Larsson Elin, LeGreves Agnes, Brorsson Annelie, Eliasson Pernilla, Johansson Christer, Carmont Michael R, Nilsson Helander Katarina
The Department of Orthopaedics, Sahlgrenska University Hospital Mölndal, Institute of Clinical Sciences at Sahlgrenska Academy Gothenburg University Gothenburg Sweden.
IFK Kliniken Rehab Gothenburg Sweden.
J Exp Orthop. 2024 Oct 31;11(4):e70077. doi: 10.1002/jeo2.70077. eCollection 2024 Oct.
The aim of this study was to investigate how fear of reinjury to the Achilles tendon affects return to previous levels of physical activity and self-reported Achilles tendon Total Rupture Score (ATRS) outcomes.
Data were collected from a large cohort of patients treated for an acute Achilles tendon rupture at Sahlgrenska University Hospital Mölndal between 2015 and 2020. The ATRS and additional questions concerning fear of reinjury, treatment modality, satisfaction of treatment and recovery were analyzed 1-6 years postinjury. Analysis was performed to determine the impact of fear of reinjury on patient-reported recovery and physical activity.
Of a total of 856 eligible patients, 550 (64%) answered the self-reported questionnaire and participated in the follow-up. Of the participants, 425 (77%) were men and 125 (23%) were women. ATRS, recovery in percentage, satisfaction of treatment, recovery on a 5-point scale and physical activity level post- versus preinjury were significantly related to fear of reinjury ( < 0.001). Of the nonsurgically treated patients, 59% reported fear of reinjury compared to 48% of the surgically treated patients ( = 0.024) Patients that reported fear of reinjury had a 15-point lower median ATRS score than those who did not ( < 0.001).
More than half of patients who have suffered an Achilles tendon rupture are afraid of reinjuring their tendon. Patients who reported fear of reinjury exhibited a significantly lower ATRS score. This indicates the importance of addressing psychological aspects in the treatment after this injury.
Level II.
本研究旨在调查跟腱再损伤恐惧如何影响恢复到先前身体活动水平以及自我报告的跟腱总破裂评分（ATRS）结果。
收集了2015年至2020年间在马尔默萨尔格伦斯卡大学医院接受急性跟腱断裂治疗的大量患者的数据。在受伤后1至6年分析了ATRS以及有关再损伤恐惧、治疗方式、治疗满意度和恢复情况的其他问题。进行分析以确定再损伤恐惧对患者报告的恢复和身体活动的影响。
在总共856名符合条件的患者中，550名（64%）回答了自我报告问卷并参与了随访。参与者中，425名（77%）为男性，125名（23%）为女性。ATRS、恢复百分比、治疗满意度、5分制恢复情况以及伤后与伤前的身体活动水平与再损伤恐惧显著相关（<0.001）。在非手术治疗的患者中，59%报告有再损伤恐惧，而手术治疗的患者中这一比例为48%（=0.024）。报告有再损伤恐惧的患者的ATRS中位数得分比没有恐惧的患者低15分（<0.001）。
超过一半的跟腱断裂患者害怕肌腱再次受伤。报告有再损伤恐惧的患者的ATRS得分显著更低。这表明在该损伤后的治疗中解决心理方面问题的重要性。
二级。
