Benjamin Maschke1, Allison Palmsten2, Evan O Nelson3, Michael C Obermeier4, Megan Reams5, Bryan Heiderscheit6, Hayley Russell7, Terese L Chmielewski8. 1. TRIA Orthopedic Center, 8100 Northland Drive, Bloomington, MN 55431, United States. Electronic address: Benjamin.Maschke@tria.com. 2. TRIA Orthopedic Center, 8100 Northland Drive, Bloomington, MN 55431, United States. Electronic address: allison.palmsten@tria.com. 3. Department of Family Medicine and Community Health, University of Wisconsin-Madison, 4190 Medical Sciences Center, 1300 University Avenue, Madison, WI 53706, United States. Electronic address: evan.nelson@wisc.edu. 4. TRIA Orthopedic Center, 8100 Northland Drive, Bloomington, MN 55431, United States. Electronic address: michael.obermeier@tria.com. 5. TRIA Orthopedic Center, 8100 Northland Drive, Bloomington, MN 55431, United States. Electronic address: megan.reams@tria.com. 6. Department of Orthopedics and Rehabilitation, University of Wisconsin-Madison, 685 Highland Ave, MFCB 1636, Madison, WI 53705, United States. Electronic address: heiderscheit@ortho.wisc.edu. 7. Gustavus Adolphus College, 800 W College Ave, Saint Peter, MN 56082, United States. Electronic address: hrussell@gustavus.edu. 8. TRIA Orthopedic Center, 8100 Northland Drive, Bloomington, MN 55431, United States. Electronic address: terese.chmielewski@tria.com.
Abstract
OBJECTIVE: Examine injury-related psychological distress and association with perceived running ability in injured runners. DESIGN: Prospective longitudinal study. PARTICIPANTS: Forty-three patients with a running-related injury. MAIN OUTCOME MEASURES: Data collection at initial physical therapy visit and 12-16 weeks later included Optimal Screening for Prediction of Referral and Outcome - Yellow Flag (OSPRO-YF) and Athlete Fear Avoidance Questionnaire (AFAQ) for injury-related psychological distress, and University of Wisconsin Running and Recovery Index (UWRI) for perceived running ability. OSPRO-YF composite score, total yellow flags, and yellow flags in each domain (negative mood, fear-avoidance, positive affect/coping) were calculated. RESULTS: UWRI score and OSPRO-YF composite score and yellow flags significantly improved over time, while AFAQ score and yellow flags in OSPRO-YF negative mood domain did not. AFAQ scores were significantly correlated with UWRI score at baseline, follow-up and change over time, while OSPRO-YF composite score and yellow flags were not. Baseline OSPRO-YF composite score and AFAQ score were not correlated with follow-up UWRI score. CONCLUSIONS: Injury-related psychological distress is elevated when injured runners start rehabilitation, and generally improves; however, negative mood and athletic fear-avoidance may persist. Higher athletic fear-avoidance is associated with lower perceived running ability at the same time point or interval.
OBJECTIVE: Examine injury-related psychological distress and association with perceived running ability in injured runners. DESIGN: Prospective longitudinal study. PARTICIPANTS: Forty-three patients with a running-related injury. MAIN OUTCOME MEASURES: Data collection at initial physical therapy visit and 12-16 weeks later included Optimal Screening for Prediction of Referral and Outcome - Yellow Flag (OSPRO-YF) and Athlete Fear Avoidance Questionnaire (AFAQ) for injury-related psychological distress, and University of Wisconsin Running and Recovery Index (UWRI) for perceived running ability. OSPRO-YF composite score, total yellow flags, and yellow flags in each domain (negative mood, fear-avoidance, positive affect/coping) were calculated. RESULTS: UWRI score and OSPRO-YF composite score and yellow flags significantly improved over time, while AFAQ score and yellow flags in OSPRO-YF negative mood domain did not. AFAQ scores were significantly correlated with UWRI score at baseline, follow-up and change over time, while OSPRO-YF composite score and yellow flags were not. Baseline OSPRO-YF composite score and AFAQ score were not correlated with follow-up UWRI score. CONCLUSIONS: Injury-related psychological distress is elevated when injured runners start rehabilitation, and generally improves; however, negative mood and athletic fear-avoidance may persist. Higher athletic fear-avoidance is associated with lower perceived running ability at the same time point or interval.
Authors: Steven Z George; Jason M Beneciuk; Trevor A Lentz; Samuel S Wu; Yunfeng Dai; Joel E Bialosky; Giorgio Zeppieri Journal: J Orthop Sports Phys Ther Date: 2018-04-07 Impact factor: 4.751
Authors: Terese L Chmielewski; Steven Z George; Susan M Tillman; Michael W Moser; Trevor A Lentz; Peter A Indelicato; Troy N Trumble; Jonathan J Shuster; Flavia M Cicuttini; Christiaan Leeuwenburgh Journal: Am J Sports Med Date: 2016-01-21 Impact factor: 6.202
Authors: Carl Stubbs; Sean Mc Auliffe; Adrian Mallows; Kieran O'sullivan; Terence Haines; Peter Malliaras Journal: PLoS One Date: 2020-11-30 Impact factor: 3.240