Abstract
Objectives: Patellofemoral pain is a frequent and troublesome complication following anterior cruciate ligament reconstruction (ACLR), irrespective of graft source. Yet, little is known about the factors associated with patellofemoral pain following hamstring-tendon ACLR. Design: Retrospective analysis of potential patellofemoral pain predictors, and cross-sectional analysis of possible patellofemoral pain consequences. Methods: Potential predictors (pre-injury patellofemoral pain and activity level, concomitant patellofemoral cartilage damage and meniscectomy, age, sex, and surgical delay) and consequences (hopping performance, quality of life, kinesiophobia, and return to sport rates and attitudes) of patellofemoral pain 12 months following hamstring-tendon ACLR were assessed in 110 participants using univariate and multivariate analyses. Results: Thirty-three participants (30%) had patellofemoral pain at 12 months post-ACLR. Older age at the time of ACLR was the only predictor of post-operative patellofemoral pain. Following ACLR, those with patellofemoral pain had a higher body mass index, and worse physical performance, quality of life, kinesiophobia and return to sport attitudes. Patellofemoral pain has a significant burden on individuals 12 months following hamstring-tendon ACLR. Conclusions: Clinicians need to be cognisant of patellofemoral pain, particularly in older individuals and those with a higher body mass index. The importance of considering psychological factors that are not typically addressed during ACLR rehabilitation, such as kinesiophobia, quality of life and return to sport attitudes is emphasised.
| Original language | English |
|---|---|
| Pages (from-to) | 518-523 |
| Number of pages | 6 |
| Journal | Journal of Science and Medicine in Sport |
| Volume | 19 |
| Issue number | 7 |
| DOIs | |
| Publication status | Published - 1 Jul 2016 |
Keywords
- Anterior knee pain
- Kinesiophobia
- Quality of life
- Rehabilitation
- Return to sport
Cite this
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Predictors and effects of patellofemoral pain following hamstring-tendon ACL reconstruction. / Culvenor, Adam G; Collins, Natalie J; Vicenzino, Bill; Cook, Jill L.; Whitehead, Timothy S.; Morris, Hayden G.; Crossley, Kay M.
In: Journal of Science and Medicine in Sport, Vol. 19, No. 7, 01.07.2016, p. 518-523.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Predictors and effects of patellofemoral pain following hamstring-tendon ACL reconstruction
AU - Culvenor, Adam G
AU - Collins, Natalie J
AU - Vicenzino, Bill
AU - Cook, Jill L.
AU - Whitehead, Timothy S.
AU - Morris, Hayden G.
AU - Crossley, Kay M.
PY - 2016/7/1
Y1 - 2016/7/1
N2 - Objectives: Patellofemoral pain is a frequent and troublesome complication following anterior cruciate ligament reconstruction (ACLR), irrespective of graft source. Yet, little is known about the factors associated with patellofemoral pain following hamstring-tendon ACLR. Design: Retrospective analysis of potential patellofemoral pain predictors, and cross-sectional analysis of possible patellofemoral pain consequences. Methods: Potential predictors (pre-injury patellofemoral pain and activity level, concomitant patellofemoral cartilage damage and meniscectomy, age, sex, and surgical delay) and consequences (hopping performance, quality of life, kinesiophobia, and return to sport rates and attitudes) of patellofemoral pain 12 months following hamstring-tendon ACLR were assessed in 110 participants using univariate and multivariate analyses. Results: Thirty-three participants (30%) had patellofemoral pain at 12 months post-ACLR. Older age at the time of ACLR was the only predictor of post-operative patellofemoral pain. Following ACLR, those with patellofemoral pain had a higher body mass index, and worse physical performance, quality of life, kinesiophobia and return to sport attitudes. Patellofemoral pain has a significant burden on individuals 12 months following hamstring-tendon ACLR. Conclusions: Clinicians need to be cognisant of patellofemoral pain, particularly in older individuals and those with a higher body mass index. The importance of considering psychological factors that are not typically addressed during ACLR rehabilitation, such as kinesiophobia, quality of life and return to sport attitudes is emphasised.
AB - Objectives: Patellofemoral pain is a frequent and troublesome complication following anterior cruciate ligament reconstruction (ACLR), irrespective of graft source. Yet, little is known about the factors associated with patellofemoral pain following hamstring-tendon ACLR. Design: Retrospective analysis of potential patellofemoral pain predictors, and cross-sectional analysis of possible patellofemoral pain consequences. Methods: Potential predictors (pre-injury patellofemoral pain and activity level, concomitant patellofemoral cartilage damage and meniscectomy, age, sex, and surgical delay) and consequences (hopping performance, quality of life, kinesiophobia, and return to sport rates and attitudes) of patellofemoral pain 12 months following hamstring-tendon ACLR were assessed in 110 participants using univariate and multivariate analyses. Results: Thirty-three participants (30%) had patellofemoral pain at 12 months post-ACLR. Older age at the time of ACLR was the only predictor of post-operative patellofemoral pain. Following ACLR, those with patellofemoral pain had a higher body mass index, and worse physical performance, quality of life, kinesiophobia and return to sport attitudes. Patellofemoral pain has a significant burden on individuals 12 months following hamstring-tendon ACLR. Conclusions: Clinicians need to be cognisant of patellofemoral pain, particularly in older individuals and those with a higher body mass index. The importance of considering psychological factors that are not typically addressed during ACLR rehabilitation, such as kinesiophobia, quality of life and return to sport attitudes is emphasised.
KW - Anterior knee pain
KW - Kinesiophobia
KW - Quality of life
KW - Rehabilitation
KW - Return to sport
UR - http://www.scopus.com/inward/record.url?scp=84937231532&partnerID=8YFLogxK
U2 - 10.1016/j.jsams.2015.07.008
DO - 10.1016/j.jsams.2015.07.008
M3 - Article
VL - 19
SP - 518
EP - 523
JO - Journal of Science and Medicine in Sport
JF - Journal of Science and Medicine in Sport
SN - 1440-2440
IS - 7
ER -