Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study
The anterior cruciate ligament (ACL) is the most injured ligament of the knee, and the treatment of choice is usually ACL reconstruction. Kinesiophobia refers to an irrational and paralyzing fear of movement caused by the feeling of being prone to injury or reinjury. The aim of the present study is...
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| Veröffentlicht in: | Journal of clinical medicine 2023-07, Vol.12 (14), p.4858 |
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| creator | Longo, Umile Giuseppe Marino, Martina Rizzello, Giacomo De Salvatore, Sergio Piergentili, Ilaria Denaro, Vincenzo |
| description | The anterior cruciate ligament (ACL) is the most injured ligament of the knee, and the treatment of choice is usually ACL reconstruction. Kinesiophobia refers to an irrational and paralyzing fear of movement caused by the feeling of being prone to injury or reinjury. The aim of the present study is to evaluate the relationship between preoperative and postoperative kinesiophobia with postoperative outcomes of ACL-R evaluated through SF-36, ACL-RSI, KOOS, and OKS scores. Included patients all underwent ACL reconstruction. The preoperative TSK-13 questionnaire and six-month postoperative TSK-13, ACL-RSI, SF-36, KOOS, and OKS questionnaires were assessed in included patients. Normal distribution was assessed using the Shapiro-Wilk test. The study included 50 patients who filled out the questionnaires at the 6-month postoperative follow-up. Correlations between preoperative TSK-13 and postoperative outcome measures revealed a low-moderate negative correlation between preoperative TSK-13 and SF-36 PCS at 6-month follow-up. Correlations between postoperative TSK-13 and postoperative outcome measures revealed a high negative correlation between preoperative TSK-13 and ACL-RSI, KOOS Symptoms, KOOS Pain, KOOS ADL, and OKS at 6-month follow-up. Preoperative and postoperative kinesiophobia were found to influence postoperative ACL-R outcomes negatively, more specifically an increase in kinesiophobia showed a statistically significant correlation with worse postoperative SF-36 PCS scores in patients. |
| doi_str_mv | 10.3390/jcm12144858 |
| format | Article |
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Kinesiophobia refers to an irrational and paralyzing fear of movement caused by the feeling of being prone to injury or reinjury. The aim of the present study is to evaluate the relationship between preoperative and postoperative kinesiophobia with postoperative outcomes of ACL-R evaluated through SF-36, ACL-RSI, KOOS, and OKS scores. Included patients all underwent ACL reconstruction. The preoperative TSK-13 questionnaire and six-month postoperative TSK-13, ACL-RSI, SF-36, KOOS, and OKS questionnaires were assessed in included patients. Normal distribution was assessed using the Shapiro-Wilk test. The study included 50 patients who filled out the questionnaires at the 6-month postoperative follow-up. Correlations between preoperative TSK-13 and postoperative outcome measures revealed a low-moderate negative correlation between preoperative TSK-13 and SF-36 PCS at 6-month follow-up. Correlations between postoperative TSK-13 and postoperative outcome measures revealed a high negative correlation between preoperative TSK-13 and ACL-RSI, KOOS Symptoms, KOOS Pain, KOOS ADL, and OKS at 6-month follow-up. Preoperative and postoperative kinesiophobia were found to influence postoperative ACL-R outcomes negatively, more specifically an increase in kinesiophobia showed a statistically significant correlation with worse postoperative SF-36 PCS scores in patients.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm12144858</identifier><identifier>PMID: 37510972</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Activities of daily living ; Analysis ; Biomechanics ; Chronic pain ; Clinical medicine ; Italian language ; Joint and ligament injuries ; Knee ; Likert scale ; Males ; Normal distribution ; Orthopedics ; Pain, Postoperative ; Patient outcomes ; Patients ; Physical therapy ; Postoperative period ; Psychological aspects ; Quality of life ; Questionnaires ; Therapeutics, Physiological</subject><ispartof>Journal of clinical medicine, 2023-07, Vol.12 (14), p.4858</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Kinesiophobia refers to an irrational and paralyzing fear of movement caused by the feeling of being prone to injury or reinjury. The aim of the present study is to evaluate the relationship between preoperative and postoperative kinesiophobia with postoperative outcomes of ACL-R evaluated through SF-36, ACL-RSI, KOOS, and OKS scores. Included patients all underwent ACL reconstruction. The preoperative TSK-13 questionnaire and six-month postoperative TSK-13, ACL-RSI, SF-36, KOOS, and OKS questionnaires were assessed in included patients. Normal distribution was assessed using the Shapiro-Wilk test. The study included 50 patients who filled out the questionnaires at the 6-month postoperative follow-up. Correlations between preoperative TSK-13 and postoperative outcome measures revealed a low-moderate negative correlation between preoperative TSK-13 and SF-36 PCS at 6-month follow-up. Correlations between postoperative TSK-13 and postoperative outcome measures revealed a high negative correlation between preoperative TSK-13 and ACL-RSI, KOOS Symptoms, KOOS Pain, KOOS ADL, and OKS at 6-month follow-up. Preoperative and postoperative kinesiophobia were found to influence postoperative ACL-R outcomes negatively, more specifically an increase in kinesiophobia showed a statistically significant correlation with worse postoperative SF-36 PCS scores in patients.