Anders Mohrsen, Thomas Sørensen, Henrik Lund, Steven Zartov Rasmussen, Asger Jensen, Katrine Bruun Skov, Michael Skovdal Rathleff
{"title":"\"I Feel Like I Have Lost Part Of My Identity\" - A Qualitative Study Exploring The Impact Of Chronic Ankle Instability.","authors":"Anders Mohrsen, Thomas Sørensen, Henrik Lund, Steven Zartov Rasmussen, Asger Jensen, Katrine Bruun Skov, Michael Skovdal Rathleff","doi":"10.26603/001c.92908","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Lateral ankle sprain is the most common ankle injury and up to 40% of those who sustain a lateral ankle sprain will develop chronic ankle instability (CAI). The aim of this study was to explore the thoughts and expectations of CAI-patients concerning their condition and expectations of care in an orthopedic setting. .</p><p><strong>Study design: </strong>Qualitative study.</p><p><strong>Methods: </strong>Nine semi-structured one-to-one interviews were conducted with CAI-patients who were referred to an orthopedic setting. Interviews were recorded, transcribed, and analyzed using systematic text condensation with an inductive goal free approach. .</p><p><strong>Results: </strong>Seven themes emerged. The themes were <i>Injury history and symptoms</i> (Lateral ankle sprain during sport, pain and instability), <i>Information from health professional</i> (conflicting information about management and prognosis), <i>Management</i> (mental and physical challenges), <i>Expectation and hope</i> (explanation of symptoms, prognosis and imaging to provide clarification of condition), <i>Activity and participation</i> (restriction in sport and daily life and feelings of uncertainty), <i>Support</i> (support from family/friends) and <i>Identity</i> (low ability to participate in sport and social life result in loss of identity). .</p><p><strong>Conclusion: </strong>The impact of CAI exceeds an experience of pain and instability. Patients experienced loss of identity, having to manage uncertainty regarding their diagnosis and prognosis and had hopes of being able to explain their condition. .</p><p><strong>Level of evidence: </strong>Not applicable.</p>","PeriodicalId":47892,"journal":{"name":"International Journal of Sports Physical Therapy","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10909303/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Sports Physical Therapy","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.26603/001c.92908","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: Lateral ankle sprain is the most common ankle injury and up to 40% of those who sustain a lateral ankle sprain will develop chronic ankle instability (CAI). The aim of this study was to explore the thoughts and expectations of CAI-patients concerning their condition and expectations of care in an orthopedic setting. .
Study design: Qualitative study.
Methods: Nine semi-structured one-to-one interviews were conducted with CAI-patients who were referred to an orthopedic setting. Interviews were recorded, transcribed, and analyzed using systematic text condensation with an inductive goal free approach. .
Results: Seven themes emerged. The themes were Injury history and symptoms (Lateral ankle sprain during sport, pain and instability), Information from health professional (conflicting information about management and prognosis), Management (mental and physical challenges), Expectation and hope (explanation of symptoms, prognosis and imaging to provide clarification of condition), Activity and participation (restriction in sport and daily life and feelings of uncertainty), Support (support from family/friends) and Identity (low ability to participate in sport and social life result in loss of identity). .
Conclusion: The impact of CAI exceeds an experience of pain and instability. Patients experienced loss of identity, having to manage uncertainty regarding their diagnosis and prognosis and had hopes of being able to explain their condition. .
简介外侧踝关节扭伤是最常见的踝关节损伤,多达 40% 的外侧踝关节扭伤患者会发展为慢性踝关节不稳定 (CAI)。本研究旨在探讨 CAI 患者对其病情的看法和期望,以及对骨科护理的期望。.研究设计:定性研究:对转诊至骨科的 CAI 患者进行了九次半结构化一对一访谈。对访谈进行了记录、转录,并采用无目标归纳法对访谈内容进行了系统的文本浓缩和分析。结果出现了七个主题。这些主题分别是:受伤史和症状(运动中外侧踝关节扭伤、疼痛和不稳定)、医疗专业人员提供的信息(关于治疗和预后的信息相互矛盾)、管理(精神和身体方面的挑战)、期望和希望(解释症状、预后和影像学检查以明确病情)、活动和参与(在运动和日常生活中受到限制以及不确定感)、支持(来自家庭/朋友的支持)和身份(参与运动和社会生活的能力低下导致身份丧失)。结论CAI 的影响超出了疼痛和不稳定的体验。患者经历了身份认同的丧失,不得不应对诊断和预后的不确定性,并希望能够解释自己的病情。.证据等级:不适用。