Association between psychological factors and clinical symptoms in patients with patellar and Achillestendinopathy: a cross-sectional study

Bernts, D.J.A. (2017) Association between psychological factors and clinical symptoms in patients with patellar and Achillestendinopathy: a cross-sectional study. thesis, Medicine.

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Abstract

INTRODUCTION – Patellar and Achilles tendinopathy are overuse injuries of the tendon which are characterized by disability and pain. Tendinopathy can have a negative influence on an athlete’s sport carrier and can give limitations in daily life. In contrast to the clinical presentation, little is known about the role of psychological factors in patellar and Achilles tendinopathy. OBJECTIVES – The aim of this study is to gain insight into the effect of having tendinopathy on psychological factors by investigating the relation between psychological factors and clinical symptoms in patients with tendinopathy. DESIGN – Crosssectional study. METHODS – 30 participants, from whom 13 patellar tendinopathy and 17 Achilles tendinopathy patients were included in this study. Paper questionnaires were used to collect demographic and health information, scores on clinical outcome measures and scores on questionnaires assessing psychological factors. Outcome measures were severity of clinical symptoms, pain, pain catastrophizing, kinesiophobia, the psychological readiness to return to sport, the multidimensional health locus of control internal, expectations, motivation and satisfaction. Spearmans correlation coefficient was used to determine the relation between clinical symptoms and psychological factors. The Mann-Whitney U test was used to test for differences between groups based on severity of symptoms, level of pain, gender, type of tendinopathy and duration of symptoms. RESULTS – Clinical severity of symptoms was moderately correlated with the psychological readiness to return to sport (r=.66), pain catastrophizing (r=-.63) and helplessness (r=-.63). Males had a significant higher level of kinesiophobia than females (p<.01). Patellar tendinopathy patients had a significantly higher level of pain catastrophizing and helplessness than Achilles tendinopathy patients (P<.05) CONCLUSION – The psychological readiness to return to sport and pain catastrophizing are associated with the clinical severity of tendinopathy. Tendinopathy patients with more clinical symptoms, male tendinopathy patients and patella tendinopathy patients seems to be at risk for developing psychological problems.

Item Type:	Thesis (Thesis)
Supervisor name:	Supervisor: and Akker-Scheek, I. van den and University Medical Center Groningen (UMCG) and Department: Sport and Exercise medicine
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:48
Last Modified:	25 Jun 2020 10:48
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/931

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