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Knee Surgery, Sports Traumatology, Arthroscopy

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22-11-2023 | Shoulder Instability | SHOULDER

Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysis

Authors: Ausberto Velasquez Garcia, Naoya Iida, Tomoyuki Kuroiwa, Kai-Lan Hsu, Rodrigo de Marinis, Glen Abdo, Max Ekdahl

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 12/2023

Abstract

Purpose

This systematic review and meta-analysis aimed to (1) determine the proportion of patients who underwent anterior shoulder instability surgery and did not return to sports for psychological reasons and (2) estimate differences in psychological readiness scores between patients who did and did not return to sports.

Methods

The EBSCOhost/SPORTDiscus, PubMed/Medline, Scopus, EMBASE and Cochrane Library databases were searched for relevant studies. The data synthesis included the proportion of patients who did not return to sports for psychological reasons and the mean differences in the psychological readiness of athletes who returned and those who did not return to sports. Non-binomial data were analysed using the inverse-variance approach and expressed as the mean difference with 95% confidence intervals.

Results

The search yielded 700 records, of which 13 (1093 patients) were included. Fourteen psychological factors were identified as potential causes for not returning to sports. The rates of return to sports at any level or to the preinjury level were 79.3% and 61.9%, respectively. A total of 55.9% of the patients cited psychological factors as the primary reason for not returning to sports. The pooled estimate showed that patients who returned to sports had a significantly higher Shoulder Instability-Return to Sport After Injury score (P < 0.00001) than those who did not, with a mean difference of 30.24 (95% CI 24.95–35.53; I² = 0%; n.s.).

Conclusions

Psychological factors have a substantial impact on the rate of return to sports after anterior shoulder instability surgery. Patients who returned to sports had significantly higher psychological readiness than those who did not return to sports. Based on these results, healthcare professionals should include psychological and functional measurements when assessing athletes’ readiness to return to sports.

Level of evidence

Level IV.

Available only for authorised users

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Title: Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysis
Authors: Ausberto Velasquez Garcia
Naoya Iida
Tomoyuki Kuroiwa
Kai-Lan Hsu
Rodrigo de Marinis
Glen Abdo
Max Ekdahl
Publication date: 22-11-2023
Publisher: Springer Berlin Heidelberg
Keywords: Shoulder Instability
Anxiety
Published in: Knee Surgery, Sports Traumatology, Arthroscopy / Issue 12/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-023-07652-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Substantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Level of evidence

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