Quality of Life and Life Satisfaction in Pediatric and Adolescent Gymnasts Through Injury

This study aims to assess the quality and life and life satisfaction of pediatric and adolescent gymnasts throughout their musculoskeletal injury recovery.

Study Overview

• Status: Recruiting
• Conditions: Quality of Life; Musculoskeletal Injury

• Study Type: Observational
• Enrollment (Estimated): 1218

Contacts and Locations

• Study Contact: Name: Casey Little, BS; Phone Number: 7207770109; Email: casey.little@childrenscolorado.org

Study Locations

• United States
  • Colorado
    • Denver, Colorado, United States, 80045
      • Recruiting
      • Children's Hospital Colorado
      • Contact: Emily Sweeney, MD; Email: Emily.Sweeney@childrenscolorado.org

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 8 years to 18 years (Child, Adult)
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Participants will be recruited from Children's Hospital Colorado Sports medicine and Orthopedic outpatient clinics.

Description

Inclusion Criteria:

• Male and female gymnasts ages 8-18 years old
• Participating in Excel or Developmental gymnastics programs who present to Children's Hospital Colorado sports medicine or orthopedic clinics with a musculoskeletal injury.

Exclusion Criteria:

• Gymnasts only participating in Colorado Association for Recreational Athletics (CARA) gymnastics, retired gymnasts, and adult or collegiate gymnasts.
• Vulnerable populations (prisoners, pregnant women, individuals with decreased decision making capacity(

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Patient-Reported Outcomes Measurement Information System (PROMIS)	A validated questionnaire that quantifies quality of life and life satisfaction in pediatric and adolescent populations.	1 day Initial Visit
Patient-Reported Outcomes Measurement Information System (PROMIS)	A validated questionnaire that quantifies quality of life and life satisfaction in pediatric and adolescent populations.	At follow up visit, up to 3 months post initial visit
Patient-Reported Outcomes Measurement Information System (PROMIS)	A validated questionnaire that quantifies quality of life and life satisfaction in pediatric and adolescent populations.	1 day (At clearance visit to return to sport)
Patient-Reported Outcomes Measurement Information System (PROMIS)	A validated questionnaire that quantifies quality of life and life satisfaction in pediatric and adolescent populations.	6-months post initial visit
Patient-Reported Outcomes Measurement Information System (PROMIS)	A validated questionnaire that quantifies quality of life and life satisfaction in pediatric and adolescent populations.	12-months post initial visit
Tampa Scale for Kinesiophobia-11 (TSK-11)	Questionnaire designed to assess patient fear of movement.	Assessed at 1 day initial visit
Tampa Scale for Kinesiophobia-11 (TSK-11)	Questionnaire designed to assess patient fear of movement.	At follow up visit, up to 3 months post initial visit
Tampa Scale for Kinesiophobia-11 (TSK-11)	Questionnaire designed to assess patient fear of movement.	1 day (At clearance visit to return to sport)
Tampa Scale for Kinesiophobia-11 (TSK-11)	Questionnaire designed to assess patient fear of movement.	6-months post initial visit
Tampa Scale for Kinesiophobia-11 (TSK-11)	Questionnaire designed to assess patient fear of movement.	12-months post initial visit

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Injury location and type questionnaire	Patient-reported details of their musculoskeletal injury, including injury location and type. Also asks for details regarding the participant's pain rating, duration of pain, and the impact the injury has on sport participation.	1 day Initial visit
Level of Specialization	Questionnaire designed to identify an athlete's level of sport specialization.	1 day (At clearance visit to return to sport)
Level of Specialization	Questionnaire designed to identify an athlete's level of sport specialization.	6-months post initial visit
Level of Specialization	Questionnaire designed to identify an athlete's level of sport specialization.	12-months post initial visit
Injury History	Patient-reported history of previous musculoskeletal injuries.	Assessed at the patient's 1 day initial visit.
Pittsburgh Sleep Quality Index (PSQI)	Questionnaire used to determine the participant's quality of sleep.	Assessed at initial 1 day visit
Pittsburgh Sleep Quality Index (PSQI)	Questionnaire used to determine the participant's quality of sleep.	At follow up visit, up to 3 months post initial visit
Pittsburgh Sleep Quality Index (PSQI)	Questionnaire used to determine the participant's quality of sleep.	1 day (At clearance visit to return to sport)
Pittsburgh Sleep Quality Index (PSQI)	Questionnaire used to determine the participant's quality of sleep.	6-months post initial visit
Pittsburgh Sleep Quality Index (PSQI)	Questionnaire used to determine the participant's quality of sleep.	12-months post initial visit

