Scholars@Duke
Trevor A. Lentz

Trevor A. Lentz

Assistant Professor in Orthopaedic Surgery
Orthopaedic Surgery
trevor.lentz@duke.edu
300 W. Morgan Street, Durham, NC 27701

Selected Publications

Referral, enrollment, and health care use in a comprehensive patient-centered management program for osteoarthritis of the hip and knee.

Journal Article Osteoarthr Cartil Open · December 2024 OBJECTIVE: Osteoarthritis management programs (OAMPs) have become a more common way to deliver patient-centered care. However, there is limited information on real-world use of these programs to guide implementation, payment policy, accessibility, and scal ... Full text Link to item Cite

The implementation of a pain navigator program in the department of Veterans Affairs' (VA) health care systems: a cluster randomized pragmatic clinical trial.

Journal Article Pain Med · November 1, 2024 OBJECTIVE: This manuscript describes the uptake of the AIM-Back Pain Navigator Pathway (PNP) designed to encourage use of non-pharmacologic care options within the Veterans Health Administration (VHA). DESIGN: This manuscript describes the implementation o ... Full text Link to item Cite

Correlation between the optimal screening for prediction of referral and outcome yellow flag tool and patient-reported legacy outcome measures in patients undergoing shoulder surgery

Journal Article JSES International · September 1, 2024 Background: The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool is a 10-item multidimensional screening tool utilized to evaluate pain-related psychological traits in individuals with musculoskeletal pain conditions. Th ... Full text Cite

General and Pain-Associated Psychological Distress Phenotypes Among Patients With Low Back Pain in the Military Health System.

Journal Article Arthritis Care Res (Hoboken) · July 2024 OBJECTIVE: The primary objective was to describe rates of general and pain-related psychological distress for individuals with low back pain (LBP) in the Military Health System (MHS). We identified common phenotypes defined by rates of general and pain-rel ... Full text Link to item Cite

Does psychological distress predict risk of orthopaedic surgery and postoperative opioid prescribing in patients with hip pain? A retrospective study.

Journal Article BMC Musculoskelet Disord · April 20, 2024 BACKGROUND: Clinicians and public health professionals have allocated resources to curb opioid over-prescription and address psychological needs among patients with musculoskeletal pain. However, associations between psychological distress, risk of surgery ... Full text Link to item Cite

What Are the Underlying Mental Health Constructs Associated With Level of Capability in People With Knee and Hip Osteoarthritis?

Journal Article Clin Orthop Relat Res · April 1, 2024 BACKGROUND: Mental health characteristics such as negative mood, fear avoidance, unhelpful thoughts regarding pain, and low self-efficacy are associated with symptom intensity and capability among patients with hip and knee osteoarthritis (OA). Knowledge g ... Full text Link to item Cite

If You Build It, Will They Come? Patient and Provider Use of a Novel Hybrid Telehealth Care Pathway for Low Back Pain.

Journal Article Physical therapy · February 2024 ObjectiveThe purpose of this study was to describe the referrals and use of a hybrid care model for low back pain that includes on-site care by physical therapists, physical activity training, and psychologically informed practice (PiP) delivered ... Full text Cite

The association of pre-existing mental health conditions and patient outcomes after lower extremity orthopaedic trauma: a scoping review.

Journal Article Eur J Orthop Surg Traumatol · February 2024 INTRODUCTION: Existing research has established a correlation between post-traumatic mental health conditions, including anxietyĀ andĀ depression, and various aspects of recovery, such as pain exacerbations, reduced functional recovery, and lowered patient s ... Full text Link to item Cite

Pain-Associated Psychological Distress Is of High Prevalence in Patients With Hip Pain: Characterizing Psychological Distress and Phenotypes.

