Christine Becks Mansfield1, Mitchell Selhorst2. 1. Sports and Orthopedic Physical Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA. Electronic address: christine.mansfield@nationwidechildrens.org. 2. Sports and Orthopedic Physical Therapy Department, Nationwide Children's Hospital, Columbus, OH, USA.
Abstract
OBJECTIVES: 1) Report levels of fear-avoidance beliefs in adolescents with anterior knee pain, 2) determine if fear-avoidance beliefs predict the number of therapy visits used to treat anterior knee pain, and 3) determine if initial fear-avoidance beliefs predict functional ability at discharge. DESIGN: A retrospective review. SETTING: Pediatric outpatient hospital. PARTICIPANTS: Patients ages 10-21 years with a diagnosis of anterior knee pain between 2009 and 2016. MAIN OUTCOME MEASURES: The predictor variable was initial fear avoidance beliefs physical activity subscale (FABQ-PA) score and the outcome variable was total physical therapy visit count. Functional ability was assessed using the Anterior Knee Pain Scale (AKPS). RESULTS: Adolescents with anterior knee pain reported moderate fear-avoidance beliefs with an average initial FABQ-PA score of 13.2 ± 5. The FABQ-PA score did not significantly contribute to the visit count (p = 0.22, R2=<0.01). Fear-avoidance beliefs were most correlated with initial score on the AKPS (r = -0.44). CONCLUSION: Fear-avoidance beliefs in adolescents are similar to that seen in adults. FABQ-PA scores did not impact the number of visits used to treat anterior knee pain or functional ability at discharge.
OBJECTIVES: 1) Report levels of fear-avoidance beliefs in adolescents with anterior knee pain, 2) determine if fear-avoidance beliefs predict the number of therapy visits used to treat anterior knee pain, and 3) determine if initial fear-avoidance beliefs predict functional ability at discharge. DESIGN: A retrospective review. SETTING: Pediatric outpatient hospital. PARTICIPANTS: Patients ages 10-21 years with a diagnosis of anterior knee pain between 2009 and 2016. MAIN OUTCOME MEASURES: The predictor variable was initial fear avoidance beliefs physical activity subscale (FABQ-PA) score and the outcome variable was total physical therapy visit count. Functional ability was assessed using the Anterior Knee Pain Scale (AKPS). RESULTS: Adolescents with anterior knee pain reported moderate fear-avoidance beliefs with an average initial FABQ-PA score of 13.2 ± 5. The FABQ-PA score did not significantly contribute to the visit count (p = 0.22, R2=<0.01). Fear-avoidance beliefs were most correlated with initial score on the AKPS (r = -0.44). CONCLUSION: Fear-avoidance beliefs in adolescents are similar to that seen in adults. FABQ-PA scores did not impact the number of visits used to treat anterior knee pain or functional ability at discharge.
Authors: Garrett S Bullock; Timothy C Sell; Ryan Zarega; Charles Reiter; Victoria King; Hailey Wrona; Nilani Mills; Charlotte Ganderton; Steven Duhig; Anu Räisäsen; Leila Ledbetter; Gary S Collins; Joanna Kvist; Stephanie R Filbay Journal: Sports Med Date: 2022-08-13 Impact factor: 11.928