Publication Cover
Physiotherapy Theory and Practice
An International Journal of Physical Therapy
Volume 38, 2022 - Issue 11
1,587
Views
2
CrossRef citations to date
0
Altmetric
Qualitative Research Report

USING A BIOPSYCHOSOCIAL APPROACH WITHIN ACL REHABILITATION: AN EXPLORATION OF STUDENT PHYSIOTHERAPISTS` PERCEPTIONS AND EXPERIENCES

, MSc, PTORCID Icon, , BSc, PT & , PhD, PTORCID Icon
Pages 1718-1730 | Received 18 Sep 2019, Accepted 27 Dec 2020, Published online: 08 Feb 2021

References

  • Aesch AV, Perry M, Sole G 2016 Physiotherapists’ experiences of the management of anterior cruciate ligament injuries. Physical Therapy in Sport 19: 1422–1431.
  • Alexanders J, Douglas C 2017 The role of psychological skills within physiotherapy: A narrative review of the profession and training. Physical Therapy Reviews 2: 345–352.
  • Ardern CL, Taylor NF, Feller JA, Webster KE 2012 Fear of re-injury in people who have returned to sport following anterior cruciate ligament reconstruction surgery. Journal of Science and Medicine in Sport 15: 488–495. doi:10.1016/j.jsams.2012.03.015
  • Ardern CL, Taylor NF, Feller JA, Webster KE 2014 Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: An updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. British Journal of Sports Medicine 48: e1543–e1552. doi:10.1136/bjsports-2013-093398
  • Arvaniti A, Samakouri M, Kalamara E, Bochtsou V, Bikos C, Livaditis M 2009 Health service staff’s attitudes towards patients with mental illness. Society of Psychiatry and Epidemiology 44: 658–665. doi:10.1007/s00127-008-0481-3
  • Arvinen-Barrow M, Clement D 2019 The psychology of sport and performance injury: An inter professional case-based approach. Oxford: Routledge.
  • Bernard R 2010 Analysing quantitative data: Systematic approaches. Thousand Oaks, CA: Sage
  • Bianco T 2001 Social support and recovery from sport injury: Elite skiers share their experiences. Research, Exercise and Sport 72: 376–388. doi:10.1080/02701367.2001.10608974
  • Braun V, Clarke V 2006 Using thematic analysis in psychology qualitative research in psychology 3: 77–101.
  • Brewer BW, Cornelius AE, Stephan Y, Van Raalte J 2010 Self-protective changes in athletic identify following anterior cruciate ligament reconstruction. Psychology Sport and Exercise 11: 1–5. doi:10.1016/j.psychsport.2009.09.005
  • Bright F 2013 Does how we think about therapy matter? Voices and values in speech language therapy. In: New Zealand speech‐language therapists’ association professional development seminar 2013. New Zealand: Hamilton.
  • Burgi CR, Peters S, Ardern C, Magill J, Gomez C, Sylvain J, Reiman M 2019 Which criteria are used to clear patients to return to sport after primary ACL reconstruction? A scoping review. British Journal of Sports Medicine 53: 1154–1161. doi:10.1136/bjsports-2018-099982
  • Burland JP, Toonstra J, Werner JL, Mattacola CG, Howell DM, Howard JS 2018 Decision to return to sport after anterior cruciate ligament reconstruction, Part 1: A qualitative investigation of psychosocial factors. Journal of Athletic Training 53: 452–463. doi:10.4085/1062-6050-313-16
  • Chan DK, Lee A, Hagger MS, Mok KM, Yung P 2017 Social psychological aspects of ACL injury prevention and rehabilitation: An integrated model for behavioural adherence. Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology 10: 17–20. doi:10.1016/j.asmart.2017.10.001
  • Chartered Society of Physiotherapy 2013 Patient-centred practice. https://www.csp.org.uk/frontline/article/patient-centred-practice.
