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Using physical literacy to understand physical activity after ACL reconstruction: A qualitative descriptive analysis
Rachel R Kleis1, Jennifer E Tinsley Kubala2, Deirdre Dlugonski3
1Department of Kinesiology, College of Health and Human Sciences, University of Wisconsin Eau Claire, Eau Claire, WI, USA.
Summary
Young adults recovering from ACLR face barriers and facilitators to physical activity (PA). Enhancing education and support can improve lifelong PA engagement post-rehabilitation.
Area of Science:
- Sports Medicine
- Rehabilitation Science
- Physical Therapy
Background:
- Anterior Cruciate Ligament Reconstruction (ACLR) impacts long-term physical activity (PA) participation.
- Understanding physical literacy components is crucial for recovery and sustained PA in young adults post-ACLR.
Purpose of the Study:
- To examine perceptions of physical literacy and PA in young adults with a history of ACLR.
- To explore interactions between physical literacy components and PA participation.
Main Methods:
- Qualitative descriptive analysis using a positive/negative deviance framework.
- Semi-structured interviews with ten young adults (ages 18-35) with ACLR history, selected based on PA levels.
- Analysis of accelerometer-measured weekly moderate-to-vigorous PA.
Main Results:
- Four higher-order themes emerged: Barriers to PA, Facilitators to PA, Knowledge influences recovery and PA, and Establishing a routine for PA.
- Twelve sub-themes highlighted the roles of motivation, confidence, physical competence, and knowledge in PA participation post-ACLR.
- Identified factors influencing sustained physical activity engagement after anterior cruciate ligament reconstruction.
Conclusions:
- Individuals with ACLR history may benefit from enhanced education and support during recovery.
- Support is needed for transitioning from organized sports to lifelong PA engagement.
- Physical literacy interventions could improve long-term outcomes for ACLR patients.