PT  - JOURNAL ARTICLE
AU  - Linda K Truong
AU  - Amber D Mosewich
AU  - Christopher J Holt
AU  - Christina Y Le
AU  - Maxi Miciak
AU  - Jackie L Whittaker
TI  - Psychological, social and contextual factors across recovery stages following a sport-related knee injury: a scoping review
AID  - 10.1136/bjsports-2019-101206
DP  - 2020 Oct 01
TA  - British Journal of Sports Medicine
PG  - 1149--1156
VI  - 54
IP  - 19
4099  - http://bjsm.bmj.com/content/54/19/1149.short
4100  - http://bjsm.bmj.com/content/54/19/1149.full
SO  - Br J Sports Med2020 Oct 01; 54
AB  - Objective To explore the role of psychological, social and contextual factors across the recovery stages (ie, acute, rehabilitation or return to sport (RTS)) following a traumatic time-loss sport-related knee injury.Material and methods This review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews and Arksey and O’Malley framework. Six databases were searched using predetermined search terms. Included studies consisted of original data written in English that identified or described a psychological, social or contextual factor related to recovery after a traumatic time-loss sport-related knee injury. Two authors independently conducted title–abstract and full-text reviews. Study quality was assessed using the Mixed Methods Appraisal Tool. Thematic analysis was undertaken.Results Of 7289 records, 77 studies representing 5540 participants (37% women, 84% anterior cruciate ligament tears, aged 14–60 years) were included. Psychological factors were investigated across all studies, while social and contextual factors were assessed in 39% and 21% of included studies, respectively. A cross-cutting concept of individualisation was present across four psychological (barriers to progress, active coping, independence and recovery expectations), two social (social support and engagement in care) and two contextual (environmental influences and sport culture) themes. Athletes report multiple barriers to recovery and valued their autonomy, having an active role in their recovery and diverse social support.Conclusion Diverse psychological, social and contextual factors are present and influence all stages of recovery following a traumatic sport-related knee injury. A better understanding of these factors at the time of injury and throughout rehabilitation could assist with optimising injury management, promoting RTS, and long-term health-related quality-of-life.