Pain Catastrophizing and Kinesiophobia Affect Return to Sport in Patients Undergoing Hip Arthroscopy for the Treatment of Femoroacetabular Impingement

Abstract

Purpose: To assess whether pain catastrophizing and kinesiophobia affect return to sport (RTS) or clinically significant outcome (CSO) achievement in patients undergoing hip arthroscopy for the treatment of femoroacetabular impingement (FAI). Methods: Patients undergoing primary hip arthroscopy at a single institution between January 2017 and March 2017 were prospectively enrolled. Patients received the Tampa Scale of and Pain Catastrophizing Scale (PCS) questionnaires preoperatively, 3 weeks, 6 weeks, 3 months, 6 months, and 1 year postoperatively. Patients also received the Hip Outcome Score Sport-Specific (HOS-SS) questionnaire preoperatively and 1 year and 2 years' postoperatively. An RTS questionnaire was completed at final follow-up. Bivariate correlations were conducted between PCS and TSK-11 scores and RTS status and achievement of CSOs of HOS-SS, based on patient acceptable symptom state (PASS) and substantial clinical benefit (SCB). Results: Fifty-eight patients with an average age of 31.9 AE 12.2 and body mass index of 24.0 AE 3.8 participated in sport prior to surgery and were included in the study. Forty-two (72.4%) patients returned to sport at 10.5 AE 7.1 months following surgery. There was a significant reduction in TSK-11 and PCS scores at 1-year follow-up 26.1

Criteria-Based Rehabilitation Following Revision Hip Arthroscopy: A Clinical Commentary

“…71,73 Browning and colleagues showed that patients with pain catastrophizing and kinesiophobia following arthroscopic hip surgery had poor RTS outcomes at one year. 74 The use of psychological readiness scales throughout rehab may help to assess areas of fear avoidance or anxiety regarding RHA rehabilitation and return to prior levels of function. Recently, the Hip-RSI, a modified version of the ACL-RSI, has been proven to be both valid and reliable in assessing psychological readiness following hip arthroscopy.…”