Journal Article Arthrosc Sports Med Rehabil · February 2024 PURPOSE: To identify common pain-related psychological factors among patients seeking care for athletic hip pain, as well as characterize psychological distress phenotypes and compare hip-specific quality-of-life measures across those phenotypes. METHODS: ... Full text Link to item Cite

Partner engagement for planning and development of non-pharmacological care pathways in the AIM-Back trial.

Journal Article Clin Trials · October 2023 BACKGROUND/AIMS: Embedded pragmatic clinical trials are increasingly recommended for non-pharmacological pain care research due to their focus on examining intervention effectiveness within real-world settings. Engagement with patients, health care provide ... Full text Open Access Link to item Cite

Leveraging web-based prediction calculators to set patient expectations for elective spine surgery: a qualitative study to inform implementation.

Journal Article BMC Med Inform Decis Mak · August 3, 2023 BACKGROUND: Prediction calculators can help set outcomes expectations following orthopaedic surgery, however effective implementation strategies for these tools are unknown. This study evaluated provider and patient perspectives on clinical implementation ... Full text Link to item Cite

Overcoming Barriers to the Implementation of Integrated Musculoskeletal Pain Management Programs: A Multi-Stakeholder Qualitative Study.

Journal Article J Pain · May 2023 Integrated pain management (IPM) programs can help to reduce the substantial population health burden of musculoskeletal pain, but are poorly implemented. Lessons learned from existing programs can inform efforts to expand IPM implementation. This qualitat ... Full text Open Access Link to item Cite

Association Between Preoperative Multidimensional Psychological Distress and Physical Function After Surgery for Sports-Related Injury.

Journal Article Orthop J Sports Med · April 2023 BACKGROUND: Psychological distress after orthopaedic surgery can lead to worse outcomes, including higher levels of disability and pain and lower quality of life. The 10-item Optimal Screening for Prediction for Referral and Outcome-Yellow Flag (OSPRO-YF) ... Full text Link to item Cite

High-Impact Chronic Pain Transition in Lumbar Surgery Recipients.

Journal Article Pain Med · March 1, 2023 OBJECTIVE: High-impact chronic pain (HICP) is a term that characterizes the presence of a severe and troubling pain-related condition. To date, the prevalence of HICP in lumbar spine surgery recipients and their HICP transitions from before to after surger ... Full text Open Access Link to item Cite

Technology-Enhanced Delivery Models to Facilitate the Implementation of Psychologically Informed Practice for Chronic Musculoskeletal Pain.

Journal Article Phys Ther · December 30, 2022 Chronic musculoskeletal pain is prevalent, challenging to treat, and often disabling. Evidence supports the role of psychological factors in pain-related outcomes, and it is now accepted that rehabilitation should combine physical and psychological approac ... Full text Link to item Cite

Patient-centered outcomes: Domain importance predicts health care use following physical therapy.

Journal Article PM R · September 2022 INTRODUCTION: Identifying patients with musculoskeletal pain who are at risk for additional health care use is important for improving the value of physical therapists' services. We previously identified three subgroups based on the importance attached by ... Full text Link to item Cite

Delivering Value Through Equitable Care for Low Back Pain: A Renewed Call to Action.

Journal Article J Orthop Sports Phys Ther · July 2022 Equitable care for low back pain (LBP) is key to ensuring the value and sustainability of services delivered by physical therapists. In this Viewpoint, we discuss how social determinants of health, implicit provider biases, structural characteristics of th ... Full text Link to item Cite

Heterogeneity of pain-related psychological distress in patients seeking care for shoulder pathology.

Journal Article J Shoulder Elbow Surg · April 2022 BACKGROUND: Psychological distress is associated with disability and quality of life for patients with shoulder pain. However, uncertainty around heterogeneity of psychological distress has limited the adoption of shoulder care models that address psycholo ... Full text Link to item Cite

Venous Thromboembolism Prophylaxis and Hormonal Contraceptive Management Practice Patterns in the Perioperative Period for Anterior Cruciate Ligament Reconstruction.

