Validation of an 18-item version of the Swedish Knee Self-Efficacy Scale for patients after ACL injury and ACL reconstruction

Beischer, Susanne; Senorski, Eric Hamrin; Thomeé, Pia; Thomeé, Roland

doi:10.1186/s40634-021-00414-2

Cited by 12 publications

(29 citation statements)

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“…A modified version of the Tegner Activity Scale (Tegner) [ 6 , 32 ] was used to assess the level of PA pre-injury, at 18 months and at 3–5 years after the ACL reconstruction. The Tegner is graded from 1 to 10, with 1 representing the least strenuous knee activity and 10 representing the most strenuous knee activity, such as rugby and international football.…”

Section: Methodsmentioning

confidence: 99%

“…A modified version of the Knee Self-Efficacy Scale (K-SES 18 ) was used to assess patients’ knee-related self-efficacy [ 6 ]. The K-SES 18 consists of two subscales, present knee self-efficacy and future knee self-efficacy.…”

Section: Methodsmentioning

confidence: 99%

“…However, only about 50% of patients with an ACL reconstruction return to competitive sport and about two-thirds return to their pre-injury level of sport within the first 7 years after the reconstruction [ 2 , 3 ]. Patients who succeed in returning to sport after an ACL reconstruction have been characterised by lower levels of fear of re-injury [ 27 ], higher self-efficacy of knee function [ 6 , 18 ], greater motivation to return to sport [ 4 , 5 , 13 ], and higher levels of psychological readiness to return to sport [ 37 ]. In the light of self-reported knee function, patients who return to sport reporting less impairment during sport and recreation and higher levels of knee-related quality of life (QoL) [ 14 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

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Patients that maintain their pre-injury level of physical activity 3–5 years after ACL reconstruction are, 18 months after surgery, characterised by higher levels of readiness to return to sport

Beischer

Senorski

Thomeé

2022

Knee Surg Sports Traumatol Arthrosc

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Purpose To characterise patients who had returned to their pre-injury physical activity (PA) or higher at 18 months and maintained that level of PA 3–5 years after the primary ACL reconstruction and to describe the level, frequency, and type of PA participation during the first 5 years after ACL reconstruction Method Data, from follow-ups at 18 months and 3–5 years after an ACL reconstruction, were extracted from a rehabilitation-specific register. Patients, 15–65 years of age, were included. The data comprised patient-reported outcomes and the results from two questions with respect to the level, frequency, and type of PA. Comparisons were made between patients who had and had not maintained their pre-injury level of PA at the follow-up 3–5 years after an ACL reconstruction. Results A total of 272 patients met the inclusion criteria. The mean follow-up time was 3.8 years (min–max: 2.9–5.1) after the ACL reconstruction. Of patients who had returned to their pre-injury or a higher level of PA at the 18 month follow-up (n = 114), 68% (n = 78) maintained that level at the 3- to 5-year follow-up after ACL reconstruction. These patients reported a higher level of psychological readiness to return to sport (98 versus 79; p = 0.013). Moreover, these patients were 6.0 years older (p = 0.016) and were characterised by male sex (56% versus 44%; p = 0.028) and a lower level of pre-injury PA (p = 0.013). At the follow-up 3–5 years after the ACL reconstruction, more than 90% met the recommendations for PA. However, the prevalence of physical inactivity had increased and the involvement in organised PA had decreased compared with the 18-month follow-up. Conclusions Two out of three patients who have returned to their previous level of PA at 18 months can be expected to maintain that level, 3–5 years following ACL reconstruction. These patients were mainly characterised by a higher level of psychological readiness, especially in patients who participated in knee-strenuous sport and were younger than 20 years of age. The results of this study suggest that patients become more physically inactive over time, implicating the importance of clinicians helping patients find a suitable PA that may help patients maintain an active lifestyle.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Patients that maintain their pre-injury level of physical activity 3–5 years after ACL reconstruction are, 18 months after surgery, characterised by higher levels of readiness to return to sport

