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 journalArticleAcademicpeer-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 languageEnglish
Pages (from-to)145-152
Number of pages8
JournalPhysical Therapy in Sport
Volume50
Early online date2021
DOIs
Publication statusPublished - 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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