FYSIOTERAPEUTEN 5/25 39 Abstract Title: «When Fear Controls the Knee»: A Qualitative Study on Physiotherapists’ Experiences with Rehabilitation of Patellar Instability Purpose: To provide insight about physiotherapists’ experiences with the rehabilitation of patients with patellar instability, including management of patients fear and avoidance behaviour. Method: The study employed a qualitative approach to explore physiotherapists’ experiences in working with patients with patellar instability. Data were collected through individual, semi-structured interviews with nine experienced physiotherapists. The interview data were analyzed using systematic text condensation. Findings: The analysis in this study generated four main categories: 1) The rehabilitation process, 2) Fear and avoidance behaviour, 3) Coping and motivation and 4) Return to sport. Conclusion: The physiotherapists in this study adopt a holistic approach to the rehabilitation of patients with patellar instability, considering both the physical and mental aspects of the condition. The study highlights the need for further research examining the effects of various training interventions and cognitive measures for patients with patellar instability, which will contribute to the development of rehabilitation guidelines for this patient group. Keywords: patellar instability, rehabilitation, fear, avoidance behavior. 30. Tommaso G, Antonello V, Marco M, Marco T, Giacomo R. Manual therapy: Exploiting the role of human touch. Musculoskelet Sci Pract. 2019;44:102044- 102044. doi:10.1016/j.msksp.2019.07.008. https://doi.org/10.1016/j.msksp.2019.07.008 31. Lampros RE, Wiater AL, Tanaka MJ. Rehabilitation and Return to Sport After Medial Patellofemoral Complex Reconstruction. Arthrosc Sports Med Rehabil. 2022;4(1):e133-e140. https://doi.org/10.1016/j.asmr.2021.09.030 32. Forde C, Mortimer C, Haddad M, Hirani SP, Williams MA, Keene DJ. Objectively quantified lower limb strength recovery in people treated surgically or non-surgically after patellar dislocation: A systematic review. Phys Ther Sport. 2021;51:11038. https://doi.org/10.1016/j.ptsp.2021.06.003 33. Ménétrey J, Putman S, Gard S. Return to sport after patellar dislocation or following surgery for patellofemoral instability. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2320-6. https://doi.org/10.1007/s00167-014-3172-5 34. Faleide AGH, Magnussen LH, Strand T, Bogen BE, MoeNilssen R, Mo IF, et al. The role of psychological readiness in return to sport assessment after anterior cruciate ligament reconstruction. Am J Sports Med. 2021;49(5):1236-43. https:// doi.org/10.1177/0363546521991924 35. Gokeler A, Welling W, Zaffagnini S, Seil R, Padua D. Development of a test battery to enhance safe return to sports after anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017;25(1):192-9. https://doi. org/10.1007/s00167-016-4246-3 36. Welling W, Benjaminse A, Lemmink K, Gokeler A. Passing return to sports tests after ACL reconstruction is associated with greater likelihood for return to sport but fail to 36 identify second injury risk. Knee. 2020;27(3):949-57. https://doi. org/10.1016/j.knee.2020.03.007
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