Resumen
Este estudio cualitativo investigó las experiencias de miedo relacionadas con la rodilla en jóvenes atletas después de una reconstrucción del ligamento cruzado anterior (LCA) y cómo afecta este miedo en su vida deportiva y diaria.
Los resultados mostraron que el miedo fue expresado de manera amplia y compleja, con el miedo a una nueva lesión siendo una de varias expresiones.
Se dieron diversas razones para explicar el miedo, y los atletas reaccionaron tanto física como mentalmente al miedo.
Se describieron adaptaciones tanto positivas como negativas al miedo en la vida diaria y en el deporte.
Esta investigación destaca la importancia de considerar el miedo como un factor psicológico esencial durante la rehabilitación y sugiere que los fisioterapeutas deben trabajar para manejar mejor el miedo entre los pacientes con ACLR.
Gestión del miedo en pacientes con reconstrucción del ligamento cruzado anterior (ACLR)
Los fisioterapeutas juegan un papel crucial en el manejo del miedo en pacientes que se someten a rehabilitación de ACLR. Una gestión adecuada del miedo en el proceso de recuperación puede mejorar significativamente los resultados en las clínicas de fisioterapia. Es esencial capacitar a los profesionales en este aspecto para obtener resultados efectivos en el tratamiento.
Abstract original
The experience and influence of fear after anterior cruciate ligament reconstruction: an interview study with young athletes
Background: Despite good physical function, many athletes do not return to sports after an anterior cruciate ligament reconstruction (ACLR). One important reason for this is fear of new injury. The aim of this study was to investigate young athletes' experiences of knee-related fear after an ACLR and how they perceive this fear to affect them in their sporting and everyday life.
Methods: A qualitative interview study was conducted, using semi-structured interviews. Athletes who were active in contact or pivoting sport before an ACL injury, with the goal of returning to the same sport and who scored highly on fear of new injury at six months post-ACLR, were asked to participate. Ten athletes (six women and four men, aged 17-25 years), were interviewed by an independent researcher, 7-9 months after ACLR. Content analysis employing an abductive approach was used.
Results: The analysis resulted in three categories with associated subcategories: 1. The expressions of fear; (i) reason for fear, (ii) changes in fear over time, and (iii) injury situation. 2. Reactions, consequences, and adaptations; (i) reactions, (ii) behavioural adaptation and influence on rehabilitation and daily life, (iii) present consequences, and (iv) consequences for the future. 3. Fear and adaptations related to returning to sports; (i) fear related to returning to sports and, (ii) adaptations in sports and life due to fear. Fear was described in broad and complex ways, with fear of a new injury being expressed as one of several aspects. Various reasons (e.g., seeing others getting injured in the past, previous experience of injury, failed rehabilitation, perceived knee instability) were given to explain the fear, and athletes reacted both physically and mentally to fear. Both positive and negative adaptations to fear were described, in both daily life and sports.
Conclusion: The results contribute to an increased understanding of fear as an essential psychological factor to consider during rehabilitation and leaves the way open for research to investigate how physiotherapists can work to manage fear better among ACLR patients.
| Autores | Joanna Kvist Johanna Bengtsson Carolina Lundqvist |
| revista | BMC Sports Sci Med Rehabil |
| DOI | 10.1186/s13102-023-00659-7 |