Evidence map›Paper›PMID 36987514›Full record

ArticleBMJ open sport & exercise medicine2023

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

Ramana Piussi, Rebecca Simonson, Moa Kjellander, Alice Jacobsson, Andreas Ivarsson, Jon Karlsson, Kristian Samuelsson, Eric Hamrin Senorski

Open access · goldFull text read
In one paragraph

Article in BMJ open sport & exercise medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Ramana PiussiHealth and Rehabilitation, University of Gothenburg Institute of Neuroscience and Physiology, Goteborg, Sweden.ORCID 0000-0001-7586-5293
Rebecca SimonsonHealth and Rehabilitation, University of Gothenburg Institute of Neuroscience and Physiology, Goteborg, Sweden.
Moa KjellanderSportrehab Sports Rehabilitation Clinic, Gothenburg, Sweden.
Alice JacobssonSportrehab Sports Rehabilitation Clinic, Gothenburg, Sweden.
Andreas IvarssonCentre of Research on Welfare, Health and Sport, Halmstad University, Halmstad, Sweden.
Jon KarlssonSahlgrenska Sports Medicine Centre, Gothenburg, Sweden.
Kristian SamuelssonSahlgrenska Sports Medicine Centre, Gothenburg, Sweden.
Eric Hamrin SenorskiHealth and Rehabilitation, University of Gothenburg Institute of Neuroscience and Physiology, Goteborg, Sweden.ORCID 0000-0002-9340-0147
Sahlgrenska University Hospital · SEUniversity of Agder · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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.

Indexed as

KneeQualitativeRehabilitation

Identifiers

PMID36987514
PMCPMC10040041
OpenAlexW4353060804

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read5
identifiers read1
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.