An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study

Pætur M Holm, Charlotte Simonÿ, Nadia K Brydegaard, Ditte Høgsgaard, Kristian Thorborg, Merete Møller, Jackie L Whittaker, Ewa M Roos, Søren T Skou

Abstract

OBJECTIVES: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.

DESIGN: Qualitative interviews.

SETTING: Public healthcare in Denmark.

PARTICIPANTS: Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).

MAIN OUTCOME MEASURE: Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.

RESULTS: The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.

CONCLUSION: Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.

Original languageEnglish
JournalPhysical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine
Volume64
Pages (from-to)32-40
Number of pages9
ISSN1466-853X
DOIs
Publication statusPublished - 9 Sept 2023

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