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Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis.

Publication ,  Journal Article
Coronado, RA; Bley, JA; Huston, LJ; Pennings, JS; Master, H; Reinke, EK; Bird, ML; Scaramuzza, EA; Haug, CM; Mathis, SL; Vanston, SW; Cox, CL ...
Published in: Phys Ther Sport
July 2021

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 OUTCOME MEASURES: 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.

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Published In

Phys Ther Sport

DOI

EISSN

1873-1600

Publication Date

July 2021

Volume

50

Start / End Page

217 / 225

Location

England

Related Subject Headings

  • Young Adult
  • Sport Sciences
  • Return to Sport
  • Reinjuries
  • Quality of Life
  • Prospective Studies
  • Patient Reported Outcome Measures
  • Movement
  • Male
  • Humans
 

Citation

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Coronado, R. A., Bley, J. A., Huston, L. J., Pennings, J. S., Master, H., Reinke, E. K., … Archer, K. R. (2021). 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. https://doi.org/10.1016/j.ptsp.2021.05.012
Coronado, Rogelio A., Jordan A. Bley, Laura J. Huston, Jacquelyn S. Pennings, Hiral Master, Emily K. Reinke, Mackenzie L. Bird, et al. “Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis.Phys Ther Sport 50 (July 2021): 217–25. https://doi.org/10.1016/j.ptsp.2021.05.012.
Coronado RA, Bley JA, Huston LJ, Pennings JS, Master H, Reinke EK, et al. Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis. Phys Ther Sport. 2021 Jul;50:217–25.
Coronado, Rogelio A., et al. “Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis.Phys Ther Sport, vol. 50, July 2021, pp. 217–25. Pubmed, doi:10.1016/j.ptsp.2021.05.012.
Coronado RA, Bley JA, Huston LJ, Pennings JS, Master H, Reinke EK, Bird ML, Scaramuzza EA, Haug CM, Mathis SL, Vanston SW, Cox CL, Spindler KP, Archer KR. Composite psychosocial risk based on the fear avoidance model in patients undergoing anterior cruciate ligament reconstruction: Cluster-based analysis. Phys Ther Sport. 2021 Jul;50:217–225.
Journal cover image

Published In

Phys Ther Sport

DOI

EISSN

1873-1600

Publication Date

July 2021

Volume

50

Start / End Page

217 / 225

Location

England

Related Subject Headings

  • Young Adult
  • Sport Sciences
  • Return to Sport
  • Reinjuries
  • Quality of Life
  • Prospective Studies
  • Patient Reported Outcome Measures
  • Movement
  • Male
  • Humans