The Influence of Kinesiophobia and Pain Catastrophizing on Disease-Specific Quality of Life in Patients With Recurrent Patellofemoral Instability.

IF 4.2 1区 医学 Q1 ORTHOPEDICS American Journal of Sports Medicine Pub Date : 2024-10-06 DOI:10.1177/03635465241281341
Laurie A Hiemstra, Mark R Lafave, Allegra Bentrim, Sarah Kerslake
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Abstract

Background: The Banff Patellofemoral Instability Instrument 2.0 (BPII 2.0) is a disease-specific, quality of life patient-reported outcome measure (PROM) that is valid and reliable in patients with recurrent lateral patellofemoral instability (LPI). Quality of life encompasses the physical, emotional, and psychological aspects of patient functioning and recovery.

Purposes: To concurrently validate the BPII 2.0 to the Tampa Scale for Kinesiophobia (TSK-11), the Pain Catastrophizing Scale (PCS), and the Anterior Cruciate Ligament-Return to Sport after Injury Scale (ACL-RSI) in patients presenting with recurrent LPI and to assess baseline values for the PROMs in patients with LPI.

Study design: Cohort study (Diagnosis); Level of evidence, 2.

Methods: A total of 107 consecutive patients with recurrent LPI were assessed between January and October 2021. Patients completed the BPII 2.0, TSK-11, PCS, and ACL-RSI. A Pearson r correlation coefficient was employed to examine relationships between the PROMs. Baseline values, as well as floor and ceiling effects and Cronbach alpha, were assessed for all PROMs.

Results: All 107 patients completed the 4 PROMs. Patients included 28 men (26.2%) and 79 women (73.8%), with a mean (SD) age of 25.7 (9.8) years. The mean (SD) age at first dislocation was 14.8 (6.3) years. The TSK-11, PCS, and ACL-RSI were all statistically significantly correlated with the BPII 2.0 (P < .01; 2-tailed), with moderate correlations (r = -0.361-0.628) The R2 values indicated an overlap of the constructs measured by the PROMs.

Conclusion: A statistically significant correlation was evident between the BPII 2.0 and the other PROMs. The BPII 2.0 does not explicitly measure kinesiophobia or pain catastrophizing; however, the significant statistical relationship of the TSK-11 and PCS to the BPII 2.0 suggests that this information is being captured and reflected.

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运动恐惧和疼痛灾难化对复发性髌骨不稳患者特定疾病生活质量的影响
背景:班夫髌骨股骨不稳定性测量工具 2.0(BPII 2.0)是一项针对复发性髌骨股骨外侧不稳定性(LPI)患者的疾病特异性生活质量患者报告结果测量工具(PROM),具有有效性和可靠性。生活质量包括患者功能和康复的生理、情感和心理方面:目的:在复发性髌骨外侧不稳患者中同时验证 BPII 2.0 与坦帕运动恐惧量表(TSK-11)、疼痛灾难化量表(PCS)和前交叉韧带-伤后恢复运动量表(ACL-RSI),并评估髌骨外侧不稳患者的 PROMs 基线值:研究设计:队列研究(诊断);证据等级,2:2021年1月至10月期间,共对107名连续复发性LPI患者进行了评估。患者完成了 BPII 2.0、TSK-11、PCS 和 ACL-RSI。采用 Pearson r 相关系数来检验 PROMs 之间的关系。对所有 PROMs 的基线值、下限和上限效应以及 Cronbach alpha 进行了评估:所有 107 名患者均完成了 4 项 PROM。患者中有 28 名男性(26.2%)和 79 名女性(73.8%),平均(标清)年龄为 25.7(9.8)岁。首次脱位的平均(标清)年龄为 14.8(6.3)岁。TSK-11、PCS和ACL-RSI均与BPII 2.0有显著的统计学相关性(P < .01;双尾),相关性适中(r = -0.361-0.628):结论:从统计学角度看,BPII 2.0 与其他 PROM 之间存在明显的相关性。BPII 2.0 并未明确测量运动恐惧或疼痛灾难化;然而,TSK-11 和 PCS 与 BPII 2.0 之间的显著统计学关系表明,这些信息已被捕获并反映出来。
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来源期刊
CiteScore
9.30
自引率
12.50%
发文量
425
审稿时长
3 months
期刊介绍: An invaluable resource for the orthopaedic sports medicine community, _The American Journal of Sports Medicine_ is a peer-reviewed scientific journal, first published in 1972. It is the official publication of the [American Orthopaedic Society for Sports Medicine (AOSSM)](http://www.sportsmed.org/)! The journal acts as an important forum for independent orthopaedic sports medicine research and education, allowing clinical practitioners the ability to make decisions based on sound scientific information. This journal is a must-read for: * Orthopaedic Surgeons and Specialists * Sports Medicine Physicians * Physiatrists * Athletic Trainers * Team Physicians * And Physical Therapists
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