</description><subject>Activities of daily living</subject><subject>Analysis</subject><subject>Biomechanics</subject><subject>Chronic pain</subject><subject>Clinical medicine</subject><subject>Italian language</subject><subject>Joint and ligament injuries</subject><subject>Knee</subject><subject>Likert scale</subject><subject>Males</subject><subject>Normal distribution</subject><subject>Orthopedics</subject><subject>Pain, Postoperative</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Postoperative period</subject><subject>Psychological aspects</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Therapeutics, Physiological</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkktvEzEQx1cIRKvSE3dkiQsSSvFjjW0uKIooVAQ14nG2HO9s6mjXXvwo6qfhq-LQ0qYV9sHWzG_-9jya5jnBJ4wp_GZrR0JJ20ouHzWHFAsxw0yyx3v3g-Y4pS2uS8qWEvG0OWCCE6wEPWx-ryKECaLJ7hKQ8R1ahZTvLJ-dh-TCdBHWzqAz3w8FvIX0ADsv2YYR0BcwqcTqPg3DEH45v0FznyG6ENEiFutMBrR0GzOCz-gr2OBTrvbsgn-H5mgVQ5rA_tX8lkt39ax50pshwfHNedT8OP3wffFptjz_eLaYL2e2FSLPFLFMgBF2rTDlYKgi0lraMyx7wZQga_OWgAVFQHa8xUb1CihVtussazvDjpr317pTWY_Q2fq9aAY9RTeaeKWDcfq-x7sLvQmXmtQSE9WSqvDqRiGGnwVS1qNLFobBeAglaSrbFqvaFFnRlw_QbSjR1_x2FMOCc07vqI0ZQDvfh_qw3YnqueCK8NpbXKmT_1B1dzC6Wl7oXbXfC3h9HWBrrVOE_jZJgvVupvTeTFX6xX5dbtl_E8T-AN2nyu0</recordid><startdate>20230724</startdate><enddate>20230724</enddate><creator>Longo, Umile Giuseppe</creator><creator>Marino, Martina</creator><creator>Rizzello, Giacomo</creator><creator>De Salvatore, Sergio</creator><creator>Piergentili, Ilaria</creator><creator>Denaro, Vincenzo</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9111-3638</orcidid><orcidid>https://orcid.org/0000-0003-4063-9821</orcidid><orcidid>https://orcid.org/0009-0000-9952-0986</orcidid></search><sort><creationdate>20230724</creationdate><title>Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study</title><author>Longo, Umile Giuseppe ; Marino, Martina ; Rizzello, Giacomo ; De Salvatore, Sergio ; Piergentili, Ilaria ; Denaro, Vincenzo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-91c37ea7cb9025ea2918cc2f308f73971ba61ece91e8d540a9f9e229cddc34da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Activities of daily living</topic><topic>Analysis</topic><topic>Biomechanics</topic><topic>Chronic pain</topic><topic>Clinical medicine</topic><topic>Italian language</topic><topic>Joint and ligament injuries</topic><topic>Knee</topic><topic>Likert scale</topic><topic>Males</topic><topic>Normal distribution</topic><topic>Orthopedics</topic><topic>Pain, Postoperative</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Postoperative period</topic><topic>Psychological aspects</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Therapeutics, Physiological</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Longo, Umile Giuseppe</creatorcontrib><creatorcontrib>Marino, Martina</creatorcontrib><creatorcontrib>Rizzello, Giacomo</creatorcontrib><creatorcontrib>De Salvatore, Sergio</creatorcontrib><creatorcontrib>Piergentili, Ilaria</creatorcontrib><creatorcontrib>Denaro, Vincenzo</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Longo, Umile Giuseppe</au><au>Marino, Martina</au><au>Rizzello, Giacomo</au><au>De Salvatore, Sergio</au><au>Piergentili, Ilaria</au><au>Denaro, Vincenzo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2023-07-24</date><risdate>2023</risdate><volume>12</volume><issue>14</issue><spage>4858</spage><pages>4858-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>The anterior cruciate ligament (ACL) is the most injured ligament of the knee, and the treatment of choice is usually ACL reconstruction. Kinesiophobia refers to an irrational and paralyzing fear of movement caused by the feeling of being prone to injury or reinjury. The aim of the present study is to evaluate the relationship between preoperative and postoperative kinesiophobia with postoperative outcomes of ACL-R evaluated through SF-36, ACL-RSI, KOOS, and OKS scores. Included patients all underwent ACL reconstruction. The preoperative TSK-13 questionnaire and six-month postoperative TSK-13, ACL-RSI, SF-36, KOOS, and OKS questionnaires were assessed in included patients. Normal distribution was assessed using the Shapiro-Wilk test. The study included 50 patients who filled out the questionnaires at the 6-month postoperative follow-up. Correlations between preoperative TSK-13 and postoperative outcome measures revealed a low-moderate negative correlation between preoperative TSK-13 and SF-36 PCS at 6-month follow-up. Correlations between postoperative TSK-13 and postoperative outcome measures revealed a high negative correlation between preoperative TSK-13 and ACL-RSI, KOOS Symptoms, KOOS Pain, KOOS ADL, and OKS at 6-month follow-up. Preoperative and postoperative kinesiophobia were found to influence postoperative ACL-R outcomes negatively, more specifically an increase in kinesiophobia showed a statistically significant correlation with worse postoperative SF-36 PCS scores in patients.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>37510972</pmid><doi>10.3390/jcm12144858</doi><orcidid>https://orcid.org/0000-0002-9111-3638</orcidid><orcidid>https://orcid.org/0000-0003-4063-9821</orcidid><orcidid>https://orcid.org/0009-0000-9952-0986</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Activities of daily living Analysis Biomechanics Chronic pain Clinical medicine Italian language Joint and ligament injuries Knee Likert scale Males Normal distribution Orthopedics Pain, Postoperative Patient outcomes Patients Physical therapy Postoperative period Psychological aspects Quality of life Questionnaires Therapeutics, Physiological |
| title | Preoperative and Postoperative Kinesiophobia Influences Postoperative Outcome Measures Following Anterior Cruciate Ligament Reconstruction: A Prospective Study |
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