Table 2

Quotes from interviews for each subcategory

Main categorySubcategoryCodeQuote
Past: the ACL injury and its consequencesThe terrible impact of the injuryImpaired body
Terrible
Difficult to understand
Q1: I love to use my body. I am not an elite athlete, but… I love to move(…), and this (feeling the body as impaired) is perhaps the worst thing. That… feeling my body is impaired. It was terrible. It has been enormously difficult to understand.
Healthcare system: lost without helpNobody told me
I did not understand
Did not get information
I Had to book myself
Not understand my injury
Very tough programme produced symptoms
Q2: I did not get any information about… this is something that I first understood long after the injury. But I should not have walked on my injured leg. But nobody told me. I did not understand how badly my leg was injured.(…)so we went in (to the hospital) to get some crutches. And I still did not receive any information. I had to book an appointment with a physiotherapist by myself. Then I came there and the physiotherapist was not able to determine what type of injury I had.(…)so, I got a very tough rehabilitation programme, which gave me a lot of knee symptoms.
Treatment choice: not knowing what to doThe surgeon decided
I had no choice
Reading literature
Consulted with a physiotherapist
Surgery would not be better
Q3(A): But he (the surgeon) said: “This is not a case for surgery”. There was no discussion, I had no choice.
Q3 (B): I had been reading some of the literature on the subject and then consulted my physiotherapist… and… as I understood, there was no belief that surgery would result in a superior outcome.
Rehabilitation of an ACL injury: the endless roadIt was a shock
Could not contact muscles
I could not move my knee
Nice to come back to the gym
Going to the gym gave motivation
Quick differences
From injured to strong
Got excited
Q4 (A): And then I remember… I remember it was like a shock. I was unable to use my muscles.(…)it was a simple task: extend the knee. I remember I was staring at my knee, but it just wouldn’t extend.
Q4 (B): It was so nice to come back (to the gym)! And at the same time… it (coming back to the gym) gave me more motivation… To do the old exercises… I noticed the difference very quickly… From injured to strong. I got excited!
Lessons: taking responsibility for my bodyTurning point when I listened to my body
Did not trust healthcare providers
I looked at my body from a different perspective
I had to take responsibility for my treatment
Q5: The turning point in the rehabilitation was when I started listening to my body. I did not blindly trust doctors or physiotherapists. I took a step back and looked at my body and soul… What do I need? I had to learn to take responsibility for my treatment.
Present: having knee-related symptomsMy knee does well enough for what I wantFully active
Play my sport
Play without problems
Q6: I am fully active. I play my sport in division one without any problem.
The knee: a symptomatic obstacleKnee is not as before
I do not accept it
Sense of weakness in the leg
Cannot trust the leg
Not trusting the leg limits me
Q7: The leg… it is not as it was before. And I do not want to accept it any more. The leg stays together. I know inside my head my leg can support my torso… But… I have a sense of weakness inside there. I cannot trust my leg as I did before. I feel this limits me from doing what I love to do.
Physical activity: necessary adjustmentsI do not perform as before
Run slower
Take it easy because of the knee
Q8: … on the other hand, when you think about jogging, I am not where I was before (the injury). So, when I am out running now, we are talking about five, six kilometres, at a totally different pace compared with before the injury… But… it is still jogging, if we can call it that…but I consciously take it easy in order not to strain my knee too much.
Future: what might happen?The future: uncertaintyKeep training the rest of my life
Knee needs training
Do not know what might happen if I do not train
Q9: Yes, I think I will have to keep on training for the rest of my life… My knee needs training. But, in the future, when I am old… if I feel I am not able to train… I don’t know what will happen then. We shall see.
  • ACL, anterior cruciate ligament.