The Relationship of Knee-related Quality of Life With Function, Psychological Factors, Strength, Performance, and Postural Stability After ACL Reconstruction: A Cross-Sectional Study

Tavares, Maria Larissa Azevedo; Lima, Pedro Olavo de Paula; Albano, Thamyla Rocha; Rodrigues, Carlos Augusto Silva; Almeida, Gabriel Peixoto Leão

doi:10.1177/19417381221123517

Cited by 9 publications

(6 citation statements)

References 50 publications

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“…Due to the importance that kinesiophobia has on the outcomes of chronic AT patients, it may be important for clinicians to be able to identify this phenomenon in patients and recommend psychologically informed physical therapy. It is possible that a comprehensive psychological assessment of patients may contribute to the process of shared decision‐making for the treatment of injuries with equivocal treatments [23, 35]. Findings from this paper can be useful in initiating the discussion of the role of kinesiophobia in other debilitating foot and ankle conditions, such as Lisfranc fractures.…”

Section: Discussionmentioning

confidence: 99%

Kinesiophobia contributes to worse functional and patient‐reported outcome measures in Achilles tendinopathy: a systematic review

Vivekanantha

Halai

et al. 2023

Knee surg. sports traumatol. arthrosc.

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Purpose To assess the efect of kinesiophobia or fear of reinjury on patient-reported outcome measures and physical performance measures in patients with chronic Achilles tendinopathy (AT). Methods Three databases were systematically screened for studies from inception to May 22nd, 2023 for literature investigating the impact of kinesiophobia on PROMs or physical performance metrics in AT. The authors adhered to the PRISMA and R-AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data on demographics, pain, level of activity, self-reported injury severity, quality of life, single-leg hop performance, and heel-raise performance were recorded. Data was presented primarily in a narrative summary fashion. The MINORS score was used for all studies to perform a quality assessment of included studies. Results Six studies comprising 705 patients were included in this review. Variations of the Tampa Scale of Kinesiophobia (TSK-11 or TSK-17) were used in all studies. TSK scores were strongly correlated with the Pain Catastrophizing Score (PCS) and Visual Analogue Scale (VAS) scores and were correlated with decreased Victorian Institute of Sports Assessment Achilles (VISA-A) and Foot and Ankle Outcome Scores Quality of Life (FAOS-QoL) subscale scores. Kinesiophobia was associated with heel raise completion with conlicting evidence on correlations with hop test performance. Conclusion Increased kinesiophobia scores (> 35 points), measured by TSK are associated with worse PROMs, including increased pain, decreased quality of life, increased self-reported severity, and is also associated with poorer physical performance measures in patients with AT. Level of evidence IV.

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Section: Discussionmentioning

confidence: 99%

Kinesiophobia contributes to worse functional and patient‐reported outcome measures in Achilles tendinopathy: a systematic review

Vivekanantha

Halai

et al. 2023

Knee surg. sports traumatol. arthrosc.

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“…In a previous paper using the same cohort of patients 6 months following ACL surgery, patients with higher ACL-RSI scores reported better functional and clinical outcomes and improved vertical jump performance at 6 months following ACL surgery [ 18 ]. Conversely, Tavares et al investigated health-related quality of life following ACL reconstruction and found few to no correlations between this variable and performance in hop tests [ 21 ]. Reporting on 303 patients up to 12 months after ACL reconstruction, Gauthier et al failed to find any correlation between psychological readiness to return to sport and functional ability [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Drop Jump Performance Improves One Year Following Anterior Cruciate Ligament Reconstruction in Sportsmen Irrespectively of Psychological Patient Reported Outcomes

Legnani

Peretti

et al. 2023

IJERPH

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Our study aims to prospectively report the functional outcomes of 31 sportsmen following anterior cruciate ligament (ACL) reconstruction, up to 12 months after surgery, with regards to subjective tests and drop jump performance, and to investigate the correlations between these variables, to be used for determining the return to sports after ACL reconstruction. Lysholm score, Tegner activity level, and the ACL–Return to Sport after Injury (ACL-RSI) scale were evaluated preoperatively, at 6 months, and at 12 months after surgery. Drop vertical jump was recorded using an infrared optical acquisition system. Lysholm and ACL-RSI scores significantly improved at the 12-month follow-up compared to the baseline and 6-month evaluations (p < 0.001). Concerning Tegner activity level, no statistically significant differences were reported between pre- and post-operative status (p = 0.179). Drop jump limb symmetry index significantly improved at 12 months, with the mean value improving from 76.6% (SD: 32,4) pre-operatively to 90.2% (SD: 14.7; p < 0.001) at follow-up. Scarce positive correlation was reported between the ability to perform drop jumps and activity level in athletes one year after ACL reconstruction. In addition, subjective knee score and psychological readiness were not related to jumping performance.

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“…Furthermore, despite evidence of high rates of osteoarthritis after ACLR, the psychosocial impacts on the progression of health-related quality of life and osteoarthritis is under evaluation. 64,72 It appears mental recovery takes several years, possibly decades, and further investigation is needed to fully understand the directionality of these relationships and long-term associations.…”

Section: Relationship Between Psychosocial Measures and Physical Func...mentioning

confidence: 99%

The Influence of Psychosocial Factors on Patients Undergoing Anterior Cruciate Ligament Reconstruction

Momaya,

Wood,

Benson

et al. 2024

Sports Health: A Multidisciplinary Approach

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Context: Anterior cruciate ligament (ACL) injuries greatly impact patients in terms of future performance, reduced physical activity and athletic participation, and overall economic burden. Decades of research have investigated how to improve ACL reconstruction (ACLR) outcomes. Recently, there has been growing interest to understand the effects of psychosocial factors on patient outcomes. Study Design: Clinical review. Evidence Acquisition: A search of the PubMed database was performed in March 2023. Articles were reviewed by at least 2 authors to determine relevance. We highlighted publications of the past 5 years while incorporating previous pertinent studies. Level of Evidence: Level 5. Results: There is no standardization of psychosocial factors regarding ACLR. As such, there is a lack of consensus regarding which psychosocial measures to use and when. There is a need for clarification of the complex relationship between psychosocial factors and physical function. Despite this, psychosocial factors have the potential to help predict patients who are more likely to return to sport: (1) desire/motivation to return; (2) lower levels of kinesiophobia; (3) higher levels of self-efficacy, confidence, and subjective knee function; (4) risk acceptance; and (5) social support. However, there are no standardized interventions to improve psychosocial factors after ACLR. Conclusion: Psychosocial factors affect outcomes after ACLR. However, the interplay between psychosocial factors and physical function is complex. There is emerging evidence that testing and interventions may improve ACLR outcomes. There is a lack of standardized interventions to determine or improve psychosocial factors after ACLR. Further research is needed to identify psychosocial factors and to develop standardized interventions for clinicians to implement to improve clinical outcomes.

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The Relationship of Knee-related Quality of Life With Function, Psychological Factors, Strength, Performance, and Postural Stability After ACL Reconstruction: A Cross-Sectional Study

Cited by 9 publications

References 50 publications

Kinesiophobia contributes to worse functional and patient‐reported outcome measures in Achilles tendinopathy: a systematic review

Kinesiophobia contributes to worse functional and patient‐reported outcome measures in Achilles tendinopathy: a systematic review

Drop Jump Performance Improves One Year Following Anterior Cruciate Ligament Reconstruction in Sportsmen Irrespectively of Psychological Patient Reported Outcomes

The Influence of Psychosocial Factors on Patients Undergoing Anterior Cruciate Ligament Reconstruction

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