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The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation.

Publication ,  Journal Article
Chmielewski, TL; Jones, D; Day, T; Tillman, SM; Lentz, TA; George, SZ
Published in: J Orthop Sports Phys Ther
December 2008

STUDY DESIGN: Cross-sectional. OBJECTIVES: To measure fear of movement/reinjury levels and determine the association with function at different timeframes during anterior cruciate ligament (ACL) reconstruction rehabilitation. We hypothesized that fear of movement/reinjury would decrease during rehabilitation and be inversely related with function. BACKGROUND: Fear of movement/reinjury can prevent return to sports after ACL reconstruction, but it has not been studied during rehabilitation. METHODS AND MEASURES: Demographic data and responses on the shortened version of Tampa Scale for Kinesiophobia (TSK-11), 8-Item Short-Form Health Survey (SF-8), and International Knee Documentation Committee (IKDC) subjective form were extracted from a clinical database for 97 patients in the first year after ACL reconstruction. Three groups were formed: group 1, less than or equal to 90 days; group 2, 91 to 180 days; group 3: 181 to 372 days post-ACL reconstruction. Group differences in TSK-11 score, SF-8 bodily pain rating, and IKDC scores were determined. Hierarchical linear regression models were created for each group, with IKDC score as the dependent variable and demographic factors, SF-8 bodily pain rating, and TSK-11 score as independent variables. RESULTS: TSK-11 score was higher in group 1 than in group 3 (P < .05). Across the groups, SF-8 bodily pain rating decreased (P < .001) and IKDC score increased (P < .001). SF-8 bodily pain rating was a significant factor in the regression model for all groups, whereas TSK-11 score only contributed to the regression model in group 3 (partial correlation, -0.529). CONCLUSIONS: Pain was consistently associated with function across the timeframes studied. Fear of movement/reinjury levels appear to decrease during ACL reconstruction rehabilitation and are associated with function in the timeframe when patients return to sports. LEVEL OF EVIDENCE: Prognosis, level 4.

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Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

December 2008

Volume

38

Issue

12

Start / End Page

746 / 753

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surveys and Questionnaires
  • Rehabilitation Centers
  • Prognosis
  • Plastic Surgery Procedures
  • Orthopedics
  • Movement
  • Male
  • Linear Models
  • Knee Joint
 

Citation

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Chmielewski, T. L., Jones, D., Day, T., Tillman, S. M., Lentz, T. A., & George, S. Z. (2008). The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation. J Orthop Sports Phys Ther, 38(12), 746–753. https://doi.org/10.2519/jospt.2008.2887
Chmielewski, Terese L., Debi Jones, Tim Day, Susan M. Tillman, Trevor A. Lentz, and Steven Z. George. “The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation.J Orthop Sports Phys Ther 38, no. 12 (December 2008): 746–53. https://doi.org/10.2519/jospt.2008.2887.
Chmielewski TL, Jones D, Day T, Tillman SM, Lentz TA, George SZ. The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation. J Orthop Sports Phys Ther. 2008 Dec;38(12):746–53.
Chmielewski, Terese L., et al. “The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation.J Orthop Sports Phys Ther, vol. 38, no. 12, Dec. 2008, pp. 746–53. Pubmed, doi:10.2519/jospt.2008.2887.
Chmielewski TL, Jones D, Day T, Tillman SM, Lentz TA, George SZ. The association of pain and fear of movement/reinjury with function during anterior cruciate ligament reconstruction rehabilitation. J Orthop Sports Phys Ther. 2008 Dec;38(12):746–753.

Published In

J Orthop Sports Phys Ther

DOI

ISSN

0190-6011

Publication Date

December 2008

Volume

38

Issue

12

Start / End Page

746 / 753

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Surveys and Questionnaires
  • Rehabilitation Centers
  • Prognosis
  • Plastic Surgery Procedures
  • Orthopedics
  • Movement
  • Male
  • Linear Models
  • Knee Joint