Journal Article Arthrosc Sports Med Rehabil · April 2022 PURPOSE: To evaluate the venous thromboembolism (VTE) prophylaxis practices of surgeons performing anterior cruciate ligament reconstruction (ACLR) in female patients using hormonal contraceptives. METHODS: Our research team designed an investigational sur ... Full text Open Access Link to item Cite

Development of Reliable and Valid Negative Mood Screening Tools for Orthopaedic Patients with Musculoskeletal Pain.

Journal Article Clin Orthop Relat Res · February 1, 2022 BACKGROUND: Negative mood is an important risk factor for poor clinical outcomes among individuals with musculoskeletal pain. Screening for negative mood can aid in identifying those who may need additional psychological interventions. Limitations of curre ... Full text Link to item Cite

Efficient Screening for Fear of Movement in Outpatient Settings: Short Form and Computer Adaptive Tests for Fear Avoidance and Negative Pain Coping.

Journal Article Phys Ther · February 1, 2022 OBJECTIVE: The purpose of this study was to develop screening measures using item response theory (IRT) for 2 factors highly relevant to fear of movement (FoM): fear avoidance and negative pain coping. METHODS: A total of 431 patients with neck (nā€‰=ā€‰93), s ... Full text Link to item Cite

Interventions for the Management of Acute and Chronic Low Back Pain: Revision 2021.

Journal Article The Journal of orthopaedic and sports physical therapy · November 2021 Low back pain (LBP) remains a musculoskeletal condition with an adverse societal impact. Globally, LBP is highly prevalent and a leading cause of disability. This is an update to the 2012 Academy of Orthopaedic Physical Therapy (AOPT), formerly the Orthopa ... Full text Open Access Cite

Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework.

Journal Article J Orthop Sports Phys Ther · September 2021 BACKGROUND: Psychological factors influence or are associated with physical function, pain, and health care costs among individuals with musculoskeletal pain conditions. Recent clinical practice guidelines recommend screening for psychological factors (als ... Full text Link to item Cite

Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health.

Journal Article Transl Res · August 2021 Chronic back and neck pain are highly prevalent conditions that are among the largest drivers of physical disability and cost in the world. Recent clinical practice guidelines recommend use of non-pharmacologic treatments to decrease pain and improve physi ... Full text Link to item Cite

Establishing Age- and Sex-Specific Norms for Pediatric Return-to-Sports Physical Performance Testing.

Journal Article Orthop J Sports Med · August 2021 BACKGROUND: Graft tears and contralateral anterior cruciate ligament (ACL) tears are common in pediatric athletes after ACL reconstruction. Use of objective return-to-sports (RTS) criteria, in particular physical performance tests (PPTs), is believed to re ... Full text Link to item Cite

Static and Dynamic Pain Sensitivity in Adults With Persistent Low Back Pain: Comparison to Healthy Controls and Associations With Movement-evoked Pain Versus Traditional Clinical Pain Measures.

Journal Article Clin J Pain · July 1, 2021 OBJECTIVES: Despite its impact, individual factors associated with persistent low back pain (LBP) remain poorly understood. This study investigated static and dynamic pain sensitivity in adults with persistent LBP versus pain-free controls; and investigate ... Full text Link to item Cite

Assessment of Common Comorbidity Phenotypes Among Older Adults With Knee Osteoarthritis to Inform Integrated Care Models.

Journal Article Mayo Clin Proc Innov Qual Outcomes · April 2021 OBJECTIVE: To establish the frequency of concordant, discordant, and clinically dominant comorbidities among Medicare beneficiaries with knee osteoarthritis (KOA) and to identify common concordant condition subgroups. PARTICIPANTS AND METHODS: We used a 5% ... Full text Open Access Link to item Cite

Healthy Pediatric Athletes Have Significant Baseline Limb Asymmetries on Common Return-to-Sport Physical Performance Tests.

