A cross-sectional analytical survey on ACL depressive syndrome at a tertiary care hospital

Aavrati Rastogi; Roop B. Kalia; Pradeep K. Meena

doi:10.18203/2320-6012.ijrms20251642

Authors

Aavrati Rastogi Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India
Roop B. Kalia Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India https://orcid.org/0000-0002-3418-5942
Pradeep K. Meena Department of Orthopedics, AIIMS, Rishikesh, Uttarakhand, India https://orcid.org/0000-0001-7278-3671

DOI:

https://doi.org/10.18203/2320-6012.ijrms20251642

Keywords:

ACL, WOMAC, Anxiety, Depression

Abstract

Background: One of the most prevalent and incapacitating injuries affecting active people is an anterior cruciate ligament (ACL) injury. There is evidence of the physical effects of ACL injuries, but there is now growing evidence of the psychological toll, which is referred to as ACL depressive syndrome. The purpose was to evaluate the relationship between pain functional activities (WOMAC) and depression and overall health in individuals with ACL injuries.

Methods: 50 Patients diagnosed with ACL injury, aged 15-45, were screened who fulfilled the inclusion criteria and were enrolled in the study after giving consent to the Department of Orthopaedics. The patients were asked questions related to their activities of daily life and mental health, including depression.

Results: The study found a statistically significant moderate positive correlation between WOMAC scores and the Pain subdomain of the SF-36 (R=0.30, p=0.034). All other correlations, including WOMAC with PHQ-9 and other SF-36 dimensions, were weak and not statistically significant.

Conclusions: The study indicates substantial differences in emotional (p=0.03) and general health (p=0.00) as critical emphasis areas, whereas other indicators had a minor effect on quality of life.

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References

Ardern CL, Taylor NF, Feller JA, Whitehead TS, Webster KE. Sports participation 2 years after anterior cruciate ligament reconstruction in athletes who had not returned to the sport at 1 year: a prospective follow-up of physical function and psychological factors in 122 athletes. Am J Sports Med. 2015;43(4):848-56. DOI: https://doi.org/10.1177/0363546514563282

Relph N, Herrington L, Tyson S. The effects of ACL injury on knee proprioception: a meta-analysis. Physiotherapy. 2014;100(3):187-95. DOI: https://doi.org/10.1016/j.physio.2013.11.002

Wu HH, Liu M, Dines JS, Kelly JD, Garcia GH. Depression and psychiatric disease associated with outcomes after anterior cruciate ligament reconstruction. World J Orthoped. 2016;7(11):709. DOI: https://doi.org/10.5312/wjo.v7.i11.709

Garcia GH, Wu HH, Park MJ, Tjoumakaris FP, Tucker BS, Kelly JD, et al. Depression symptomatology and anterior cruciate ligament injury: incidence and effect on functional outcome—a prospective cohort study. Am J Sports Med. 2016;44(3):572-9. DOI: https://doi.org/10.1177/0363546515612466

Mainwaring LM, Hutchison M, Bisschop SM, Comper P, Richards DW. Emotional response to sports concussion compared to ACL injury. Brain Inj. 2010;24(4):589-97.

Oztekin HH, Boya H, Ozcan O, Zeren B, Pinar P. Pain and affective distress before and after ACL surgery: a comparison of amateur and professional male soccer players in the early postoperative period. The Knee. 2008;15(5):368-72. DOI: https://doi.org/10.1016/j.knee.2008.05.007

Tripp DA, Stanish WD, Reardon G, Coady C, Sullivan MJ. Comparing postoperative pain experiences of the adolescent and adult athlete after anterior cruciate ligament surgery. J Athl Train. 2003;38(2):154.

Langford JL, Webster KE, Feller JA. A prospective longitudinal study to assess psychological changes following anterior cruciate ligament reconstruction surgery. British J Sports Med. 2009;43(5):377-8. DOI: https://doi.org/10.1136/bjsm.2007.044818

Brewer BW, Cornelius AE, Stephan Y, Van Raalte J. Self-protective changes in athletic identity following anterior cruciate ligament reconstruction-psychol. Sport Exer. 2010;11(1):1-5. DOI: https://doi.org/10.1016/j.psychsport.2009.09.005

Mainwaring LM, Hutchison M, Bisschop SM, Comper P, Richards DW. Emotional response to sports concussion compared to ACL injury. Brain Inj. 2010;24(4):589-97. DOI: https://doi.org/10.3109/02699051003610508

Morrey MA, Stuart MJ, Smith AM, Wiese-Bjornstal DM. A longitudinal examination of athletes' emotional and cognitive responses to anterior cruciate ligament injury. Clin J Sports Med: Off J Canadian Acad Sports Med. 1999;9(2):63-9. DOI: https://doi.org/10.1097/00042752-199904000-00004

Podlog L, Dimmock J, Miller J. A review of return to sport concerns following injury rehabilitation: practitioner strategies for enhancing recovery outcomes. Physical Ther Sport. 2011;12(1):36-42. DOI: https://doi.org/10.1016/j.ptsp.2010.07.005

Tripp DA, Stanish WD, Coady C, Reardon G. The subjective pain experience of athletes following anterior cruciate ligament surgery. Psychol Sport Exer. 2004;5(3):339-54. DOI: https://doi.org/10.1016/S1469-0292(03)00022-0

Tripp DA, Stanish WD, Reardon G, Coady C, Sullivan MJ. Comparing postoperative pain experiences of the adolescent and adult athlete after anterior cruciate ligament surgery. J Ath Train. 2003;38(2):154.

Udry E, Shelbourne KD, Gray T. Psychological readiness for anterior cruciate ligament surgery: describing and comparing the adolescent and adult experiences. J Athl Train. 2003;38(2):167.

Kocher MS, Steadman JR, Briggs K, Zurakowski D, Sterett WI, Hawkins RJ. Determinants of patient satisfaction with outcome after anterior cruciate ligament reconstruction. JBJS. 2002;84(9):1560-72. DOI: https://doi.org/10.2106/00004623-200209000-00008

Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: validity of a brief depression severity measure. J Gen Int Med. 2001;16(9):606-13. DOI: https://doi.org/10.1046/j.1525-1497.2001.016009606.x

Ardern CL, Taylor NF, Feller JA, Webster KE. A systematic review of the psychological factors associated with returning to sport following injury. British J Spor Med. 2013;47(17):1120-6. DOI: https://doi.org/10.1136/bjsports-2012-091203

Czuppon S, Racette BA, Klein SE, Harris-Hayes M. Variables associated with return to sport following anterior cruciate ligament reconstruction: a systematic review. Br J Sports Med. 2014;48(5):356-64. DOI: https://doi.org/10.1136/bjsports-2012-091786

Filbay SR, Ackerman IN, Russell TG, Crossley KM. Return to sports matters-the longer‐term quality of life after ACL reconstruction in people with knee difficulties. Scandinavian J Med Sci Sports. 2017;27(5):514-24. DOI: https://doi.org/10.1111/sms.12698