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CC BY-NC-ND 4.0 · Joints 2019; 07(04): 148-154
DOI: 10.1055/s-0041-1730975
Original Article

The Relationship between Kinesiophobia and Return to Sport after Shoulder Surgery for Recurrent Anterior Instability

Alberto Vascellari
1   Kinè Physiotherapic and Orthopedic Center, San Vendemiano, Treviso, Italy
,
Carlo Ramponi
1   Kinè Physiotherapic and Orthopedic Center, San Vendemiano, Treviso, Italy
,
Davide Venturin
1   Kinè Physiotherapic and Orthopedic Center, San Vendemiano, Treviso, Italy
,
Giulia Ben
2   High Altitude Pediatric Asthma Center, Misurina Pio XII Institute, Belluno, Italy
,
Nicolò Coletti
3   Department of Orthopaedic and Traumatology, Oderzo Hospital, Oderzo, Treviso, Italy
› Author Affiliations Funding None.
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Abstract

Purpose To evaluate the relationship between kinesiophobia and patient's return to sport after shoulder stabilization surgery. The hypothesis was that kinesiophobia represents an independent factor correlated to the difference between preinjury and postoperative level of sport.

Methods This study retrospectively evaluated 66 patients (mean age: 35.5, standard deviation [SD] = 9.9 years) and at a mean follow-up of 61.1 (SD = 37.5) months after arthroscopic Bankart's repair or open Bristow–Latarjet procedure. Kinesiophobia was assessed with the Tampa Scale for Kinesiophobia (TSK); return to the preinjury sport was assessed by the difference between baseline and postoperative degree of shoulder involvement in sport (D-DOSIS) scale. The Western Ontario Shoulder Instability index (WOSI) was used to evaluate participants' perceptions of shoulder function.

Results TSK showed correlation with D-DOSIS (ρ = 0.505, p < 0.001) and the WOSI score (ρ = 0.589, p < 0.001). There was significant difference in TSK and WOSI scores between participants who had and had not returned to their previous level of sport participation (p = 0.006, and 0.0001, respectively).

Conclusion This study demonstrated that kinesiophobia is correlated to the return to sport after shoulder stabilization surgery.

Level of Evidence Level IV, retrospective case series.

Keywords

kinesiophobia - return to sport - DOSIS scale - shoulder instability

Note

All patients gave their informed consent upon receiving complete information on the study. Completion of the online questionnaire used in this study was accepted as implied consent to participate.


Ethical Approval

The study was approved by the Local Hospital Ethics Committee (Prot. 78695).




Publication History

Received: 12 September 2017

Accepted: 18 April 2021

Article published online:
18 June 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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