  • Cheney S, Chiaia TA, de Mille P, Boyle C, Ling D 2020 Readiness to return to sport after ACL reconstruction. Sports Medicine and Arthroscopy Review 28: 66–70. doi:10.1097/JSA.0000000000000263
  • Chmielewski TL, George SZ 2019 Fear avoidance and self-efficacy at 4 weeks after ACL reconstruction are associated with early impairment resolution and readiness for advanced rehabilitation. Knee Surgery, Sports Traumatology, Arthroscopy 27: 397–404. doi:10.1007/s00167-018-5048-6
  • Chmielewski TL, Zeppieri G, Lentz TA, Tillman SM, Moser MW, Indelicato PA, George SZ 2011 Longitudinal changes in psychosocial factors and their association with knee pain and function after anterior cruciate ligament reconstruction. Physical Therapy 91: 1355–1366. doi:10.2522/ptj.20100277
  • Connaughton J, Gibson W 2016 Do physiotherapists have the skill to engage in the “psychological” In the bio-psychosocial approach. Physiotherapy Canada 68: 377–382. doi:10.3138/ptc.2015-66
  • Cormier ML, Zizzi SJ 2015 Athletic trainers skills in identifying and managing athletes experiencing psychological distress. Journal of Athletic Training 50: 1267–1276. doi:10.4085/1062-6050-50.12.02
  • Creswell JW, Creswell JD 2017 Research design: Qualitative, quantitative, and mixed methods approaches. London: Sage Publications
  • Creswell JW, Poth CN 2018 Qualitative inquiry and research design: Choosing among five approaches (4th). Los Angeles, CA: Sage.
  • Day R. Heathcote S 2019 Postgraduate student reflective evaluation of a student selected case study analysis of the biopsychosocial model within an E-learning MSc in pain management. Presented at British Pain Society. Bristol, UK.
  • Della Villa F, Andriolo L, Ricci M, Filardo G, Gamberini J, Caminati D, Della Villa S, Zaffagnini S 2020 Compliance in post-operative rehabilitation is a key factor for return to sport after revision anterior cruciate ligament reconstruction. Knee Surgery, Sports Traumatology, Arthroscopy 28: 463–469. doi:10.1007/s00167-019-05649-2
  • Driver C, Kean B, Oprescu F, Lovell GP 2017 Knowledge, behaviours, attitudes and beliefs of physiotherapists towards the use of psychological interventions in physiotherapy practice: A systematic review. Disability and Rehabilitation 39: 2237–2249. doi:10.1080/09638288.2016.1223176
  • Driver C, Oprescu F, Lovell GP 2019 Exploring physiotherapist’ considerations regarding the use of psychosocial strategies in practice. Physiotherapy Research International 24: e1783. doi:10.1002/pri.1783
  • Driver C, Oprescu F, Lovell GP 2020 An exploration of physiotherapists’ perceived benefits and barriers towards using psychosocial strategies in their practice. Musculoskeletal Care 18: 111–121. doi:10.1002/msc.1437
  • Erp RM, Huijnen IP, Jakobs ML, Kleiknen J, Smeets RJ 2019 Effectiveness of primary care interventions using a biopsychosocial approach in chronic low back pain: A systematic review. Pain Practice 19: 224–241. doi:10.1111/papr.12735
  • Everhart JS, Best TM, Flanigan DC 2015 Psychological predictors of anterior cruciate ligament reconstruction outcomes: A systematic review. Knee Surgery and Sports Traumatic Arthroscopy 23: 752–762. doi:10.1007/s00167-013-2699-1
  • Fox A 2017 Anterior cruciate ligament injuries in sport: Stepping up preventative efforts via injury risk screening. Sport Health 35: 13–16.
  • França AA, Dos Santos V, Lordelo FR, KF P, Lagoa KF, Martins WR 2019 It’s very complicated: Perspectives and beliefs of newly graduated physiotherapists about the biopsychosocial model for treating people experiencing non-specific low back pain in Brazil. Musculoskeletal Science and Practice 42: 84–89. doi:10.1016/j.msksp.2019.04.011
  • Garcia GH, Wu HH, Park MJ, Tjoumakaris FP, Tucker BS, Kelly JD, Sennett BJ 2016 Depression symptomatology and anterior cruciate ligament injury. American Journal of Sports Medicine 44: 572–579. doi:10.1177/0363546515612466
  • Goldkuhl G 2012 Pragmatism vs interpretivism in qualitative information systems research. European Journal of Information Systems 21: 135–146. doi:10.1057/ejis.2011.54
  • Guest G, Bunce A, Johnson L 2006 How many interviews are enough? An experiment with data saturation and variability. Field Methods 18: 59–82. doi:10.1177/1525822X05279903
