Effect of Patient Resilience and the Single Assessment Numeric Evaluation (SANE) Score on Return to Sport Following Anterior Cruciate Ligament Reconstruction Surgery

Document Type : RESEARCH PAPER

Authors

1 Department of Orthopedics, Saint Louis University School of Medicine, St. Louis, MO, USA

2 Department of General Surgery, Cleveland Clinic School of Medicine, Cleveland, OH, USA

3 The Iowa Clinic, Department of Orthopedic Surgery, Sports Medicine and Shoulder Surgery, Des Moines, IA, USA

Abstract

Background: This study aims to determine the effect of resilience, as measured by the Brief Resilience Scale
(BRS), and perceived self-efficacy of knee function, as measured by the Single Assessment Numeric Evaluation
(SANE) score on return to sport outcomes following ACL Reconstruction (ACLR) surgery.
Methods: Seventy-one patients undergoing ACLR surgery were followed up for a minimum of one year. At sixmonths
post-op, ACLR patients completed the BRS and the SANE score. Patients were stratified into low, normal,
and high resilience groups, and outcome scores were calculated.
Results: The median return to sports participation, in months post-operatively, for the low, normal, and high
resiliency groups were 7.1, 7.3, and 7.2 months, respectively (P=0.78). A multiple logistic regression analysis
revealed that the SANE score was a significant predictor of return to sport at nine months when adjusted for age,
sex, and BRS score (P=0.01). Patients that returned to sport by nine months demonstrated a mean SANE score
of 92.7, compared to a mean of 85.7 (P=0.08). In patients who had returned to sport, neither the BRS resilience
group nor the SANE score were significant predictors of the retu rned level of competition status (P=0.06; P=0.18).
Conclusion: The SANE score may serve as a significant predictor of return to sport when adjusted for age, sex,
and BRS score. Resilience, as measured by the BRS, was not significantly associated with return to sport, but may
have utility in specific patient populations.
Level of evidence: IV

Keywords

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The Archives of Bone and Joint Surgery
Volume 9, Issue 5
September and October 2021
Pages 512-518

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History

  • Receive Date: 24 September 2020
  • Revise Date: 03 January 2021
  • Accept Date: 19 January 2021

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