Tufts University School of Medicine, Boston, Massachusetts, U.S.A.
Department of Orthopaedic Surgery, Brigham and Women's Hospital, Boston, Massachusetts, U.S.A.
Arthroscopy. 2024 Dec;40(12):2887-2894. doi: 10.1016/j.arthro.2024.02.033. Epub 2024 Mar 5.
To evaluate the relationship between resilience, as measured by the Brief Resilience Scale (BRS), and patient-reported outcome measures (PROMs) after primary anterior cruciate ligament reconstruction (ACLR).
A cohort of 72 patients undergoing primary ACLR were followed for a minimum of 2 years. Preoperative BRS scores were collected, and patients were categorized into low resilience (LR), normal resilience (NR), and high resilience (HR). PROMs including the visual analog scale (VAS), measuring overall pain level from 0 to 10, the Veterans Rand (VR) 12-Item Health Survey Physical Component and Mental Components, Knee Injury and Osteoarthritis Outcomes Score, and Marx Activity Rating Scale were collected preoperatively as well as up to 2 years postoperatively and compared among the various resilience groups.
BRS scores were significantly associated with VAS, VR 12-Item Health Survey Mental Component, and KOOS outcome scores. There was a significant difference among all 3 resilience groups (P = .0382) in change of VAS score from baseline to 2 years postoperatively, with a mean difference of 2.5 points, 1.1 points, and 0.7 points for LR, NR, and HR groups, respectively. There was a significant association of greater VR 12-Item Health Survey Mental Component scores, with greater resilience scores preoperatively (P < .0001) and at both 1 (P = .0034) and 2 years (P = .0235) postoperatively. Greater resilience scores were associated with greater KOOS scores at 1 year postoperatively (P = .0270). Female patients were more likely to fall into the LR group (80%).
In this cohort of patients undergoing ACLR, low resilience is positively associated with greater improvement in pain, and female patients tend to fall more into the LR group. At 1 year postoperatively, greater resilience scores were positively associated with greater aggregated KOOS scores. At 1 and 2 years postoperatively, greater resilience was positively associated with improved VR-12M scores.
Level II, prospective cohort study.
评估使用简明韧性量表（BRS）测量的韧性与初次前交叉韧带重建（ACLR）后患者报告的结果测量（PROM）之间的关系。
对 72 例接受初次 ACLR 的患者进行了队列研究，随访时间至少 2 年。收集术前 BRS 评分，并将患者分为低韧性（LR）、正常韧性（NR）和高韧性（HR）。收集了术前及术后 2 年的 PROM，包括视觉模拟评分（VAS），从 0 到 10 测量总体疼痛水平、退伍军人 Rand（VR）12 项健康调查身体成分和心理成分、膝关节损伤和骨关节炎结局评分（KOOS）和 Marx 活动评分量表，并比较了各韧性组之间的差异。
BRS 评分与 VAS、VR 12 项健康调查心理成分和 KOOS 结局评分显著相关。在所有 3 个韧性组之间，术后 2 年时 VAS 评分的变化存在显著差异（P=0.0382），LR、NR 和 HR 组的平均差值分别为 2.5、1.1 和 0.7 分。术前 VR 12 项健康调查心理成分得分较高与更高的韧性评分显著相关（P<0.0001），且在术后 1 年（P=0.0034）和 2 年（P=0.0235）时也与更高的韧性评分相关。术前更大的韧性评分与术后 1 年时更大的 KOOS 评分相关（P=0.0270）。女性患者更有可能归入 LR 组（80%）。
在接受 ACLR 的患者队列中，低韧性与疼痛改善程度更大呈正相关，女性患者倾向于更多地归入 LR 组。术后 1 年时，更大的韧性评分与更大的 KOOS 综合评分呈正相关。术后 1 年和 2 年时，更大的韧性与改善的 VR-12M 评分呈正相关。
II 级，前瞻性队列研究。