Journal Article Orthop J Sports Med · January 2021 BACKGROUND: Return to sport (RTS) after anterior cruciate ligament (ACL) reconstruction in children is associated with a much higher risk (āˆ¼30%) of subsequent ACL injury than in adults. Most RTS testing protocols use a limb symmetry index (LSI) ā‰„90% on phy ... Full text Link to item Cite

Derivation of a Risk Assessment Tool for Prediction of Long-Term Pain Intensity Reduction After Physical Therapy.

Journal Article J Pain Res · 2021 RATIONALE: Risk assessment tools can improve clinical decision-making for individuals with musculoskeletal pain, but do not currently exist for predicting reduction of pain intensity as an outcome from physical therapy. AIMS AND OBJECTIVE: The objective of ... Full text Open Access Link to item Cite

Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded Pragmatic Cluster-Randomized Trial.

Journal Article Pain Med · December 12, 2020 BACKGROUND: Coordinated efforts between the National Institutes of Health, the Department of Defense, and the Department of Veterans Affairs have built the capacity for large-scale clinical research investigating the effectiveness of nonpharmacologic pain ... Full text Open Access Link to item Cite

Development of Concise Physical Performance Test Batteries in Young Athletes.

Journal Article Med Sci Sports Exerc · December 2020 PURPOSE: This study aimed 1) to define the principal components of physical function assessed by 10 common lower extremity physical performance tests and 2) to derive a reduced-item set of physical performance tests that efficiently and accurately measures ... Full text Link to item Cite

What General and Pain-associated Psychological Distress Phenotypes Exist Among Patients with Hip and Knee Osteoarthritis?

Journal Article Clinical orthopaedics and related research · December 2020 BackgroundPsychological distress can negatively influence disability, quality of life, and treatment outcomes for individuals with hip and knee osteoarthritis (OA). Clinical practice guidelines recommend a comprehensive disease management approach ... Full text Cite

Designing, Conducting, Monitoring, and Analyzing Data from Pragmatic Randomized Clinical Trials: Proceedings from a Multi-stakeholder Think Tank Meeting.

Journal Article Ther Innov Regul Sci · November 2020 In late 2018, the Food and Drug Administration (FDA) outlined a framework for evaluating the possible use of real-world evidence (RWE) to support regulatory decision-making. This framework was created to facilitate studies that would generate high-quality ... Full text Link to item Cite

Longitudinal Monitoring of Pain Associated Distress With the Optimal Screening for Prediction of Referral and Outcome Yellow Flag Tool: Predicting Reduction in Pain Intensity and Disability.

Journal Article Arch Phys Med Rehabil · October 2020 OBJECTIVE: To investigate the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool for longitudinal monitoring of pain associated distress with the goal of improving prediction of 50% reduction in pain intensity and disabili ... Full text Open Access Link to item Cite

Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?

Journal Article Phys Ther · April 17, 2020 Early physical therapy models hold great promise for delivering high-value care for individuals with musculoskeletal pain. However, existing physical therapist practice and research standards are misaligned with value-based principles, which limits the pot ... Full text Link to item Cite

Utility of catastrophizing, body symptom diagram score and history of opioid use to predict future health care utilization after a primary care visit for musculoskeletal pain.

Journal Article Fam Pract · February 19, 2020 BACKGROUND: Self-report information about pain and pain beliefs are often collected during initial consultation for musculoskeletal pain. These data may provide utility beyond the initial encounter, helping provide further insight into prognosis and long-t ... Full text Link to item Cite

Development of a Comprehensive, Nonsurgical Joint Health Program for People With Osteoarthritis: A Case Report.

Journal Article Phys Ther · January 23, 2020 BACKGROUND AND PURPOSE: Existing osteoarthritis (OA) care models often fall short in addressing the many biological, psychological, social, and behavioral characteristics that contribute to disability. As US health care shifts towards value-based payment, ... Full text Link to item Cite

Predicting Opioid Use, Increased Health Care Utilization and High Costs for Musculoskeletal Pain: What Factors Mediate Pain Intensity and Disability?

