PMID- 31629331
OWN - NLM
STAT- MEDLINE
DCOM- 20210526
LR  - 20210526
IS  - 1543-3072 (Electronic)
IS  - 1056-6716 (Linking)
VI  - 29
IP  - 6
DP  - 2020 Aug 1
TI  - Fear-Avoidance Beliefs and Health-Related Quality of Life in Post-ACL 
      Reconstruction and Healthy Athletes: A Case-Control Study.
PG  - 772-776
LID - jsr.2018-0491 [pii]
LID - 10.1123/jsr.2018-0491 [doi]
AB  - CONTEXT: Many athletes return to sport after anterior cruciate ligament 
      reconstruction (ACLR) with lingering physical or mental health impairments. 
      Examining health-related quality of life (HRQL) and fear-avoidance beliefs across 
      the spectrum of noninjured athletes and athletes with a history of ACLR may 
      provide further insight into targeted therapies warranted for this population. 
      OBJECTIVE: The purpose of this study was to examine differences in fear-avoidance 
      beliefs and HRQL in college athletes with a history of ACLR not participating in 
      sport (ACLR-NPS), participating in sport (ACLR-PS), and healthy controls 
      (Control) with no history of injury participating in sport. DESIGN: 
      Cross-sectional. SETTING: Laboratory. Patients (or Other Participants): A total 
      of 10 college athletes per group (ACLR-NPS, ACLR-PS, and Control) were included. 
      Participants were included if on a roster of a Division I or III athletic team 
      during data collection. INTERVENTIONS: Participants completed a demographic 
      survey, the modified Disablement in the Physically Active Scale (mDPA) to assess 
      HRQL, and Fear-Avoidance Beliefs Questionnaire (FABQ) to assess fear-avoidance 
      beliefs. MAIN OUTCOME MEASURES: Scores on the mDPA (Physical and Mental) and FABQ 
      subscales (Sport and Physical Activity) were calculated, a 1-way Kruskal-Wallis 
      test and separate Mann-Whitney U post hoc tests were performed (P < .05). 
      RESULTS: ACLR-NPS (30.00 [26.00]) had higher FABQ-Sport scores than ACLR-PS 
      (18.00 [26.00]; P < .001) and Controls (0.00 [2.50]; P < .001). ACLR-NPS (21.50 
      [6.25]) had higher FABQ-Physical Activity scores than ACLR-PS (12.50 [13.00]; P = 
      .001) and Controls (0.00 [1.00]; P < .001). Interestingly, ACLR-PS scores for 
      FABQ-Sport (P = .01) and FABQ-Physical Activity (P = .04) were elevated compared 
      with Controls. ACLR-NPS had higher scores on the mDPA-Physical compared with the 
      ACLR-PS (P < .001) and Controls (P < .001), and mDPA-Mental compared with ACLR-PS 
      (P = .01), indicating decreased HRQL. CONCLUSIONS: The ACLR-NPS had greater 
      fear-avoidance beliefs and lower HRQL compared with ACLR-PS and Controls. 
      However, the ACLR-PS had higher scores for both FABQ subscales compared with 
      Controls. These findings support the need for additional psychosocial therapies 
      to address fear-avoidance beliefs in the returned to sport population.
FAU - Hoch, Johanna M
AU  - Hoch JM
FAU - Houston, Megan N
AU  - Houston MN
FAU - Baez, Shelby E
AU  - Baez SE
FAU - Hoch, Matthew C
AU  - Hoch MC
LA  - eng
PT  - Journal Article
DEP - 20191018
PL  - United States
TA  - J Sport Rehabil
JT  - Journal of sport rehabilitation
JID - 9206500
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Anterior Cruciate Ligament Reconstruction/*psychology
MH  - Athletes/*psychology
MH  - Athletic Injuries/*psychology/*surgery
MH  - Case-Control Studies
MH  - Cross-Sectional Studies
MH  - Fear/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Quality of Life/*psychology
MH  - Recovery of Function
MH  - Surveys and Questionnaires
MH  - Young Adult
OTO - NOTNLM
OT  - patient-reported outcomes
OT  - psychosocial intervention strategies
OT  - rehabilitation
EDAT- 2019/10/20 06:00
MHDA- 2021/05/27 06:00
CRDT- 2019/10/20 06:00
PHST- 2018/12/24 00:00 [received]
PHST- 2019/05/30 00:00 [revised]
PHST- 2019/06/09 00:00 [accepted]
PHST- 2019/10/20 06:00 [pubmed]
PHST- 2021/05/27 06:00 [medline]
PHST- 2019/10/20 06:00 [entrez]
AID - jsr.2018-0491 [pii]
AID - 10.1123/jsr.2018-0491 [doi]
PST - epublish
SO  - J Sport Rehabil. 2019 Oct 18;29(6):772-776. doi: 10.1123/jsr.2018-0491. Print 
      2020 Aug 1.