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

• Published in: Physical therapy in sport Vol. 64; pp. 32 - 40
• Main Authors: Holm, Pætur M., Simonÿ, Charlotte, Brydegaard, Nadia K., Høgsgaard, Ditte, Thorborg, Kristian, Møller, Merete, Whittaker, Jackie L., Roos, Ewa M., Skou, Søren T.
• Format: Journal Article
• Language: English
• Published: Kidlington Elsevier Limited 01-11-2023
• Subjects: Exercise; Focus groups; Gender; Interviews; Joint and ligament injuries; Knee; Literature reviews; Medical personnel; Medical referrals; Orthopedics; Physical therapy; Professionals; Qualitative research; Social networks; Sports medicine; Denmark
• ISSN: 1466-853X; 1873-1600
• DOI: 10.1016/j.ptsp.2023.08.006

ObjectivesTo better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.DesignQualitative interviews.SettingPublic healthcare in Denmark.ParticipantsTen 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 measureSemi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.ResultsThe 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.ConclusionEarly 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.