Personal and Social Correlates of Self-Reported Physical Activity in Individuals With a History of Anterior Cruciate Ligament Reconstruction

Click name to view affiliation

Rachel R. Kleis Department of Kinesiology, College of Education and Human Sciences, University of Wisconsin Eau Claire, Eau Claire, WI, USA

Search for other papers by Rachel R. Kleis in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-8943-8919 *
,
Deirdre Dlugonski Department of Athletic Training and Clinical Nutrition, College of Health Sciences, University of Kentucky, Lexington, KY, USA
Sports Medicine Research Institute, University of Kentucky, Lexington, KY, USA

Search for other papers by Deirdre Dlugonski in
Current site
Google Scholar
PubMed
Close
,
Matthew C. Hoch Department of Athletic Training and Clinical Nutrition, College of Health Sciences, University of Kentucky, Lexington, KY, USA
Sports Medicine Research Institute, University of Kentucky, Lexington, KY, USA

Search for other papers by Matthew C. Hoch in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-6268-1804
,
Rachel Hogg-Graham Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY, USA

Search for other papers by Rachel Hogg-Graham in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-0555-4902
,
Stacey Slone Dr. Bing Zhang Department of Statistics, University of Kentucky, Lexington, KY, USA

Search for other papers by Stacey Slone in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0002-4355-7672
, and
Johanna M. Hoch Department of Athletic Training and Clinical Nutrition, College of Health Sciences, University of Kentucky, Lexington, KY, USA

Search for other papers by Johanna M. Hoch in
Current site
Google Scholar
PubMed
Close
https://orcid.org/0000-0003-2906-9354
Restricted access

Physical activity is negatively impacted after anterior cruciate ligament (ACL) injury and subsequent reconstruction. Previous evidence suggests that individuals with a history of ACL reconstruction (ACLR) may experience additional barriers to sport and physical activity participation. The purpose of this study was to identify personal and social factors (physical literacy, social support, and knee function) that are predictive of self-reported physical activity in individuals with a history of ACLR. Bivariate analyses determined that elements of physical literacy and knee function were positively correlated with self-reported physical activity. The final stepwise linear regression model demonstrated that the PLAYself Physical Literacy Self-description subsection accounted for 12.2% of the variance of self-reported physical activity (p = .003). The significant effect of the PLAYself Physical Literacy Self-description remained (p = .002) even when additional demographic covariates (age, time since ACLR, and sex) were added to the model. Findings suggest that physical literacy may be a salient factor to consider for promoting physical activity after ACLR.

The PLAYself Physical Literacy Self-Description subsection was the only variable to significantly predict self-reported physical literacy.

Physical literacy may aid in return to sport and physical activity participation after ACLR.

Future research should continue to explore personal, social, and environmental factors that influence physical activity after ACLR.

  • Collapse
  • Expand
  • 1.

    Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five percent 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. Brit J Sports Med. 2014;48(21):15431552. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Bell DR, Pfeiffer KA, Cadmus-Bertram LA, et al. Objectively measured physical activity in patients after anterior cruciate ligament reconstruction. Am J Sports Med. 2017;45(8):18931900. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    Kuenze C, Lisee C, Pfeiffer KA, et al. Sex differences in physical activity engagement after ACL reconstruction. Phys Ther Sport. 2019;35:1217. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Physical Activity. Centers for Disease Control and Prevention. https://www.cdc.gov/physicalactivity/index.html

  • 5.

    McPhail SM, Schipper M, Marshall AL. Age, physical inactivity, obesity, health conditions, and health-related quality of life among patients receiving conservative management for musculoskeletal disorders. Clin Interv Aging. 2014;9:10691080. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Filbay SR, Ackerman IN, Russell TG, Macri EM, Crossley KM. Health-related quality of life after anterior cruciate ligament reconstruction: a systematic review. Am J Sports Med. 2014;42(5):12471255. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Baez SE, Hoch MC, Hoch JM. Psychological factors are associated with return to pre-injury levels of sport and physical activity after ACL reconstruction. Knee Surg Sports Traumatol Arthrosc. 2020;28(2):495501. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Kuenze C, Lisee C, Triplett A, et al. Validation of a survey to characterize barriers to physical activity after anterior cruciate ligament reconstruction. J Athl Train. 2023;58(10):841848. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 9.

    Whitehead M. Definition of physical literacy and clarification of related issues. ICSSPE Bull. 2013;65. https://www.icsspe.org/sites/default/files/bulletin65_0.pdf

    • Search Google Scholar
    • Export Citation
  • 10.