Journal Article J Pain · 2020 This study determined the predictive capabilities of pain intensity and disability on health care utilization (number of condition-specific health care visits, incident, and chronic opioid use) and costs (total condition-specific and overall medical costs) ... Full text Link to item Cite

Psychometric Evaluation of the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) Tool: Factor Structure, Reliability, and Validity.

Journal Article J Pain · 2020 Psychological characteristics consistently predict clinical outcomes for musculoskeletal pain conditions. The Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool assesses negative mood, fear-avoidance, and positive affect/c ... Full text Link to item Cite

Framework for improving outcome prediction for acute to chronic low back pain transitions.

Journal Article Pain Rep · 2020 Clinical practice guidelines and the Federal Pain Research Strategy (United States) have recently highlighted research priorities to lessen the public health impact of low back pain (LBP). It may be necessary to improve existing predictive approaches to me ... Full text Open Access Link to item Cite

Musculoskeletal pain stakeholder engagement and partnership development: determining patient-centered research priorities.

Journal Article Res Involv Engagem · 2020 BACKGROUND: Musculoskeletal (MSK) pain is a global public health problem with increased societal burden. Increased attention has focused toward patient and other stakeholder perspectives when determining future MSK pain research priorities, however infrast ... Full text Link to item Cite

Does Disordered Sleep Moderate the Relationship Between Pain, Disability and Downstream Health Care Utilization in Patients With Low Back Pain?: A Longitudinal Cohort From the US Military Health System.

Journal Article Spine (Phila Pa 1976) · November 1, 2019 STUDY DESIGN: Prospective cohort. OBJECTIVE: The purpose of this study was to evaluate the influence of disordered sleep on the relationship between pain and health care utilization (HCU) and pain-related disability and HCU in individuals with low back pai ... Full text Link to item Cite

Comorbidity Subgroups Among Medicare Beneficiaries Seeking Health Care for Musculoskeletal Pain.

Journal Article J Gerontol A Biol Sci Med Sci · July 12, 2019 BACKGROUND: Treatment of musculoskeletal pain in older adults may be more effective if it incorporates integrated management of comorbid health conditions. The purpose of this study was to define empirically derived comorbidity subgroups among Medicare ben ... Full text Link to item Cite

Factors associated with persistently high-cost health care utilization for musculoskeletal pain.

Journal Article PLoS One · 2019 BACKGROUND: Musculoskeletal pain conditions incur high costs and produce significant personal and public health consequences, including disability and opioid-related mortality. Persistence of high-cost health care utilization for musculoskeletal pain may h ... Full text Link to item Cite

So you think you can return to sport?

Journal Article Br J Sports Med · December 2018 Full text Link to item Cite

Prediction of healthcare utilization following an episode of physical therapy for musculoskeletal pain.

Journal Article BMC Health Serv Res · August 20, 2018 BACKGROUND: In the United States, value-based purchasing has created the need for healthcare systems to prospectively identify patients at risk for high healthcare utilization beyond a physical therapy episode for musculoskeletal pain. The purpose of this ... Full text Link to item Cite

Optimal Screening for Prediction of Referral and Outcome (OSPRO) for Musculoskeletal Pain Conditions: Results From the Validation Cohort.

Journal Article J Orthop Sports Phys Ther · June 2018 Study Design Observational, prospective cohort. Background Musculoskeletal pain is a common reason to seek health care, and earlier nonpharmacological treatment and enhancement of personalized care options are 2 high-priority areas. Validating concise asse ... Full text Link to item Cite

Prediction of Persistent Musculoskeletal Pain at 12 Months: A Secondary Analysis of the Optimal Screening for Prediction of Referral and Outcome (OSPRO) Validation Cohort Study.

