Knee Confidence, Fear of Movement, and Psychological Readiness for Sport in Individuals With Knee Conditions: A Systematic Review and Meta-analysis.

Autor:	HART, HARVI F., CROSSLEY, KAY M., CULVENOR, ADAM G., KHAN, MICHAELA C. M., WEST, THOMAS J., KENNEDY, JOSHUA B., COUCH, JAMON L., WHITTAKER, JACKIE L.
Předmět:	PHOBIAS RISK assessment KNEE osteoarthritis MEDICAL information storage & retrieval systems FEAR SELF-evaluation SPORTS HEALTH attitudes CINAHL database CONFIDENCE META-analysis INFORMATION storage & retrieval systems FUNCTIONAL status KNEE joint SPORTS re-entry SYSTEMATIC reviews MEDLINE SPORTS participation MUSCLE strength MEDICAL databases BODY movement PLICA syndrome PSYCHOLOGY of the sick AVOIDANCE (Psychology) DISEASE complications
Zdroj:	Journal of Orthopaedic & Sports Physical Therapy; Apr2024, Vol. 54 Issue 4, p1-14, 14p
Abstrakt:	OBJECTIVE: To (1) compare activity-related psychological factors between individuals with and without knee conditions, and (2) assess associations between these factors and objective measures of function in individuals with knee conditions. DESIGN: A priori registered systematic review with meta-analysis. LITERATURE SEARCH: MEDLINE-Ovid, Embase-Ovid, Scopus-Elsevier, CINAHL-EBSCO, SPORTDiscus-EBSCO, and Cochrane Library were searched to May 27, 2022. STUDY SELECTION CRITERIA: We included peer-reviewed primary data studies (observational and experimental) of human participants with and without knee conditions reporting knee confidence, fear of movement/avoidance beliefs, and/or psychological readiness to return to sport (RTS) or reporting correlations between these factors and objective measures of function in knee conditions. DATA SYNTHESIS: Where possible, data were pooled by knee conditions, otherwise performed narrative syntheses. The Downs and Black checklist assessed the methodological quality of the included studies. RESULTS: Forty studies (3546 participants with knee conditions; 616 participants without knee conditions) were included. There was very low--certainty evidence of higher fear of movement in individuals with knee osteoarthritis (standardized mean difference [SMD], 0.46; 95% confidence interval [CI]: 0.41, 0.52), but not in individuals with patellofemoral pain (SMD, 0.66; 95% CI: -7.98, 9.29) when compared with those without knee conditions. There was very low-certainty evidence of no differences in psychological readiness to RTS after anterior cruciate ligament reconstruction (SMD, -1.14; 95% CI: -2.97, 0.70) compared to no knee condition, and negligible to weak positive correlations between psychological readiness to RTS and objective measures of function. CONCLUSION: There was very low-certainty evidence of higher fear of movement in individuals with knee osteoarthritis compared to those without, and very low--certainty evidence of no correlations between these factors and objective measures of function following anterior cruciate ligament reconstruction. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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