A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction

# Background Despite evidence of alarming declines in physical activity levels after anterior cruciate ligament reconstruction (ACLR), very little is known about how young athletes perceive their experiences with engagement in sports and physical activity in the years following ACLR. # Hypothesis/...

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Main Authors: Christin Zwolski, Timothy Rethorn, Staci Thomas, Jacqueline Goodway, Mark Paterno, Catherine Quatman-Yates, Laura Schmitt
Format: Article
Language:English
Published: North American Sports Medicine Institute 2024-09-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.122324
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author Christin Zwolski
Timothy Rethorn
Staci Thomas
Jacqueline Goodway
Mark Paterno
Catherine Quatman-Yates
Laura Schmitt
author_facet Christin Zwolski
Timothy Rethorn
Staci Thomas
Jacqueline Goodway
Mark Paterno
Catherine Quatman-Yates
Laura Schmitt
author_sort Christin Zwolski
collection DOAJ
description # Background Despite evidence of alarming declines in physical activity levels after anterior cruciate ligament reconstruction (ACLR), very little is known about how young athletes perceive their experiences with engagement in sports and physical activity in the years following ACLR. # Hypothesis/Purpose The purpose of this study was to answer the research question, "*what are the lived experiences and perceptions of factors that facilitate or hinder physical activity among young athletes following ACLR?*" # Study Design Qualitative Study # Methods Ten participants were included in this qualitative study at a median of 5.9 (4.3-10.2) years after adolescent ACLR. Using an interpretive phenomenological methodology, semi-structured interviews were conducted with each participant. Data collection focused on participants' lived experiences related to physical activity participation in the years after ACLR. Iterative coding with two independent coders and a peer debriefing process were used to identify themes from the data. # Results Factors perceived to influence physical activity after ACLR spanned all levels of the socioecological framework. Three overarching themes were generated during thematic analysis: 1) navigation of barriers (common obstacles, injury-related limitations, unique adaptations), 2) movement motives (ingrained desire to move, external motivators, internal motivation), and 3) movement mindset (envisions for future physical activity, perceived impact of injury, belief in the power of sports). # Conclusion The themes identified in this study indicate that the adolescent ACLR experience has the potential to significantly influence one's physical activity into young adulthood, both positively and negatively. These findings serve as an important foundation for future studies to explore the psychological and environmental factors identified as important to one's physical activity participation in the years following adolescent ACLR. # Level of Evidence Level 3
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spelling doaj-art-b845ceaf93824d27871a4df05403443b2025-02-11T20:27:40ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962024-09-01199A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL ReconstructionChristin ZwolskiTimothy RethornStaci ThomasJacqueline GoodwayMark PaternoCatherine Quatman-YatesLaura Schmitt# Background Despite evidence of alarming declines in physical activity levels after anterior cruciate ligament reconstruction (ACLR), very little is known about how young athletes perceive their experiences with engagement in sports and physical activity in the years following ACLR. # Hypothesis/Purpose The purpose of this study was to answer the research question, "*what are the lived experiences and perceptions of factors that facilitate or hinder physical activity among young athletes following ACLR?*" # Study Design Qualitative Study # Methods Ten participants were included in this qualitative study at a median of 5.9 (4.3-10.2) years after adolescent ACLR. Using an interpretive phenomenological methodology, semi-structured interviews were conducted with each participant. Data collection focused on participants' lived experiences related to physical activity participation in the years after ACLR. Iterative coding with two independent coders and a peer debriefing process were used to identify themes from the data. # Results Factors perceived to influence physical activity after ACLR spanned all levels of the socioecological framework. Three overarching themes were generated during thematic analysis: 1) navigation of barriers (common obstacles, injury-related limitations, unique adaptations), 2) movement motives (ingrained desire to move, external motivators, internal motivation), and 3) movement mindset (envisions for future physical activity, perceived impact of injury, belief in the power of sports). # Conclusion The themes identified in this study indicate that the adolescent ACLR experience has the potential to significantly influence one's physical activity into young adulthood, both positively and negatively. These findings serve as an important foundation for future studies to explore the psychological and environmental factors identified as important to one's physical activity participation in the years following adolescent ACLR. # Level of Evidence Level 3https://doi.org/10.26603/001c.122324
spellingShingle Christin Zwolski
Timothy Rethorn
Staci Thomas
Jacqueline Goodway
Mark Paterno
Catherine Quatman-Yates
Laura Schmitt
A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
International Journal of Sports Physical Therapy
title A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
title_full A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
title_fullStr A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
title_full_unstemmed A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
title_short A Qualitative Study of Factors Perceived to Influence Physical Activity among Young Athletes after ACL Reconstruction
title_sort qualitative study of factors perceived to influence physical activity among young athletes after acl reconstruction
url https://doi.org/10.26603/001c.122324
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