Journal Article Phys Ther · May 1, 2018 BACKGROUND: Musculoskeletal pain is a societal epidemic because it is highly prevalent and a leading contributor to disability; however, physical therapists are still challenged when predicting which patients are at high risk for persistent symptoms. OBJEC ... Full text Link to item Cite

The Optimal Screening for Prediction of Referral and Outcome (OSPRO) in patients with musculoskeletal pain conditions: a longitudinal validation cohort from the USA.

Journal Article BMJ Open · June 8, 2017 PURPOSE: There is an increased need for determining which patients with musculoskeletal pain benefit from additional diagnostic testing or psychologically informed intervention. The Optimal Screening for Prediction of Referral and Outcome (OSPRO) cohort st ... Full text Link to item Cite

Application of a Value Model for the Prevention and Management of Chronic Musculoskeletal Pain by Physical Therapists.

Journal Article Phys Ther · March 1, 2017 For physical therapists, establishing value of care is vitally important in the management of musculoskeletal pain. Value has become an important outcome measure in health care, largely as the result of payment reform efforts aimed at reducing wasteful spe ... Full text Link to item Cite

Unique Contributions of Body Diagram Scores and Psychosocial Factors to Pain Intensity and Disability in Patients With Musculoskeletal Pain.

Journal Article J Orthop Sports Phys Ther · February 2017 Study Design Retrospective cross-sectional cohort of military patients with musculoskeletal pain. Background Body diagrams are used to document symptoms and can also serve as a proxy to assess psychological influence. However, literature to support this is ... Full text Link to item Cite

Optimism Moderates the Influence of Pain Catastrophizing on Shoulder Pain Outcome: A Longitudinal Analysis.

Journal Article J Orthop Sports Phys Ther · January 2017 Study Design Secondary analysis of prospectively collected data. Background An abundance of evidence has highlighted the influence of pain catastrophizing and fear avoidance on clinical outcomes. Less is known about the interaction of positive psychologica ... Full text Link to item Cite

Preliminary Evaluation of a Modified STarT Back Screening Tool Across Different Musculoskeletal Pain Conditions.

Journal Article Phys Ther · August 2016 BACKGROUND: The STarT Back Screening Tool is a validated multidimensional screening measure and risk stratification tool for people with low back pain. OBJECTIVE: The study objective was to compare relationships between a modified STarT Back Screening Tool ... Full text Link to item Cite

Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity.

Journal Article Phys Ther · July 2016 BACKGROUND: Because of its high global burden, determining biopsychosocial influences of chronic low back pain (CLBP) is a research priority. Psychological factors such as pain catastrophizing are well established. However, cognitive factors such as workin ... Full text Link to item Cite

Development of a Yellow Flag Assessment Tool for Orthopaedic Physical Therapists: Results From the Optimal Screening for Prediction of Referral and Outcome (OSPRO) Cohort.

Journal Article J Orthop Sports Phys Ther · May 2016 Study Design Clinical measurement, cross-sectional. Background Pain-associated psychological distress adversely influences outcomes for patients with musculoskeletal pain. However, assessment of pain-associated psychological distress (ie, yellow flags) is ... Full text Link to item Cite

Low- Versus High-Intensity Plyometric Exercise During Rehabilitation After Anterior Cruciate Ligament Reconstruction.

Journal Article Am J Sports Med · March 2016 BACKGROUND: Plyometric exercise is used during rehabilitation after anterior cruciate ligament (ACL) reconstruction to facilitate the return to sports participation. However, clinical outcomes have not been examined, and high loads on the lower extremity c ... Full text Link to item Cite

Development of a Review-of-Systems Screening Tool for Orthopaedic Physical Therapists: Results From the Optimal Screening for Prediction of Referral and Outcome (OSPRO) Cohort.

Journal Article J Orthop Sports Phys Ther · July 2015 STUDY DESIGN: Literature review and cross-sectional study. BACKGROUND: Direct access to physical therapy necessitates greater responsibility to determine appropriateness of care by recognizing the potential for concomitant disease or systemic involvement. ... Full text Link to item Cite

Comparison of physical impairment, functional, and psychosocial measures based on fear of reinjury/lack of confidence and return-to-sport status after ACL reconstruction.

