Division of Physical Therapy, Shenandoah University, Leesburg, VA,USA.
University of North Carolina at Chapel Hill, Chapel Hill, NC,USA.
J Sport Rehabil. 2023 Feb 27;32(4):433-439. doi: 10.1123/jsr.2022-0199. Print 2023 May 1.
Many individuals who sustain a lateral ankle sprain (LAS) fail to return to prior activity due to residual symptoms; and report elevated levels of injury-related fear, decreased function, and decreased health-related quality of life (HRQOL). Additionally, individuals with history of LAS exhibit deficits in neurocognitive functional measures like visuomotor reaction time (VMRT), which contributes to worse patient-reported outcome scores. The aim of this study was to examine the relationship between HRQOL and lower-extremity (LE) VMRT in individuals with LAS history.
Cross-sectional.
Young adult female volunteers with history of LAS (n = 22; age = 24 [3.5] y; height = 163.1 [9.8] cm; mass = 65.1 [11.5] kg; and time since last LAS = 67.8 [50.5] mo) completed HRQOL outcomes including the following: (1) Tampa Scale of Kinesiophobia-11, (2) Fear-Avoidance Beliefs Questionnaire, (3) Penn State Worry Questionnaire, (4) modified Disablement in the Physically Active Scale, and (5) Foot and Ankle Disability Index (FADI). Additionally, participants completed a LE-VMRT task by responding to a visual stimulus using their foot to deactivate light sensors. Participants completed trials bilaterally. Separate Spearman rho correlations were performed to assess the relationship between patient-reported outcomes assessing constructs of HRQOL and LE-VRMT bilaterally. Significance was set at P < .05.
There was a strong, significant negative correlation between FADI-Activities of Daily Living (ρ = -.68; P = .002) and FADI-Sport (ρ = -.76; P = .001) scores and injured limb LE-VMRT; moderate, significant negative correlations between the uninjured limb LE-VMRT and FADI-Activities of Daily Living (ρ = -.60; P = .01) and FADI-Sport (ρ = -.60; P = .01) scores; and moderate, significant positive correlations between the injured limb LE-VMRT and modified Disablement in the Physically Active Scale-Physical Summary Component (ρ = .52; P = .01) and modified Disablement in the Physically Active Scale-Total (ρ = .54; P = .02) scores. All other correlations were not statistically significant.
Young adult women with history of LAS demonstrated an association between self-reported constructs of HRQOL and LE-VMRT. As LE-VMRT is a modifiable injury risk factor, future studies should examine the effectiveness of interventions designed to improve LE-VMRT and the impact on self-reported HRQOL.
许多发生过外侧踝关节扭伤（LAS）的个体由于残留症状而无法恢复到先前的活动水平；并报告存在更高水平的与损伤相关的恐惧、功能下降和健康相关生活质量（HRQOL）下降。此外，有 LAS 病史的个体在神经认知功能测量方面存在缺陷，例如视动反应时间（VMRT），这会导致患者报告的结果评分更差。本研究旨在探讨 LAS 病史个体的 HRQOL 与下肢（LE）VMRT 之间的关系。
横断面研究。
年轻成年女性 LAS 病史志愿者（n=22；年龄=24[3.5]岁；身高=163.1[9.8]cm；体重=65.1[11.5]kg；距上次 LAS 时间=67.8[50.5]mo）完成了 HRQOL 结果评估，包括以下内容：（1）Tampa 运动恐惧量表-11，（2）恐惧回避信念问卷，（3）宾夕法尼亚州担忧问卷，（4）改良身体活动中的失能量表，和（5）足踝残疾指数（FADI）。此外，参与者通过使用脚来停用光传感器来对视觉刺激做出反应，完成了 LE-VMRT 任务。参与者双侧完成试验。分别进行 Spearman rho 相关分析，以评估评估 HRQOL 结构的患者报告结果与双侧 LE-VRMT 之间的关系。显著性水平设置为 P<.05。
FADI-日常生活活动（ρ=-.68；P=.002）和 FADI-运动（ρ=-.76；P=.001）评分与受伤肢体 LE-VMRT 之间存在强烈的、显著的负相关；未受伤肢体 LE-VMRT 与 FADI-日常生活活动（ρ=-.60；P=.01）和 FADI-运动（ρ=-.60；P=.01）评分之间存在中度、显著的负相关；受伤肢体 LE-VMRT 与改良身体活动中的失能量表-物理总结成分（ρ=-.52；P=.01）和改良身体活动中的失能量表-总分（ρ=-.54；P=.02）之间存在中度、显著的正相关。所有其他相关性均无统计学意义。
有 LAS 病史的年轻成年女性表现出 HRQOL 自报告结构与 LE-VMRT 之间的关联。由于 LE-VMRT 是一种可改变的损伤风险因素，因此未来的研究应检查旨在改善 LE-VMRT 并影响自我报告的 HRQOL 的干预措施的有效性。
