Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy: a cross-sectional study

Anton J Slagers; Esther van Veen; Johannes Zwerver; Jan H B Geertzen; Inge H F Reininga; Inge van den Akker-Scheek

doi:10.1016/j.ptsp.2021.04.010

Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy: a cross-sectional study

Anton J Slagers^*, Esther van Veen, Johannes Zwerver, Jan H B Geertzen, Inge H F Reininga, Inge van den Akker-Scheek

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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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.

Original language	English
Pages (from-to)	145-152
Number of pages	8
Journal	Physical Therapy in Sport
Volume	50
Early online date	2021
DOIs	https://doi.org/10.1016/j.ptsp.2021.04.010
Publication status	Published - Jul-2021

Keywords

Achilles
Patella
Tendinopathy
Psychology
Patient-reported
Outcome measure (PROM)
CRUCIATE LIGAMENT RECONSTRUCTION
PAIN CATASTROPHIZING SCALE
SPORTS INJURY REHABILITATION
OVERUSE INJURIES
PSYCHOSOCIAL FACTORS
MOVEMENT (RE)INJURY
TAMPA SCALE
BACK-PAIN
VALIDATION
RETURN

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@article{552b4d0df1ce4dadbd42441547fcacff,

title = "Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy: a cross-sectional study",

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.",

keywords = "Achilles, Patella, Tendinopathy, Psychology, Patient-reported, Outcome measure (PROM), CRUCIATE LIGAMENT RECONSTRUCTION, PAIN CATASTROPHIZING SCALE, SPORTS INJURY REHABILITATION, OVERUSE INJURIES, PSYCHOSOCIAL FACTORS, MOVEMENT (RE)INJURY, TAMPA SCALE, BACK-PAIN, VALIDATION, RETURN",

author = "Slagers, {Anton J} and {van Veen}, Esther and Johannes Zwerver and Geertzen, {Jan H B} and Reininga, {Inge H F} and {van den Akker-Scheek}, Inge",

year = "2021",

month = jul,

doi = "10.1016/j.ptsp.2021.04.010",

language = "English",

volume = "50",

pages = "145--152",

journal = "Physical Therapy in Sport",

issn = "1466-853X",

publisher = "Churchill Livingstone",

}

TY - JOUR

T1 - Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy

T2 - a cross-sectional study

AU - Slagers, Anton J

AU - van Veen, Esther

AU - Zwerver, Johannes

AU - Geertzen, Jan H B

AU - Reininga, Inge H F

AU - van den Akker-Scheek, Inge

PY - 2021/7

Y1 - 2021/7

N2 - 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.

AB - 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.

KW - Achilles

KW - Patella

KW - Tendinopathy

KW - Psychology

KW - Patient-reported

KW - Outcome measure (PROM)

KW - CRUCIATE LIGAMENT RECONSTRUCTION

KW - PAIN CATASTROPHIZING SCALE

KW - SPORTS INJURY REHABILITATION

KW - OVERUSE INJURIES

KW - PSYCHOSOCIAL FACTORS

KW - MOVEMENT (RE)INJURY

KW - TAMPA SCALE

KW - BACK-PAIN

KW - VALIDATION

KW - RETURN

U2 - 10.1016/j.ptsp.2021.04.010

DO - 10.1016/j.ptsp.2021.04.010

M3 - Article

C2 - 34015607

SN - 1466-853X

VL - 50

SP - 145

EP - 152

JO - Physical Therapy in Sport

JF - Physical Therapy in Sport

ER -

Psychological factors during rehabilitation of patients with Achilles or patellar tendinopathy: a cross-sectional study

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Keywords

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