    Edwards L, Bryant A, Keegan R, Morgan K, Jones A. Definitions, foundations and associations of physical literacy: a systematic review. Sports Med. 2017;47(1):113126. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Caldwell HAT, Di Cristofaro NA, Cairney J, Bray SR, MacDonald MJ, Timmons BW. Physical literacy, physical activity, and health indicators in school-age children. Int J Environ Res Public Health. 2020;17(15):5367. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Ma R-S, Sum RK-W, Li M-H, Huang Y, Niu X-L. Association between physical literacy and physical activity: a multilevel analysis study among Chinese undergraduates. Int J Environ Res Public Health. 2020;17(21):7874. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Burland JP, Howard JS, Lepley AS, DiStefano LJ, Lepley LK, Frechette L. What are our patients really telling us? psychological constructs associated with patient-reported outcomes after anterior cruciate ligament reconstruction. J Athl Train. 2020;55(7):707716. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Mendonça G, de Farias JC Jr. Physical activity and social support in adolescents: analysis of different types and sources of social support. J Sports Sci. 2015;33(18):19421951. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Belanger NMS, Patrick JH. The influence of source and type of support on college students’ physical activity behavior. J Phys Act Health. 2018;15(3):183190. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Gill M, Chan-Golston AM, Rice LN, et al. Correlates of social support and its association with physical activity among young adolescents. Health Educ Behav. 2018;45(2):207216. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Paterno MV, Schmitt LC, Thomas S, Duke N, Russo R, Quatman-Yates CC. Patient and parent perceptions of rehabilitation factors that influence outcomes after anterior cruciate ligament reconstruction and clearance to return to sport in adolescents and young adults. J Orthop Sports Phys Ther. 2019;49(8):576583. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Harris PA, Taylor R, Minor BL, et al. The REDCap consortium: building an international community of software platform partners. J Biomed Inform. 2019;95:103208. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    Sport for Life Society. PLAYself, Physical Literacy Assessment for Youth. 2020. https://play.physicalliteracy.ca/play-tools/playself

  • 20.

    Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16(6):825836. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):8896. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Godin G. The Godin–Shephard leisure-time physical activity questionnaire. Health Fit J Canada. 2011;4(1):1822. doi:

  • 23.

    Kleis RR, Dlugonski D, Baker CS, Hoch JM, Hoch MC. Examining physical literacy in young adults: psychometric properties of the PLAYself. Appl Physiol Nutr Metab. 2022;47(9):926932. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 24.

    Scarapicchia TMF, Amireault S, Faulkner G, Sabiston CM. Social support and physical activity participation among healthy adults: a systematic review of prospective studies. Int Rev Sport Exerc Psychol. 2017;10(1):5083. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 25.

    Golaszewski NM, Bartholomew JB. The development of the physical activity and social support scale. J Sport Exerc Psychol. 2019;41(4):215229. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 26.

    Amireault S, Godin G. The Godin–Shepard Leisure-Time Physical Activity Questionnaire: Validity evidence supporting its use for classifying healthy adults into active and insufficiently active categories. Percept Mot Skills. 2015;120(2):604622. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Brit J Sports Med. 2020;54(24):1451. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 28.

    Zenko Z, Willis EA, White DA. Proportion of adults meeting the 2018 Physical Activity Guidelines for Americans according to accelerometers. Front Public Health. 2019;7:135135. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 29.

    Whittaker JL, Toomey CM, Nettel-Aguirre A, et al. Health-related outcomes after a youth sport–related knee injury. Med Sci Sports Exerc. 2019;51(2):255263. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 30.

    Parsons JL, Coen SE, Bekker S. Anterior cruciate ligament injury: towards a gendered environmental approach. Brit J Sports Med. 2021;55(17):984. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 31.

    Garcia-Hermoso A, José Francisco L-G, Ramírez-Vélez R, Alonso-Martínez AM, Izquierdo M, Ezzatvar Y. Adherence to aerobic and muscle-strengthening activities guidelines: a systematic review and meta-analysis of 3.3 million participants across 32 countries. Brit J Sports Med. 2023;57(4):225. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Disanti J, Lisee C, Erickson K, Kuenze C, Bell D, Shingles M. Perceptions of rehabilitation and return to sport among high school athletes with anterior cruciate ligament reconstruction: a qualitative research study. J Orthop Sports Phys Ther. 2018;48(12):951959. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 33.

    Cairney J, Dudley D, Kwan M, Bulten R, Kriellaars D. Physical literacy, physical activity and health: toward an evidence-informed conceptual model. Sports Med. 2019;49(3):371383. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 34.

    Truong LK, Mosewich AD, Holt CJ, Le CY, Miciak M, Whittaker JL. Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review. Br J Sports Med. 2020;54(19):11491156. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 35.

    Saunders RP, Dishman RK, Dowda M, Pate RR. Personal, social, and environmental influences on physical activity in groups of children as defined by different physical activity patterns. J Phys Act Health. 2020;17(9):867. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 36.

    Newman ND, Weiss WM. Relationship between demographic variables and collegiate athletes’ perceptions of social support from head coaches. Int J Sports Sci Coach. 2018;13(3):343348. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37.

    Yang J, Peek-Asa C, Lowe JB, Heiden E, Foster DT. Social support patterns of collegiate athletes before and after injury. J Athl Train. 2010;45(4):372379. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 38.

    Carter A, Alexander AC. “It’s a whole different atmosphere”: a qualitative examination of social support as a facilitator of exercise during the COVID-19 Pandemic. Health Promot Pract. 2021;22(5):622630. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 261 261 51
Full Text Views 62 62 59
PDF Downloads 54 54 52