Non-Surgical Management of the Medial Collateral Ligament of the Knee: Understanding Adherence to Bracing Treatment

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dc.contributor.advisorMohtadi, Nicholas G
dc.contributor.advisorBlack, Amanda M
dc.contributor.authorHunter, Dana Jaclyn
dc.contributor.committeememberCulos-Reed, S. Nicole
dc.contributor.committeememberLun, Victor M.Y.
dc.dateWinter Conferral
dc.date.accessioned2023-05-11T04:43:40Z
dc.date.embargolift2023-11-04
dc.date.issued2022-11-04
dc.description.abstractThis thesis used a multimethod study design informed by principals of patient-oriented research to understand the predictors, facilitators, and barriers to adherence to a six-week knee bracing protocol for acute medial collateral ligament (MCL) injuries. The quantitative component aimed to measure adherence to the treatment and explored potential demographic and clinical predictors of adherence (i.e., age, diagnosis, pain, brace satisfaction, overall knee score). The qualitative component used semi-structured interviews with patients to provide an in-depth exploration of barriers and facilitators to brace-wearing. The interview guide and analysis were considered within a postpositivist worldview and were informed by two patient partners with relevant recent experience with non-surgical management of the MCL. Grounded theory was used to inductively create categories, codes, and themes to provide an understanding of brace-wearing adherence. The findings from the quantitative study yielded no significant predictors of adherence at any phase. The qualitative study produced a patient-centered model of brace-wearing adherence and demonstrated how the complex balance between the factors affected patients’ decision to wear the brace. Five core categories were identified to classify the diverse facilitators and barriers to brace-wearing: patient factors, clinical context, treatment factors, injury factors, and external factors. Patient-specific facilitators were crucial to increasing brace-wearing, especially having a strong desire to heal, experience with similar treatments, a good understanding of the purpose of the treatment, being of older age, and using positive coping mechanisms. Other facilitators of brace adherence were identified as positive social support, frequent clinical follow-ups, building effective relationships with clinicians, and higher brace satisfaction (i.e., ease of use and efficiency). Key contributors to reduced brace-wearing adherence were recognized as low treatment satisfaction (i.e., treatment duration and brace discomfort), certain sleeping habits, symptom improvement, and interpersonal hindrances (e.g., negative affect, low resilience, depression, anxiety).
dc.identifier.citationHunter, D. J. (2022). Non-Surgical Management of the Medial Collateral Ligament of the Knee: Understanding Adherence to Bracing Treatment (Master thesis). University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca .
dc.identifier.urihttp://hdl.handle.net/1880/116343
dc.identifier.urihttps://dx.doi.org/10.11575/PRISM/dspace/41187
dc.language.isoEnglish
dc.publisher.facultyKinesiology
dc.subjectpatient-centered care
dc.subjectadherence
dc.subjectcompliance
dc.subjectknee
dc.subjectmedial collateral ligament
dc.subjectknee injury
dc.subjectknee brace
dc.subjectnonoperative management
dc.subjectnon-surgical treatment
dc.subjectqualitative research
dc.subjectpatient-oriented research
dc.subjectgrounded theory.
dc.subject.classificationHealth Sciences--General
dc.subject.classificationHealth Sciences--Health Care Management
dc.subject.classificationHealth Sciences--Medicine and Surgery
dc.subject.classificationHealth Sciences--Epidemiology
dc.titleNon-Surgical Management of the Medial Collateral Ligament of the Knee: Understanding Adherence to Bracing Treatment
dc.typemaster thesis
thesis.degree.disciplineKinesiology
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameMaster of Science (MSc)
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