Beischer

Senorski

Thomeé

2022

Knee Surg Sports Traumatol Arthrosc

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“…The PROs used in this study were the ACL-Return to Surgery after Injury scale (ACL-RSI), 27 Knee Injury and Osteoarthritis Outcome Score subscale Quality of Life (KOOS QoL), 28 and Function in sport and recreation (KOOS Sports), the 18-item version of the Knee Self-Efficacy Scale (K-SES 18 ), 29 and Tegner Activity Scale. 26 The ACL-RSI aims to measure patients' emotions, confidence, and risk appraisal of RTS after an ACL injury.…”

Section: Patient Reported Outcomesmentioning

confidence: 99%

“…The final score is calculated by summing the total score of all items (highest score 120), and then normalizing the score to a 0-100 scale as proposed in the original paper. 27 The K-SES 18 aims to evaluate knee-related self-efficacy, 29 that is, the belief in one's ability to perform a physical task, such as running or jumping. The K-SES 18 comprises 18 items divided into two subscales: present (14 items) and future (four items) knee self-efficacies.…”

Section: Patient Reported Outcomesmentioning

confidence: 99%

Psychological Patient-reported Outcomes Cannot Predict a Second Anterior Cruciate Ligament Injury in Patients who Return to Sports after an Anterior Cruciate Ligament Reconstruction

Piussi

Simonson

Högberg

et al. 2022

International Journal of Sports Physical Therapy

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Background Psychological patient-reported outcomes (PROs) are recommended for use in test batteries to aid in decision-making, regarding whether patients are well prepared to return to sports (RTS) after anterior cruciate ligament (ACL) reconstruction. However, the values that should be regarded as “pass” or “fail” are still unclear. Purpose This study aimed to identify cut-off values for three commonly used psychological PROs that could differentiate patients who suffer a second ACL injury from patients who do not within two years of RTS in patients after ACL reconstruction with respect to recovery of symmetrical quadriceps strength. Study design Diagnostic/prognostic study Methods Demographic data, isokinetic strength test data for quadriceps, as well as results for the ACL-Return to Sport after Injury scale (ACL-RSI), Knee Injury and Osteoarthritis Outcome Score (KOOS) Quality of Life, and Function in Sport and Recreation sub-scales, and the 18-item version of the Knee Self-Efficacy Scale (K-SES18) were extracted from a registry. Receiver operating characteristic (ROC) curves were calculated for each PRO. Accuracy of the cut-offs was presented with two summary measures for the ROC: the area under the curve (AUC) and Youden index. Results In total, 641 (355 men, 61%) patients (24.8 [SD 7.6] year old at ACL reconstruction) were included. The cut-off values were not able to differentiate patients who suffered a second ACL injury up to 24 months after RTS and ACL reconstruction from patients who did not. Additionally, achieving symmetrical quadriceps strength did not improve the cut-off psychometric properties. Conclusion Since cut-off values could not differentiate between patients who suffered a second ACL injury and those who did not, clinicians should not rely only on cut-off values or a single PRO of those analyzed in this study when making decisions on which patients are at risk of experiencing a second ACL injury when returning to sports after ACL reconstruction. Level of Evidence Level 3

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Is absolute or relative knee flexor strength related to patient-reported outcomes in patients treated with ACL reconstruction with a hamstring tendon autograft? An analysis of eccentric Nordic hamstring strength and seated concentric isokinetic strength

Högberg¹,

Piussi²,

Simonson³

et al. 2023

The Knee

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Validation of an 18-item version of the Swedish Knee Self-Efficacy Scale for patients after ACL injury and ACL reconstruction

Cited by 12 publications

References 50 publications

Patients that maintain their pre-injury level of physical activity 3–5 years after ACL reconstruction are, 18 months after surgery, characterised by higher levels of readiness to return to sport

Patients that maintain their pre-injury level of physical activity 3–5 years after ACL reconstruction are, 18 months after surgery, characterised by higher levels of readiness to return to sport

Psychological Patient-reported Outcomes Cannot Predict a Second Anterior Cruciate Ligament Injury in Patients who Return to Sports after an Anterior Cruciate Ligament Reconstruction

Is absolute or relative knee flexor strength related to patient-reported outcomes in patients treated with ACL reconstruction with a hamstring tendon autograft? An analysis of eccentric Nordic hamstring strength and seated concentric isokinetic strength

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