regarding treatment choices, (2) in the present, patients felt uncertainty regarding their physical capacity and knee self-efficacy, and (3) for the future, patients felt uncertainty regarding what might happen. With few exceptions, patients’ experiences after an ACL injury treated with rehabilitation alone are characterised by uncertainty regarding their physical function, psychological impairments and possible future limitation of knee function. Uncertainty is experienced by patients in the past, the present and the future. Patients experience the knee as a symptomatic obstacle and need to adapt the physical activity to the presence of symptoms.

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

When context creates uncertainty: experiences of patients who choose rehabilitation as a treatment after an ACL injury

Piussi

Simonson

Kjellander³

et al. 2023

BMJ Open Sport Exerc Med

View full text Add to dashboard Cite

show abstract

“…Gerade Letzteres wird von vielen Patient*innen als Schlüssel für eine erfolgreiche Rehabilitation angesehen und muss nicht zwangsläufig durch die Rückkehr in den Sport definiert sein. In manchen Fällen kommt es zu einer Neubewertung der eigenen Situation und Identität, und andere Lebensziele werden in den Mittelpunkt gestellt 36 , 57 , 60 , 77 .…”

Section: Psychologische Reaktion Nach Einem Traumaunclassified

Warum wir einen psychologisch informierten Ansatz in der Rehabilitation von VKB-Verletzungen brauchen!

Diemer,

Zebisch

2023

Sportphysio

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Nachdem sich bei der Rehabilitation von Rückenpatienten zunehmend die Erkenntnis durchgesetzt hat, dass auch psychologische und verhaltensbezogene Faktoren Beachtung finden müssen, um ein gutes Ergebnis zu erzielen, verbreitet sich der biopsychosoziale Ansatz immer mehr in der Rehabilitation von Sportverletzungen. Auch nach Kreuzbandverletzungen hängt ein gutes funktionelles Ergebnis und die Fähigkeit, wieder in den Sport zurückkehren zu können, nicht nur von biologischen Faktoren wie Kraft, Mobilität und mechanischer Stabilität ab.

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Social support and therapeutic relationships intertwine to influence exercise behavior in people with sport-related knee injuries

Truong,

Mosewich,

Miciak

et al. 2024

Physiotherapy Theory and Practice

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“I feel I'm leading the charge.” Experiences of a virtual physiotherapist-guided knee health program for persons at-risk of osteoarthritis after a sport-related knee injury

Cited by 4 publications

References 39 publications

When context creates uncertainty: experiences of patients who choose rehabilitation as a treatment after an ACL injury

When context creates uncertainty: experiences of patients who choose rehabilitation as a treatment after an ACL injury

Warum wir einen psychologisch informierten Ansatz in der Rehabilitation von VKB-Verletzungen brauchen!

Social support and therapeutic relationships intertwine to influence exercise behavior in people with sport-related knee injuries

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