Psychological Outlook Changes and Impact on Quality of Life Before and After Rehabilitation in Injured Runners: Implications for Rehabilitation Programs

Heather K. Vincent, PhD, MS (University of Florida, Gainesville, Florida); Alexandria Lam; Sharareh Sharififar, PhD; Cong Chen, MS; Candace Powell; Kevin R. Vincent, MD, PhD

Meeting: AAPM&R Annual Assembly 2021

Categories: Musculoskeletal and Sports Medicine (2021)

Session Information

Session Title: Research Spotlight: Musculoskeletal and Sports Medicine

Session Time: None. Available on demand.

Disclosures: Heather K. Vincent, PhD, MS: No financial relationships or conflicts of interest

Objective: To quantify changes in psychological outlook and injury effects on quality of life (QOL) from time of presentation to return-to-run among recreational runners.

Design: Prospective, observational study.Setting : Academic medical center.Participants : Individuals with running injuries who returned to running after rehabilitation (N&#3f22; 36.1±9.5 yrs; 77.3% female; pre-injury weekly mileage 22.6±17.5).

Interventions: Not applicable.

Main Outcome Measures: Surveys: Health-Related Quality of Life (QOL, days disrupted with self-care, work or recreation; days of inadequate sleep), State-Trait Anxiety Inventory (STAI), Tampa Scale of Kinesiophobia (TSK-11), Positive and Negative Affect Schedule (PANAS) Positive and Negative, Lower Extremity Functional Scale (LEFS), University of Wisconsin Running Injury and Recovery Index (UWRI). Running performance: weekly participation, gait biomechanics. Surveys were conducted at presentation and monthly until participants indicated they had resumed pre-injury volume and pace. 3D-gait analyses were performed at presentation and at full running.

Results: At presentation, participants reported an average of 5.3 days disrupted in last month due to pain, and 12.3 days with inadequate sleep. The average return-to-run period was 22.4 weeks. State-STAI scores were reduced over time from 39.5±12.0 to 32.9±9.7 points (p=.011) and Trait-STAI scores were reduced from 39.6±13.8 to 36.1±11.1 points. TSK-11 scores were lowered by 20.6% (p Conclusions: Injured runners experience significant psychological distress after injury that extend into several domains of life. Providers need to keep this in consideration when structuring rehabilitation plans and the type and amount of relative rest to help runners cope with reduced running activity.

Level of Evidence: Level II

To cite this abstract in AMA style:

Vincent HK, Lam A, Sharififar S, Chen C, Powell C, Vincent KR. Psychological Outlook Changes and Impact on Quality of Life Before and After Rehabilitation in Injured Runners: Implications for Rehabilitation Programs [abstract]. PM R. 2021; 13(S1)(suppl 1). https://pmrjabstracts.org/abstract/psychological-outlook-changes-and-impact-on-quality-of-life-before-and-after-rehabilitation-in-injured-runners-implications-for-rehabilitation-programs/. Accessed November 22, 2024.

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