nach oben

Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.10.2014 | Knee

Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain

verfasst von: Julio Doménech, Vicente Sanchis-Alfonso, Begoña Espejo

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2014

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain.

Methods

A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires.

Results

Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment.

Conclusion

What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results.

Level of evidence

Prospective Cohort Study, Level I for prognosis.

Boeckstyns MEH, Backer M (1989) Reliability and validity of the evaluation of pain in patients with total knee replacement. Pain 38:29–33PubMedCrossRef

Briggs KK, Lysholm J, Tegner Y, Rodkey WG, Kocher MS, Steadman JR (2009) The reliability, validity, and responsiveness of the Lysholm score and Tegner activity scale for anterior cruciate ligament injuries of the knee: 25 years later. Am J Sports Med 37:890–897PubMedCrossRef

Brox JI, Sørensen R, Friis A, Nygaard Ø, Indahl A, Keller A, Ingebrigtsen T, Eriksen HR, Holm I, Koller AK, Riise R, Reikerås O (2003) Randomized clinical trial of lumbar instrumented fusion and cognitive intervention and exercises in patients with chronic low back pain and disc degeneration. Spine 28:1913–1921PubMedCrossRef

Burns JW, Glenn B, Bruehl S, Harden RN, Lofland K (2003) Cognitive factors influence outcome following multidisciplinary chronic pain treatment: a replication and extension of a cross-lagged panel analysis. Behav Res Ther 41:1163–1182PubMedCrossRef

Chmielewski TL, Zeppieri G Jr, Lentz TA, Tillman SM, Moser MW, Indelicato PA, George SZ (2011) Longitudinal changes in psychosocial factors and their association with knee pain and function after anterior cruciate ligament reconstruction. Phys Ther 91(9):1355–1366PubMedCrossRefPubMedCentral

Crombez G, Eccleston C, Baeyens F (1998) When somatic information threatens, catastrophic thinking enhances attentional interference. Pain 75:187–198PubMedCrossRef

De Das S, Vranceanu AM, Ring DC (2013) Contribution of kinesophobia and catastrophic thinking to upper-extremity-specific disability. J Bone Joint Surg Am 95:76–81CrossRef

Domenech J, Sanchis-Alfonso V, Lopez L, Espejo B (2013) Influence of kinesiophobia and catastrophizing on pain and disability in anterior knee pain patients. Knee Surg Sports Traumatol Arthrosc 21:1562–1568PubMedCrossRef

Edward RR, Smith MT, Stonerock G et al (2006) Pain-related catastrophizing in healthy women is associated with greater temporal summation of and reduced habituation to thermal pain. Clin J Pain 22:730–737CrossRef

10.

Edwards RR, Giles J, Bingham CO III, Campbell C, Haythornthwaite JA, Bathon J (2010) Moderators of the negative effects of catastrophizing in arthritis. Pain Med 11:591–599PubMedCrossRefPubMedCentral

11.

García Campayo J, Rodero B, Alda M, Sobradiel N, Montero J, Moreno S (2008) Validación de la versión española de la Pain Catastrophizing Scale en pacientes con fibromialgia. Med Clin 131:487–492CrossRef

12.

Gracely RH, Geisser ME, Giesecke T (2004) Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Brain 127:835–843PubMedCrossRef

13.

Herrero MJ, Blanch J, Peri JM et al (2003) A validation study of the hospital anxiety and depression scale (HADS) in a Spanish population. Gen Hosp Psychiatry 25:277–283PubMedCrossRef

14.

Jensen MP, Karoly P, O’Riordan EF, Bland F Jr, Burns RS (1989) The subjective experience of acute pain: an assessment of the utility of 10 indices. Clin J Pain 5:153–159PubMedCrossRef

15.

Johnson LL, van Dyk GE, Green JR (1998) Clinical assessment of asymptomatic knees: comparison of men and women. Arthroscopy 14:347–359PubMedCrossRef

16.

Keefe FJ, Affleck G, Lefebvre JC (1997) Pain coping strategies and coping efficacy in rheumatoid arthritis: a daily process analysis. Pain 69:35–42PubMedCrossRef

17.

Kori KS, Miller RP, Todd DD (1990) Kinesiophobia: a new view of chronic pain behaviour. Pain Manag 3:35–43

18.

Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW (2007) The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med 30:77–94PubMedCrossRef

19.

Leeuw M, Goossens ME, van Breukelen GJ, de Jong JR, Heuts PH, Smeets RJ, Köke AJ, Vlaeyen JW (2008) Exposure in vivo versus operant graded activity in chronic low back pain patients: results of a randomized controlled trial. Pain 138:192–207PubMedCrossRef

20.

Linton SJ, Nordin E (2006) A 5-year follow-up evaluation of the health and economic consequences of an early cognitive behavioral intervention for back pain: a randomized, controlled trial. Spine 15:853–858CrossRef

21.

