Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis.
Phys Ther Sport
; 50: 217-225, 2021 Jul.
Article
in En
| MEDLINE
| ID: mdl-34116406
ABSTRACT
OBJECTIVES:
To examine associations between preoperative fear-avoidance model (FAM) risk subgroup status and patient expectation of surgical success with postoperative outcomes at 6 and 12 months after anterior cruciate ligament reconstruction (ACLR).DESIGN:
Cohort study.SETTING:
Academic medical center.PARTICIPANTS:
54 patients (25 females) undergoing unilateral ACLR. MAIN OUTCOMEMEASURES:
Cluster analysis distinguished FAM risk subgroups based on preoperative fear of movement/reinjury, self-efficacy, and pain catastrophizing. Preoperative expectation for surgical success was assessed with a numeric rating scale. Six and 12-month outcomes included Subjective Patient Outcomes for Return to Sport, Knee Injury and Osteoarthritis Outcome Score (KOOS) sports/recreation and quality of life, and International Knee Documentation Committee (IKDC) Subjective Knee Form.RESULTS:
Thirteen (24%) patients were "moderate-to-high FAM risk." Moderate-to-high FAM risk patients had lower odds of return to sport at 12 months (OR = 0.3, p = .05) and lower KOOS sports/recreation at 6 months (st. beta = -0.27, p = .05), KOOS quality of life at 12 months (st. beta = -0.42, p = .007), and IKDC at 6 (st. beta = -0.29, p = .04) and 12 months (st. beta = -0.47, p = .001). Higher expectation was associated with lower 6-month IKDC (st. beta = -0.36, p = .008) and 12-month KOOS quality of life (st. beta = -0.29, p = .05).CONCLUSIONS:
Preoperative FAM risk influences patient-reported outcomes and return to sport at 6 and 12 months.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Athletic Injuries
/
Avoidance Learning
/
Fear
/
Anterior Cruciate Ligament Reconstruction
/
Anterior Cruciate Ligament Injuries
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Patient_preference
Limits:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
Language:
En
Journal:
Phys Ther Sport
Journal subject:
MEDICINA ESPORTIVA
/
MEDICINA FISICA
Year:
2021
Document type:
Article