Kinesiophobia Is Negatively Associated With Psychological Readiness to Return to Sport in Patients Awaiting Anterior Cruciate Ligament Reconstruction
Kinesiophobia Is Negatively Associated With Psychological Readiness to Return to Sport in Patients Awaiting Anterior Cruciate Ligament Reconstruction
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DOI：
10.1016/j.arthro.2023.02.016
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发表时间：
2023-08-03
影响因子：
4.7
通讯作者：
Yagishita，Kazuyoshi
中科院分区：
文献类型：
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作者：
Ohji，Shunsuke;Aizawa，Junya;Yagishita，Kazuyoshi
PurposeTo确定与等待ACL重建（ACLR）的患者中前交叉韧带损伤后恢复运动（ACL-RSI）评分相关的因素。我们招募了预定进行初次ACLR的患者，年龄16-45岁，ACL损伤前改良Tegner活动量表评分≥5。主要结果是心理准备返回运动（RTS），使用ACL-RSI量表测量。获得参与者的个人和损伤相关信息，并检查他们的心理状态（坦帕运动恐惧症量表[TSK]和运动员身份测量量表）和膝关节功能（积液，活动范围，关节稳定性和单腿蹲下时的膝关节屈曲角度）。所有变量进行了评估前一天surgical.ResultsA共105例患者（中位数[四分位数范围]：年龄，20.0 [9.0]岁，体重指数，22.8 [4.3] kg/m2，从受伤到手术的天数，63.0 [65.0]天，44%的女性）参加。单变量分析表明，只有TSK评分与ACL-RSI评分相关（r=-0.305;P= 0.02）。对性别、伤前Tegner活动量表评分、伤后至手术时间等因素的多元回归分析进一步显示，只有TSK评分与ACL-RSI评分相关（P= 0.002; 95%置信区间-1.738至0.394）。结论在等待ACLR的患者中，运动恐惧症与RTS的心理准备程度呈中度负相关，证据等级III级，回顾性横断面观察研究。
PurposeTo identify the factors associated with anterior cruciate ligament return to sport after injury (ACL-RSI) scores in patients awaiting ACL reconstruction (ACLR).MethodsThis was a retrospective cross-sectional observational study conducted at a single clinical center. We recruited patients scheduled for primary ACLR, aged 16–45 years, and with modified Tegner activity scale scores ≥5 before ACL injury. The main outcome was psychological readiness to return to sport (RTS), as measured using the ACL-RSI scale. Participants’ personal and injury-related information were obtained, and their psychological status (Tampa Scale for Kinesiophobia [TSK] and athletic identity measurement scale) and knee functions (effusion, range of motion, joint stability, and knee flexion angle during a single-leg squat) were examined. All variables were assessed the day before the surgery.ResultsA total of 105 patients (median [interquartile range]: age, 20.0 [9.0] years; body mass index, 22.8 [4.3] kg/m2; days from injury to surgery, 63.0 [65.0] days; 44% female) were enrolled. Univariate analysis indicated that only the TSK score was associated with the ACL-RSI scores (r= −0.305;P= .02). Multiple regression analysis of factors, including sex, preinjury Tegner activity scale score, and days from injury to surgery, further showed that only the TSK score was associated with the ACL-RSI scores (P= .002; 95% confidence interval −1.738 to −0.394).ConclusionsIn patients awaiting ACLR, kinesiophobia was moderately negatively associated with psychological readiness to RTS, while other factors were not.Level of EvidenceLevel III, retrospective cross-sectional observational study.