  • Hart HF, Culvenor AG, Guermazi A, Crossley KM 2020 Worse knee confidence, fear of movement, psychological readiness to return-to-sport and pain are associated with worse function after ACL reconstruction. Physical Therapy in Sport 41: 1–8. doi:10.1016/j.ptsp.2019.10.006
  • Haslam C, Haslam SA, Jetten J, Cruwys T, Steffens NK 2021 Life change, social identity, and health. Annual Review of Psychology 72: 635–661. doi:10.1146/annurev-psych-060120-111721
  • Heaney C, Green A, Rostron C, Walker N 2012 A qualitative and quantitative investigation of the psychology content of UK physiotherapy education programs. Journal of Physical Therapy Education 26 (3): 48–56. doi:10.1097/00001416-201207000-00007
  • Hennik MM, Hutter I, Bailey A 2011 Qualitative research methods. London: Sage
  • Holopainen R, Simpson P, Piirainen A, Karppinen J, Schütze R, Smith A, O’Sullivan P, Kent P 2020 Physiotherapists‘ perceptions of learning and implementing a biopsychosocial intervention to treat musculoskeletal pain conditions: A systematic review and metasynthesis of qualitative studies. Pain Journal 161 (6): 1150–1168. doi:10.1097/j.pain.0000000000001809
  • Kamper SJ, Apeldoorn AT, Chiarotto A, Smeets RJ, Ostelo RW, Guzman J, van Tulder MW 2015 Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis. BMJ 350 (feb18 5): h444. doi:10.1136/bmj.h444
  • Kaye JA, Alexanders J 2019 Rehabbing the mind within anterior cruciate ligament rehabilitation: Are we addressing patients‘ expectations? Athletic Training and Sports Health Care 11 (3): 99–100. doi:10.3928/19425864-20190312-01
  • Kitaguchi T, Tanaka Y, Takeshita S, Tsujimoto N, Kita K, Amano H, Kinugasa K, Tachibana Y, Natsuume T, Horibe S 2020 Importance of functional performance and psychological readiness for return to preinjury level of sports 1 year after ACL reconstruction in competitive athletes. Knee Surgery, Sports Traumatology, Arthroscopy 28 (7): 2203–2212. doi:10.1007/s00167-019-05774-y
  • Kyritsis P, Bahr R, Landreau P, Miladi R, Witvrouw E 2016 Likelihood of ACL graft rupture: Not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture. British Journal of Sports Medicine 50 (15): 946–951. doi:10.1136/bjsports-2015-095908
  • Lefevre N, Klouche S, Mirouse G, Herman S, Gerometta A, Bohu Y 2017 Return to sport after primary and revision anterior cruciate ligament reconstruction: A prospective comparative study of 552 patients from the FAST cohort. American Journal of Sports Medicine 45 (1): 34e41. doi:10.1177/0363546516660075
  • Marmot M, Wilkinson R 2005 Social Determinants of Health (2nd ed). Oxford: Oxford University Press.
  • McArdle S 2010 Psychological rehabilitation from anterior cruciate ligament–medial collateral ligament reconstructive surgery: A case study. Sports Health: A Multidisciplinary Approach 2 (1): 73–77. doi:10.1177/1941738109357173
  • Mertens V-C, Goossens M, Verbunt JA, Köke AJ, Smeets R 2013 Effects of nurse-led motivational interviewing of patients with chronic musculoskeletal pain in preparation of rehabilitation treatment (PREPARE) on societal participation, attendance level, and cost-effectiveness: Study protocol for a randomized controlled trial. Trials 14: 90. doi:10.1186/1745-6215-14-90
  • Mizner RL, Elias AR 2018 Jump training improves psychological impairments and facilitates greater sports participation in athletes with ACL reconstruction. American College of Sports Medicine Annual Meeting. 2030 Abstract
  • Noehren B, Kline P, Ireland ML, Johnson DL 2017 Kinesiophobia is strongly associated with altered loading after an ACL reconstruction: Implications for re-injury risk. Orthopaedic Journal of Sports Medicine 5 (7 Suppl 6): 2325967117S00323. doi:10.1177/2325967117S00323
  • Nwachukwu BU, Voleti PB, Berkanish P, Chang B, Cohn MR, Williams RJ, Allen AA 2017 Return to play and patient satisfaction after ACL reconstruction. Study with minimum 2 year follow up. The Journal of Bone and Joint Surgery 99 (9): 720–725. doi:10.2106/JBJS.16.00958
  • Paterno MV, Flynn K, Thomas S, Schmitt LC 2018 Self-reported fear predicts functional performance and second ACL injury after ACL reconstruction and return to sport: A pilot study. Sports Health: A Multidisciplinary Approach 10 (3): 228–233. doi:10.1177/1941738117745806
  • Picha KJ, Howell DM 2018 A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy. Musculoskeletal Care 16 (1): 233–237. doi:10.1002/msc.1194
