Symptoms of adjustment disorder and smoking predict long-term functional outcome after ankle and lower leg fracture
| Autor: | Sebastian Kuhn, Iris Reiner, Pol Maria Rommens, Sabine Weimert, Manfred E. Beutel |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Adjustment disorders Physical Therapy Sports Therapy and Rehabilitation recovery of function Outcome (game theory) functional outcome Lower leg fracture ankle fractures Adjustment Disorders Fractures Bone Young Adult Linear regression medicine Humans Ankle Injuries Prospective Studies Prospective cohort study Aged Rehabilitation business.industry adjustment lcsh:RM1-950 Smoking psychosocial factors General Medicine Middle Aged medicine.disease lcsh:Therapeutics. Pharmacology Treatment Outcome medicine.anatomical_structure Orthopedic surgery Physical therapy Female Ankle business Leg Injuries |
| Zdroj: | Journal of Rehabilitation Medicine, Vol 52, Iss 8, p jrm00086 (2020) |
| ISSN: | 1651-2081 |
| DOI: | 10.2340/16501977-2701 |
| Popis: | Objective To examine the psychological, social, behavioural and injury-related factors impacting functional outcome in patients with ankle or lower limb fracture one year post-operation. Methods In this prospective study 66 patients with ankle or lower leg fracture were recruited and followed up one year post-operation. Possible associations between predictors and functional outcome were explored by regression analyses. Functional outcome was assessed with the American Orthopedic Foot and Ankle Society Ankle-Hindfoot Score. Results Linear regression models revealed that smoking and elevated symptoms of adjustment disorder were associated with lower functional outcome one year post-operation. Fracture type, depressive symptoms and quality of relationship had no effect on functional outcome. A second linear regression revealed that preoccupations were correlated with functional outcome. Conclusion Smoking and symptoms of adjustment disorder, specifically preoccupations, are associated with functional outcome one year post-operation in patients recovering from ankle or lower leg fractures. The results support the notion that differences in functional recovery are attributable to psychological and behavioural factors rather than to fracture type. Psychological, fracture-specific, symptoms play a role in functional recovery rather than general affective symptoms. |
| Databáze: | OpenAIRE |
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