OBJECTIVE: To examine age-related differences in pain, catastrophizing, and affective distress (depression and anxiety) after athletic injury and knee surgery. DESIGN AND SETTING: Participants were assessed with measures of pain intensity, pain-related catastrophizing, depression, and anxiety symptoms at 24 hours after anterior cruciate ligament (ACL) surgery. SUBJECTS: Twenty patients (10 adolescents, 10 adults) with an acute complete tear of the ACL. MEASUREMENTS: Pain was assessed by Visual Analog Scale (VAS), catastrophizing with the Pain Catastrophizing Scale (PCS), depressive symptoms with the Beck Depression Inventory (BDI), and anxiety with the state form of the State-Trait Anxiety Inventory (STAI-S). RESULTS: At 24 hours postsurgery, adolescents reported greater pain, catastrophizing, and anxiety than adults. Ancillary analyses showed that helplessness and rumination were significant contributors to the differences in catastrophizing. Further, an analysis of covariance showed that controlling for the effects of catastrophizing, the adolescent and adult differences in pain scores were reduced to a null effect. CONCLUSIONS: After ACL surgery, athletic adolescents and adults differed significantly in pain, catastrophizing, and anxiety. Catastrophizing seemed to be a particularly strong factor in postoperative pain differences between adolescents and adults, with clinical-management implications. These data indicate the need for continued research into specific pain- and age-related factors during the acute postoperative period for athletes undergoing ACL surgery.
OBJECTIVE: To examine age-related differences in pain, catastrophizing, and affective distress (depression and anxiety) after athletic injury and knee surgery. DESIGN AND SETTING:Participants were assessed with measures of pain intensity, pain-related catastrophizing, depression, and anxiety symptoms at 24 hours after anterior cruciate ligament (ACL) surgery. SUBJECTS: Twenty patients (10 adolescents, 10 adults) with an acute complete tear of the ACL. MEASUREMENTS: Pain was assessed by Visual Analog Scale (VAS), catastrophizing with the Pain Catastrophizing Scale (PCS), depressive symptoms with the Beck Depression Inventory (BDI), and anxiety with the state form of the State-Trait Anxiety Inventory (STAI-S). RESULTS: At 24 hours postsurgery, adolescents reported greater pain, catastrophizing, and anxiety than adults. Ancillary analyses showed that helplessness and rumination were significant contributors to the differences in catastrophizing. Further, an analysis of covariance showed that controlling for the effects of catastrophizing, the adolescent and adult differences in pain scores were reduced to a null effect. CONCLUSIONS: After ACL surgery, athletic adolescents and adults differed significantly in pain, catastrophizing, and anxiety. Catastrophizing seemed to be a particularly strong factor in postoperative pain differences between adolescents and adults, with clinical-management implications. These data indicate the need for continued research into specific pain- and age-related factors during the acute postoperative period for athletes undergoing ACL surgery.
Authors: Terese L Chmielewski; Giorgio Zeppieri; Trevor A Lentz; Susan M Tillman; Michael W Moser; Peter A Indelicato; Steven Z George Journal: Phys Ther Date: 2011-06-23
Authors: Lauren K Dunn; Marcel E Durieux; Lucas G Fernández; Siny Tsang; Emily E Smith-Straesser; Hasan F Jhaveri; Shauna P Spanos; Matthew R Thames; Christopher D Spencer; Aaron Lloyd; Russell Stuart; Fan Ye; Jacob P Bray; Edward C Nemergut; Bhiken I Naik Journal: J Neurosurg Spine Date: 2017-11-10
Authors: Stefan F Fischerauer; Mojtaba Talaei-Khoei; Rens Bexkens; David C Ring; Luke S Oh; Ana-Maria Vranceanu Journal: Clin Orthop Relat Res Date: 2018-04 Impact factor: 4.176
Authors: Eduardo E Castrillon; Brian E Cairns; Malin Ernberg; Kelun Wang; Barry Sessle; Lars Arendt-Nielsen; Peter Svensson Journal: Arch Oral Biol Date: 2008-03-04 Impact factor: 2.633