Journal Article Am J Sports Med · February 2015 BACKGROUND: Fear of reinjury and lack of confidence influence return-to-sport outcomes after anterior cruciate ligament (ACL) reconstruction. The physical, psychosocial, and functional recovery of patients reporting fear of reinjury or lack of confidence a ... Full text Link to item Cite

Normalization considerations for using the unilateral seated shot put test in rehabilitation.

Journal Article J Orthop Sports Phys Ther · July 2014 STUDY DESIGN: Cross-sectional study. OBJECTIVES: To examine the effect of different normalization methods on unilateral seated shot put test results. BACKGROUND: The unilateral seated shot put test could assist clinical decision making in upper extremity r ... Full text Link to item Cite

Return to preinjury sports participation following anterior cruciate ligament reconstruction: contributions of demographic, knee impairment, and self-report measures.

Journal Article J Orthop Sports Phys Ther · November 2012 STUDY DESIGN: Cross-sectional cohort. OBJECTIVES: (1) To examine differences in clinical variables (demographics, knee impairments, and self-report measures) between those who return to preinjury level of sports participation and those who do not at 1 year ... Full text Link to item Cite

Preliminary results of patient-defined success criteria for individuals with musculoskeletal pain in outpatient physical therapy settings.

Journal Article Arch Phys Med Rehabil · March 2012 OBJECTIVES: (1) To investigate patient-defined parameters of treatment success in an outpatient physical therapy setting with musculoskeletal pain, (2) to determine whether patient-defined treatment success was influenced by selected demographic and clinic ... Full text Link to item Cite

Analysis of shortened versions of the tampa scale for kinesiophobia and pain catastrophizing scale for patients after anterior cruciate ligament reconstruction.

Journal Article Clin J Pain · January 2012 OBJECTIVE: Recent work suggests that psychological influence on pain intensity and knee function should be considered for patients after anterior cruciate ligament reconstruction (ACLR). The Tampa Scale for Kinesiophobia (TSK) and Pain Catastrophizing Scal ... Full text Link to item Cite

Longitudinal changes in psychosocial factors and their association with knee pain and function after anterior cruciate ligament reconstruction.

Journal Article Phys Ther · September 2011 BACKGROUND: Evidence in the musculoskeletal rehabilitation literature suggests that psychosocial factors can influence pain levels and functional outcome. OBJECTIVE: The purpose of this study was to examine changes in select psychosocial factors and their ... Full text Link to item Cite

Tibial spine avulsion fracture.

Journal Article J Orthop Sports Phys Ther · September 2010 Full text Link to item Cite

Pain-related fear contributes to self-reported disability in patients with foot and ankle pathology.

Journal Article Arch Phys Med Rehabil · April 2010 OBJECTIVE: To determine the unique influence of pain-related fear of movement on foot and ankle disability, after accounting for pain, demographic, and physical impairment variables. DESIGN: Cross-sectional study using retrospective chart review. SETTING: ... Full text Link to item Cite

The relationship of pain intensity, physical impairment, and pain-related fear to function in patients with shoulder pathology.

Journal Article J Orthop Sports Phys Ther · April 2009 STUDY DESIGN: Cross-sectional. OBJECTIVES: This study examined the baseline relationship of pain intensity, physical impairment, and pain-related fear to shoulder function. BACKGROUND: There is no consensus regarding the influence psychological variable ha ... Full text Link to item Cite

Factors associated with function after anterior cruciate ligament reconstruction.

Journal Article Sports Health · January 2009 BACKGROUND: Many individuals do not resume unrestricted, preinjury sports participation after anterior cruciate ligament reconstruction, thus a better understanding of factors associated with function is needed. The purpose of this study was to investigate ... Full text Link to item Cite

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

Journal Article 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 m ... Full text Link to item Cite