  • Rambaud AJM, Semay B, Samozino P, Morin J, Testa R, Philippot R, Rossi J, Edouard P 2017 Criteria for return to sport after anterior cruciate ligament reconstruction with lower reinjury risk (CR’STAL study): Protocol for a prospective observational study in France. BMJ Open 7 (6): e015087. doi:10.1136/bmjopen-2016-015087
  • Sadeqi M, Klouche S, Bohu Y, Herman S, Lefevre N, Gerometta A 2018 Progression of the psychological ACL-RSI score and return to sport after anterior cruciate ligament reconstruction: A prospective 2-year follow-up study from the French prospective anterior cruciate ligament reconstruction cohort study (FAST). Orthopaedic Journal of Sports Medicine 6 (12): 2325967118812819. doi:10.1177/2325967118812819
  • Sanders T, Foster NE, Bishop A, Ong BN 2013 Biopsychosocial care and the physiotherapy encounter: Physiotherapists’ accounts of back pain consultations. BMC Musculoskeletal Disorders 14 (1): 65. doi:10.1186/1471-2474-14-65
  • Schwab Reese L, Pittsinger R, Yang J 2012 Effectiveness of psychological intervention following sport injury. Journal of Sport and Health Science 1 (2): 71–79. doi:10.1016/j.jshs.2012.06.003
  • Scotland J 2012 Exploring the philosophical underpinnings of research: relating ontology and epistemology to the methodology and methods of the scientific, interpretive, and critical research paradigms. English Language Teaching 5 (9): 9–16. doi:10.5539/elt.v5n9p9
  • Scott SM, Perry MA, Sole G 2018 “Not always a straight path”: Patients’ perspectives following anterior cruciate ligament rupture and reconstruction. Disability and Rehabilitation 40 (19): 2311–2317. doi:10.1080/09638288.2017.1335803
  • Shenton AK 2004 Strategies for ensuring trustworthiness in qualitative research projects. Education for Information 22 (2): 63–75. doi:10.3233/EFI-2004-22201
  • Slade SC, Patel S, Underwood M, Keating JL 2018 Rigorous qualitative research in sports, exercise and musculoskeletal medicine journals is important and relevant. British Journal of Sports Medicine 52 (22): 1409–1410. doi:10.1136/bjsports-2017-097833
  • Stiller-Ostrowski JL, Ostrowski JA 2009 Recently certified athletic Trainers’ undergraduate educational preparation in psychosocial intervention and referral. Journal of Athletic Training 44 (1): 67–75. doi:10.4085/1062-6050-44.1.67
  • Sweeney A 2020 A narrative literature review of the psychological hindrances affecting return to sport after injuries. Theses Oakland University https://our.oakland.edu/bitstream/handle/10323/7475/Sweeney.%20Ashley.%20Thesis%20Final%20.pdf?sequence=1&isAllowed=y.
  • Synnott A, O’Keeffe M, Bunzli S, Dankaerts W, O’Sullivan P, O’Sullivan K 2015 Physiotherapists may stigmatise or feel unprepared to treat people with low back pain and psychosocial factors that influence recovery: A systematic review. Journal of Physiotherapy 61 (2): 68–76. doi:10.1016/j.jphys.2015.02.016
  • Thomas DR 2006 A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation 27 (2): 237–246. doi:10.1177/1098214005283748
  • Tong A, Sainsbury P, Craig J 2007 Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 19 (6): 349–357. doi:10.1093/intqhc/mzm042
  • Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL 2020 Psychological, social and contextual factors across recovery stages following a sport-related knee injury: A scoping review. British Journal of Sports Medicine 54 (19): 1149–1156. doi:10.1136/bjsports-2019-101206
  • Webster KE, Feller JA, Lambros C 2008 Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Physical Therapy in Sport 9 (1): 9–15. doi:10.1016/j.ptsp.2007.09.003
  • Weston WW 2005 Patient-centered medicine: A guide to the biopsychosocial model. Families, Systems, and Health 23 (4): 387–405. doi:10.1037/1091-7527.23.4.387
  • Williams J, Scherzer C 2010 Injury risk and rehabilitation: Psychological considerations. In: Williams J (Ed) Applied sport psychology: Personal growth to peak performance. New York: McGraw Hill Higher Education.
  • Willis-Owen C 2017 Torn Knee ligaments – anterior cruciate ligament reconstruction https://www.sportsorthopaedicspecialist.co.uk/treatments/anterior-cruciate-ligament-reconstruction#.VXgUhuGj_Bw.
  • Zangoni G, Thomson OP 2017 ‘I need to do another course’ - Italian physiotherapists’ knowledge and beliefs when assessing psychosocial factors in patients presenting with chronic low back pain. Musculoskeletal Science and Practice 27: 71–77. doi:10.1016/j.msksp.2016.12.015

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.