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Mismatch between expectations and physical activity outcomes at six months following hip-arthroscopy: A qualitative
Denise M Jones1, Joanne L Kemp1, Kay M Crossley1
1La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria, Australia.
Objective:
To explore factors influencing participation in physical activity for young to middle-aged patients at six months post-hip arthroscopy.
Design:
Qualitative study.
Setting:
Three specialist surgical centres in Australia.
Participants:
Seventeen adults aged 18-50 years.
Main Outcome Measures:
Individual semi-structured interviews were undertaken and transcribed verbatum. Inductive analysis of the data was undertaken, with themes identified through an iterative coding process.
Results:
Four key themes emerged from the analysis: 1) an evident mismatch between expectations and actual progress of physical activity during the first six months post-arthroscopy; 2) physical activity levels vary widely at six months post-operatively; 3) evidence of suboptimal psychological readiness to return to sport and an associated emotional toll; and 4) the influence of available support and information on post-operative physical activity.
Conclusions:
This qualitative study has provided in-depth perspectives on recovery after hip arthroscopy. Clear opportunities exist to: 1) help patients develop realistic post-operative goals; 2) provide timely patient education and support; and 3) facilitate an effective transition to desired physical activity.
