ArticleInternational journal of sports physical therapy2020
FEAR-AVOIDANCE AND SELF-EFFICACY PSYCHOSOCIAL FACTORS ARE ALTERED AFTER PARTIAL MENISCECTOMY AND ASSOCIATED WITH REHABILITATION OUTCOMES.
Article in International journal of sports physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Movement Strategies During the Penultimate and Final Steps of a Change of Direction Following Arthroscopic Partial Meniscectomy.Scandinavian journal of medicine & science in sports · 2026Article
- Ten-Year Post-traumatic Osteoarthritis Incidence Is Low After Pediatric Isolated Meniscal Surgery but Lower After Meniscal Repair Than Meniscectomy.Arthroscopy, sports medicine, and rehabilitation · 2026Article
- Tampa scale for kinesiophobia in individuals with knee osteoarthritis: a cross-sectional psychometric evaluation using item-level and exploratory factor analyses.Scientific reports · 2026Article
- Current status and factors influencing kinesiophobia in patients with meniscus injury: a cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Current Concept Review: Medial Patellofemoral Ligament Reconstruction: From Rehabilitation to Return to Sport.International journal of sports physical therapy · 2025Article
- Sport-Specific AMCaMP: New Modular Tools for Measuring Adolescent Self-Confidence In Sport-Specific Movement.International journal of sports physical therapy · 2024Article
- Video-based education is non-inferior to in-person education in patients undergoing arthroscopic partial meniscectomy: a non-inferiority randomized controlled trial.Archives of physiotherapyArticle
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Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle research has examined how psychosocial factors change over time and influence rehabilitation outcomes following meniscectomy. This information can inform the need to assess and address psychosocial factors in meniscectomy rehabilitation. HYPOTHESIS/PURPOSE: The purpose of this study was to examine changes in fear-avoidance and self-efficacy psychosocial factors from pre-surgery to one year after meniscectomy and their associations with rehabilitation outcomes. The hypothesis was that psychosocial factors would improve following meniscectomy, and less improvement in psychosocial factors would be associated with less improvement in rehabilitation outcomes. STUDY
designProspective cohort.
methodsTwenty-five patients with partial meniscectomy participated. Testing time points were pre-surgery, after post-surgical rehabilitation, and one-year post-surgery. Fear avoidance (pain catastrophizing and kinesiophobia) and self-efficacy (knee-related activity) psychosocial factors were assessed with the Pain Catastrophizing Scale (PCS), the Tampa Scale for Kinesiophobia (TSK-11), and Knee Activity Self-efficacy (KASE) questionnaires; respectively. Rehabilitation outcomes were quadriceps strength, evaluated with isokinetic testing at 60 °/sec; knee pain, measured with the Numeric Pain Rating Scale (NPRS); and self-reported knee function, measured with the International Knee Documentation Committee Subjective Knee Form (IKDC-SKF).
resultsPCS scores improved from pre-surgery to after post-surgical rehabilitation, while TSK-11 and KASE scores improved from pre-surgery to after post-surgical rehabilitation and from after post-surgical rehabilitation to 1-year post-surgery. Pre-surgery PCS and KASE scores were associated with 1-year post-surgery NPRS score (r = 0.50) and quadriceps peak torque (r = 0.48), respectively. From pre-surgery to 1-year post-surgery, change in TSK-11 score was associated with change in NPRS score (r = 0.65), and change in KASE score was associated with change in IKDC-SKF score (r = 0.44). From pre-surgery to after post-surgical rehabilitation, changes in TSK-11 and KASE scores were associated with changes in NPRS (TSK-11, r = 0.47; KASE, r = -0.50) and IKDC-SKF scores (TSK-11, r = -0.39; KASE, r = 0.71). From after post-surgical rehabilitation to 1-year post-surgery, changes in KASE score was associated with changes in IKDC-SKF score (r = 0.59).
conclusionsAssessment of pain catastrophizing and knee activity self-efficacy pre-surgery might help to identify patients at risk for sustained knee pain and quadriceps muscle weakness. Decreasing kinesiophobia and increasing knee activity self-efficacy were associated with improved knee pain and function. LEVEL OF EVIDENCE: 2b.
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Identifiers
33354389PMC7735696W3065831038What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.