Injury-related psychological distress and the association with perceived running ability in injured runners. (March 2022)

• Record Type: Journal Article
• Authors: Maschke, Benjamin; Palmsten, Allison; Nelson, Evan O.; Obermeier, Michael C.; Reams, Megan; Heiderscheit, Bryan; Russell, Hayley; Chmielewski, Terese L.
• Is Part Of: Physical therapy in sport. Volume 54(2022)
• Page Start: 36
• Page End: 43
• Publication Date: 2022-03
• Subjects: Fear-avoidance -- Rehabilitation -- Psychosocial -- Athlete; Sports physical therapy -- Periodicals; Sports injuries -- Patients -- Rehabilitation -- Periodicals; Athletic Injuries -- diagnosis -- Periodicals; Athletic Injuries -- therapy -- Periodicals; Physical Therapy -- Periodicals; Sports Medicine -- Periodicals; 615.82088796
• DOI: 10.1016/j.ptsp.2021.12.005
• Languages: English
• ISSNs: 1466-853X

Abstract

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. Highlights: Injured runners exhibit psychological distress at the start of rehabilitation. Negative mood and athletic fear-avoidance beliefs may persist in some injured runners. Higher athletic fear-avoidance is associated with lower perceived running ability.