PMID- 32368745
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220716
IS  - 2666-061X (Electronic)
IS  - 2666-061X (Linking)
VI  - 2
IP  - 2
DP  - 2020 Apr
TI  - What is the Role of Kinesiophobia and Pain Catastrophizing in Outcomes After Hip 
      Arthroscopy for Femoroacetabular Impingement Syndrome?
PG  - e97-e104
LID - 10.1016/j.asmr.2019.12.001 [doi]
AB  - PURPOSE: To (1) investigate trends in kinesiophobia and pain catastrophizing 
      after hip arthroscopy for femoroacetabular impingement syndrome (FAIS), and (2) 
      determine whether kinesiophobia and pain catastrophizing scores are associated 
      with achieving minimal clinically important difference (MCID) for any of the 
      hip-specific patient-reported outcome questionnaires. METHODS: Patients 
      undergoing primary hip arthroscopy for treatment of FAIS between December 2016 
      and March 2017 were prospectively enrolled. Patients received the Tampa Scale of 
      Kinesiophoibia-11 (TSK-11) and Pain Catastrophizing Scale (PCS) questionnaires 
      preoperatively, 6 months, and 1 year postoperatively. They also received the 
      hip-specific patient-reported outcome questionnaires (Hip Outcome Score 
      Activities of Daily Living and Sport-Specific subscales, modified Harris Hip 
      Score, and International Hip Outcome Tool-12), as well as visual analog scale for 
      satisfaction and pain preoperatively and 1-year postoperatively. The threshold 
      for achieving MCID was determined for each hip outcome tool, and patients 
      achieving MCID were compared with those who did not. RESULTS: A total of 85 
      (80.2%) patients (mean age: 33.7 +/- 12.4 years; female: 75.3%) were included in 
      the final analysis. At 1-year follow-up, there was a significant reduction in 
      TSK-11 scores (26.22 +/- 5.99 to 18.70 +/- 6.49; P < .001) and PCS scores (17.81 +/- 
      10.13 to 4.77 +/- 7.57; P < .001) when compared with preoperative scores. 1-year 
      PCS scores were significantly lower in patients achieving MCID compared with 
      patients failing to achieve MCID (3.2 +/- 4.4 vs 10.8 +/- 15.2; P = .006). There were 
      no significant differences in TSK-11 scores between those achieving and not 
      achieving MCID. CONCLUSIONS: Patient kinesiophobia and pain catastrophizing both 
      show significant improvements 1 year after undergoing hip arthroscopy for FAIS. 
      However, pain catastrophizing scores at 1 year are significantly greater in 
      patients not achieving MCID, whereas no association was identified between 
      kinesiophobia and likelihood for MCID achievement. This suggests PCS may be a 
      more useful tool than TSK-11 during postoperative rehabilitation for identifying 
      patients at risk for not achieving MCID. LEVEL OF EVIDENCE: Level II, prospective 
      case series.
CI  - (c) 2020 by the Arthroscopy Association of North America. Published by Elsevier 
      Inc.
FAU - Clapp, Ian M
AU  - Clapp IM
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Nwachukwu, Benedict U
AU  - Nwachukwu BU
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Beck, Edward C
AU  - Beck EC
AD  - Department of Orthopedic Surgery, Wake Forest Baptist Health, Winston-Salem, 
      North Carolina, U.S.A.
FAU - Rasio, Jonathan P
AU  - Rasio JP
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Alter, Thomas
AU  - Alter T
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Allison, Bradley
AU  - Allison B
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
FAU - Nho, Shane J
AU  - Nho SJ
AD  - Department of Orthopedic Surgery, Rush University Medical Center, Chicago, 
      Illinois, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20200108
PL  - United States
TA  - Arthrosc Sports Med Rehabil
JT  - Arthroscopy, sports medicine, and rehabilitation
JID - 101765256
PMC - PMC7190542
EDAT- 2020/05/06 06:00
MHDA- 2020/05/06 06:01
PMCR- 2020/01/08
CRDT- 2020/05/06 06:00
PHST- 2019/08/29 00:00 [received]
PHST- 2019/12/12 00:00 [accepted]
PHST- 2020/05/06 06:00 [entrez]
PHST- 2020/05/06 06:00 [pubmed]
PHST- 2020/05/06 06:01 [medline]
PHST- 2020/01/08 00:00 [pmc-release]
AID - S2666-061X(19)30040-9 [pii]
AID - 10.1016/j.asmr.2019.12.001 [doi]
PST - epublish
SO  - Arthrosc Sports Med Rehabil. 2020 Jan 8;2(2):e97-e104. doi: 
      10.1016/j.asmr.2019.12.001. eCollection 2020 Apr.