Macintyre NJ, Hill NA, Fellows RA (2006) Patellofemoral joint kinematics in individuals with and without patellofemoral pain syndrome. J Bone Joint Surg 88A:2596–2605CrossRef

22.

Peters ML, Vlaeyen JWS, Weber WEJ (2005) The joint contribution of physical pathology, pain-related fear and catastrophizing to chronic back pain disability. Pain 113:45–50PubMedCrossRef

23.

Picavet HSJ, Vlaeyen JWS, Schouten SAG (2002) Pain catastrophizing and kinesiophobia: predictors of chronic low back pain. Am J Epidemiol 156:1028–1034PubMedCrossRef

24.

Piva SR, Fitzgerald GK, Wisniewski S, Delitto A (2009) Predictors of pain and function outcome after rehabilitation in patients with patellofemoral pain syndrome. J Rehabil Med 41:604–612PubMedCrossRef

25.

Powers CM, Bolgla LA, Callaghan MJ, Collins N, Sheehan FT (2012) Patellofemoral pain: proximal, distal, and local factors, 2nd international research retreat. J Orthop Sports Phys Ther 42:A1–A54PubMedCrossRef

26.

Rainville J, Smeets RJ, Bendix T, Tveito TH, Poiraudeau S, Indahl AJ (2011) Fear-avoidance beliefs and pain avoidance in low back pain-translating research into clinical practice. Spine J 11:895–903PubMedCrossRef

27.

Riddle DL, Wade JB, Jiranek WA, Kong X (2010) Preoperative pain catastrophizing predicts pain outcome after knee arthroplasty. Clin Orthop Relat Res 468(3):798–806PubMedCrossRefPubMedCentral

28.

Rodríguez Franco L, Cano García FJ, Blanco Picabia A (2004) Evaluación de las estrategias de afrontamiento del dolor crónico. Actas Esp Psiq 32:82–91

29.

Rosenstiel AK, Keefe FJ (1983) The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain 17:33–44PubMedCrossRef

30.

Sanchis-Alfonso V (2014) Holistic approach to understanding the anterior knee pain. Clinical implications. Knee Surg Sports Traumatol Arthrosc (in press)

31.

Smeets RJ, Vlaeyen JW, Kester AD, Knottnerus JA (2006) Reduction of pain catastrophizing mediates the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. J Pain 7:261–271PubMedCrossRef

32.

Sullivan HJL, Bishop SR, Pivik J (1995) The Pain Catastrophizing Scale: development and validation. Psychol Assess 7:524–532CrossRef

33.

Sullivan M, Tanzer M, Stanish W, Fallaha M, Keefe FJ, Simmonds M, Dunbar M (2009) Psychological determinants of problematic outcomes following total knee arthroplasty. Pain 143:123–129PubMedCrossRef

34.

Tegner Y, Lysholm J (1985) Rating systems in the evaluation of knee ligament injuries. Clin Orthop Relat Res 198:43–49PubMed

35.

Theunissen M, Peters ML, Bruce J, Gramke HF, Marcus MA (2012) Preoperative anxiety and catastrophizing: a systematic review and meta-analysis of the association with chronic postsurgical pain. Clin J Pain 28:819–841PubMedCrossRef

36.

Thomeé P, Thomeé R, Karlsson J (2002) Patellofemoral pain syndrome: pain, coping strategies and degree of well-being. Scand J Med Sci Sports 12:276–281PubMedCrossRef

37.

Tubach F, Ravaud P, Baron G, Falissard B, Logeart I, Bellamy N, Bombardier C, Felson D, Hochberg M, van der Heijde D, Dougados M (2005) Evaluation of clinically relevant states in patient reported outcomes in knee and hip osteoarthritis: the patient acceptable symptom state. Ann Rheum Dis 64:34–37PubMedCrossRefPubMedCentral

38.

Vlaeyen JW, Linton SJ (2000) Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 85:317–332PubMedCrossRef

39.

Wade JB, Riddle DL, Thacker LR (2012) Is pain catastrophizing a stable trait or dynamic state in patients scheduled for knee arthroplasty? Clin J Pain 28:122–128PubMedCrossRef

40.

Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370PubMedCrossRef

Titel: Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain
verfasst von: Julio Doménech
Vicente Sanchis-Alfonso
Begoña Espejo
Publikationsdatum: 01.10.2014
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2014
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-014-2968-7

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 10/2014

Current concepts on trochleoplasty procedures for the surgical treatment of trochlear dysplasia

Variations in kinematics and function following patellar stabilization including tibial tuberosity realignment

Patellofemoral arthrodesis as pain relief in extreme patella alta

Medial patellotibial ligament (MPTL) reconstruction for patellar instability

Medial capsule reefing in patellar instability