ArticleBMJ open2024
'It's just my knee': a qualitative study investigating the process of reframing and young athletes' perceived quality of life between anterior cruciate ligament injury and surgery.
Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Mechanism of continuous exercise intention after sport injury: a chained HBM-TPB mediation model.Frontiers in public health · 2026Article
- From 'My world fell apart' to 'The best thing that happened in my life': elite athletes' longitudinal journeys after an injury.BMJ open sport & exercise medicine · 2026Article
- Is Knee Osteoarthritis an Inevitable Consequence for Athletes after Anterior Cruciate Ligament Injury?International journal of sports physical therapy · 2026Article
- Reconceptualisation of sport and quality of life in young athletes following anterior cruciate ligament reconstruction: understanding the experiences behind the numbers through a prospective mixed-methods study.BMJ open sport & exercise medicine · 2025Article
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Authors and funding
4 authors.
Funding
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Abstract
objectivesTo understand the factors influencing young athletes' perceptions of quality of life (QOL) following an anterior cruciate ligament (ACL) rupture, prior to reconstructive surgery.
designQualitative descriptive study using semi-structured interviews and thematic analysis of data.
settingTertiary sports medicine clinic with patients recruited from the practices of three specialist orthopaedic surgeons.
participantsTwenty athletes aged 14-25 provided consent to participate in the study and completed interviews prior to their ACL reconstruction surgery. Participants were eligible to participate if they were scheduled to undergo ACL reconstruction, were 25 years of age or younger, identified as athletes (participated in any level of organised sport), could communicate in English and agreed to be audio recorded. Participants were not eligible if they had experienced a multiligament injury or fracture.
resultsYoung athletes shared common factors that made up their QOL; social connections and support, sport, health, and independence. However, participants' perceptions of their current QOL were quite variable (13-95/100 on a Visual Analogue Scale). Participants who were able to reframe their injury experience by shifting focus to the positive or unaffected aspects of their lives tended to have more favourable perceptions of their QOL than participants who shifted focus to the losses associated with injury.
conclusionsYoung athletes who have experienced an ACL injury define their QOL based on social support, sport, health and independence. Individual processes of adaptation and cognitive reframing in response to an ACL injury may exert a greater influence on postinjury QOL than the physical ramifications of the injury itself. Understanding individual perceptions may help target potential interventions or supports to enhance athletes' adaptation to injury.
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