Biopsychosocial profiles following ACL reconstruction: A latent class analysis of barriers to return-to-activity

IF 2.3 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2025-09-01 Epub Date: 2025-08-13 DOI:10.1016/j.ptsp.2025.08.004

Erich Petushek , Matthew S. Harkey , Kim Santiago , Alexander Stamm , Shelby Baez , Jed A. Diekfuss , Gregory D. Myer , Christopher Kuenze

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引用次数: 0

Abstract

Objective

Understanding of how biopsychosocial factors interrelate to affect recovery from ACL injuries is essential for improving patient outcomes. This research aimed to use Latent Class Analysis (LCA) to classify individuals post-ACL reconstruction into subgroups reflecting their particular biopsychosocial challenges to recovery.

Design

Cross-Sectional.

Methods

This multisite investigation included 134 ACLR patients approximately 6 months (5.6 months ± 1.8 SD) following surgery. The ACL Reasons scale, various Patient Reported Outcome (PRO), and performance-based measures were assessed. LCA was used to categorize patients into subgroups based on the ACL Reasons scale. Subgroups were then compared across demographic, PRO, and performance-based measures using one-way analysis of variance and chi-squared tests.

Results

LCA identified two distinct groups of patients who were less active after ACL reconstruction, characterized by varying levels of injury related fear, anxiety and depression. These groups reported lower outcomes and demonstrated reduced performance on hop tests in comparison to those who were as active as before their surgery.

Conclusion

Patients less active post-surgery fall into two categories: one hindered by injury-related fear and symptoms, the other by mostly symptoms alone. Tailored interventions could enhance recovery, with one group possibly benefiting from psychological support and the other from a focus on functional and symptomatic treatment.

查看原文本刊更多论文

前交叉韧带重建后的生物心理社会概况：对恢复活动障碍的潜在分类分析

目的了解生物心理社会因素如何影响前交叉韧带损伤的恢复，对改善患者预后至关重要。本研究旨在使用潜在分类分析（LCA）将acl重建后的个体分类为反映其特定的生物心理社会恢复挑战的亚组。方法对术后约6个月（5.6个月±1.8个标准差）的134例ACLR患者进行多地点调查。ACL原因量表、各种患者报告结果（PRO）和基于绩效的措施进行了评估。LCA根据ACL原因量表将患者分为亚组。然后使用单因素方差分析和卡方检验对亚组进行人口统计学、PRO和基于绩效的测量进行比较。结果slca确定了两组不同的ACL重建后活动较少的患者，其特征是不同程度的损伤相关恐惧、焦虑和抑郁。与手术前一样活跃的患者相比，这些组报告了较低的结果，并且在跳跃测试中表现出较低的表现。结论术后活动能力下降的患者分为两类：一类是受损伤相关恐惧和症状影响，另一类是主要受症状影响。量身定制的干预措施可以促进康复，其中一组可能受益于心理支持，而另一组则可能受益于功能和对症治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.