Personality Predictors of Adherence to Clinic-Based Rehabilitation Following ACL Reconstruction

Judy Van Raalte, Springfield College, USA

Theme: Injury/trauma/rehabilitation

Poster Number: 33

Program ID: POS-1

Presentation: October 3, 2013 5:30 pm - 7:00 pm

Room: Napoleon


Surgical reconstruction of the anterior cruciate ligament (ACL) is generally followed by a lengthy period of rehabilitation, a portion of which is customarily completed in a clinical setting. Adherence to clinic-based rehabilitation is associated with recovery outcomes after ACL surgery. Although Big Five personality characteristics have been found to predict adherence to several medical regimens, they have not been investigated as predictors of adherence to clinic-based rehabilitation following ACL reconstruction. Consequently, the purpose of this study was to examine the extent to which neuroticism, extraversion, openness, agreeableness, and conscientiousness were predictive of adherence to clinic-based rehabilitation activities after ACL surgery. Participants were 108 individuals (36 females and 72 males) who had ACL surgery with one of the three surgeons affiliated with the study. Prior to surgery, participants completed a battery of questionnaires that included the NEO-Five Factor Inventory-S (NEO-FFI-S; Costa & McCrae, 1992). After surgery, rehabilitation professionals recorded participants’ attendance at rehabilitation sessions and rated their adherence during rehabilitation sessions on the Sport Injury Rehabilitation Adherence Scale (SIRAS; Brewer et al., 2000). Results of multiple regression analyses controlling for age and sex revealed that the Big Five personality characteristics accounted for a significant portion of the variance in both attendance (R2 = .11, p = .040) and SIRAS scores (R2 = .17, p = .002). Agreeableness (? = .27, p = .015) was a significant predictor of attendance scores, and openness (? = .24, p = .012) and conscientiousness (? = .35, p = .001) were significant predictors of SIRAS scores. The findings highlight the relevance of Big Five personality characteristics to sport injury rehabilitation adherence and suggest that the general characteristics of agreeableness, openness, and conscientiousness join more specific personality characteristics such as self-motivation, ego orientation, and toughmindedness in contributing to the prediction of sport injury rehabilitation adherence.

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