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

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dc.catalogadorpva
dc.contributor.authorVelásquez García, Ausberto
dc.contributor.authorIida, Naoya
dc.contributor.authorKuroiwa, Tomoyuki
dc.contributor.authorHsu, Kai-Lan
dc.contributor.authorMarinis Acle, Rodrigo Ignacio de
dc.contributor.authorAbdo, Glen
dc.contributor.authorEkdahl, Max
dc.date.accessioned2023-11-27T15:02:35Z
dc.date.available2023-11-27T15:02:35Z
dc.date.issued2023
dc.description.abstractPurpose: 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.
dc.fechaingreso.objetodigital2023-11-27
dc.format.extent11 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1007/s00167-023-07652-0
dc.identifier.urihttps://doi.org/10.1007/s00167-023-07652-0
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75426
dc.identifier.wosidWOS:001108009500001
dc.information.autorucEscuela de Medicina; Marinis Acle, Rodrigo Ignacio de; 0000-0003-1888-8928; 237996
dc.language.isoen
dc.nota.accesoContenido parcial
dc.revistaKnee Surgery, Sports Traumatology, Arthroscopyes_ES
dc.rightsacceso restringido
dc.subjectAnterior shoulder instability surgeryes_ES
dc.subjectReturn to sportses_ES
dc.subjectPsychological factorses_ES
dc.subjectFear of reinjuryes_ES
dc.subjectThe shoulder instability-return to sport after injury (SIRSI)es_ES
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSubstantial influence of psychological factors on return to sports after anterior shoulder instability surgery: a systematic review and meta-analysises_ES
dc.typeartículo
sipa.codpersvinculados237996
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