University of Groningen, University Medical Center Groningen, Center for Rehabilitation, Department of Rehabilitation Medicine, Groningen, the Netherlands.
University of Groningen, University Medical Center Groningen, Department of Orthopaedics, Groningen, the Netherlands.
Phys Ther Sport. 2021 Jul;50:145-152. doi: 10.1016/j.ptsp.2021.04.010. Epub 2021 May 6.
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.
cross-sectional study.
online survey platform.
119 patients (mean age: 44 years (SD 14)) diagnosed with Achilles or patellar tendinopathy.
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.
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.
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.
探讨跟腱或髌腱腱病患者康复过程中的心理因素，以及心理因素与腱病严重程度、运动参与度以及对活动水平和肌腱功能的满意度之间的关系。
横断面研究。
在线调查平台。
119 名（平均年龄：44 岁（标准差 14 岁））被诊断为跟腱或髌腱腱病的患者。
记录了一系列患者报告的心理和结局指标。进行了多变量回归分析，以确定每个心理因素与结局指标之间的关系，并针对相关混杂因素进行了调整。
心理准备和重返运动的信心（I-PRRS）以及疼痛灾难化（PCS）与腱病严重程度（改良 VISA）、运动参与度（OSTRC-O）和满意度显著相关。运动恐惧（TSK）和患者重返受伤前活动水平的重要性与运动参与度和满意度显著相关。
本研究为跟腱和髌腱腱病患者康复过程中存在的心理因素受损提供了证据。大多数研究的心理因素与腱病严重程度、功能、参与度和满意度有关。物理治疗师在患者经历疼痛时应识别出缺乏重返运动的心理准备以及运动恐惧或灾难化思维的患者。
