Slagers AJ, van Veen E, Zwerver J, Geertzen JHB, Reininga IHF, van den Akker-Scheek I. Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy: a cross-sectional study.
Phys Ther Sport 2021;
50:145-152. [PMID:
34015607 DOI:
10.1016/j.ptsp.2021.04.010]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2021] [Revised: 04/22/2021] [Accepted: 04/25/2021] [Indexed: 12/17/2022]
Abstract
OBJECTIVE
to examine psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy as well as the association between psychological factors and tendinopathy severity, sport participation, and satisfaction with activity level and tendon function.
DESIGN
cross-sectional study.
SETTING
online survey platform.
PARTICIPANTS
119 patients (mean age: 44 years (SD 14)) diagnosed with Achilles or patellar tendinopathy.
MAIN OUTCOME MEASURES
A range of patient-reported psychological and outcome measures were recorded. Multivariate regression analyses were performed to establish the association between each psychological factor and outcome measures, adjusted for relevant confounders.
RESULTS
Psychological readiness and confidence to return to sports (I-PRRS) and pain catastrophizing (PCS) were significantly associated with tendinopathy severity (modified VISA), sport participation(OSTRC-O), and satisfaction. Kinesiophobia (TSK) and the importance to patients of returning to pre-injury activity level were significantly associated with sports participation and satisfaction.
CONCLUSION
The current study provides evidence of impairments in psychological factors during rehabilitation of patients with Achilles and patellar tendinopathy. Most investigated psychological factors were associated with tendinopathy severity, function, participation, and satisfaction. Physical therapists should recognize patients with lack of psychological readiness to return to sports and also patients with kinesiophobia or catastrophizing thoughts when experiencing pain.
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