Collaborators and Investigators

• Sponsor: University of Colorado, Denver
• Investigators: Principal Investigator: Emily Sweeney, MD, Children's Hospital Colorado

Publications and helpful links

General Publications

• Beleckas CM, Prather H, Guattery J, Wright M, Kelly M, Calfee RP. Anxiety in the orthopedic patient: using PROMIS to assess mental health. Qual Life Res. 2018 Sep;27(9):2275-2282. doi: 10.1007/s11136-018-1867-7. Epub 2018 May 8.
• Hart E, Meehan WP 3rd, Bae DS, d'Hemecourt P, Stracciolini A. The Young Injured Gymnast: A Literature Review and Discussion. Curr Sports Med Rep. 2018 Nov;17(11):366-375. doi: 10.1249/JSR.0000000000000536.
• Lim SW, Shiue YL, Ho CH, Yu SC, Kao PH, Wang JJ, Kuo JR. Anxiety and Depression in Patients with Traumatic Spinal Cord Injury: A Nationwide Population-Based Cohort Study. PLoS One. 2017 Jan 12;12(1):e0169623. doi: 10.1371/journal.pone.0169623. eCollection 2017.
• Mainwaring LM, Hutchison M, Bisschop SM, Comper P, Richards DW. Emotional response to sport concussion compared to ACL injury. Brain Inj. 2010;24(4):589-97. doi: 10.3109/02699051003610508.
• Xanthopoulos MS, Benton T, Lewis J, Case JA, Master CL. Mental Health in the Young Athlete. Curr Psychiatry Rep. 2020 Sep 21;22(11):63. doi: 10.1007/s11920-020-01185-w. Erratum In: Curr Psychiatry Rep. 2020 Oct 2;22(12):64.
• Mauck B, Kelly D, Sheffer B, Rambo A, Calandruccio JH. Gymnast's Wrist (Distal Radial Physeal Stress Syndrome). Orthop Clin North Am. 2020 Oct;51(4):493-497. doi: 10.1016/j.ocl.2020.06.012. Epub 2020 Aug 13.
• Putukian M. The psychological response to injury in student athletes: a narrative review with a focus on mental health. Br J Sports Med. 2016 Feb;50(3):145-8. doi: 10.1136/bjsports-2015-095586. Epub 2015 Dec 30.
• Pluhar E, McCracken C, Griffith KL, Christino MA, Sugimoto D, Meehan WP 3rd. Team Sport Athletes May Be Less Likely To Suffer Anxiety or Depression than Individual Sport Athletes. J Sports Sci Med. 2019 Aug 1;18(3):490-496. eCollection 2019 Sep.
• McGuine TA, Winterstein A, Carr K, Hetzel S, Scott J. Changes in self-reported knee function and health-related quality of life after knee injury in female athletes. Clin J Sport Med. 2012 Jul;22(4):334-40. doi: 10.1097/JSM.0b013e318257a40b.
• Valovich McLeod TC, Bay RC, Parsons JT, Sauers EL, Snyder AR. Recent injury and health-related quality of life in adolescent athletes. J Athl Train. 2009 Nov-Dec;44(6):603-10. doi: 10.4085/1062-6050-44.6.603.
• Filbay S, Pandya T, Thomas B, McKay C, Adams J, Arden N. Quality of Life and Life Satisfaction in Former Athletes: A Systematic Review and Meta-Analysis. Sports Med. 2019 Nov;49(11):1723-1738. doi: 10.1007/s40279-019-01163-0.
• Jayanthi NA, Post EG, Laury TC, Fabricant PD. Health Consequences of Youth Sport Specialization. J Athl Train. 2019 Oct;54(10):1040-1049. doi: 10.4085/1062-6050-380-18.
• Pasulka J, Jayanthi N, McCann A, Dugas LR, LaBella C. Specialization patterns across various youth sports and relationship to injury risk. Phys Sportsmed. 2017 Sep;45(3):344-352. doi: 10.1080/00913847.2017.1313077. Epub 2017 Apr 10.
• Li H, Moreland JJ, Peek-Asa C, Yang J. Preseason Anxiety and Depressive Symptoms and Prospective Injury Risk in Collegiate Athletes. Am J Sports Med. 2017 Jul;45(9):2148-2155. doi: 10.1177/0363546517702847. Epub 2017 Apr 25.
• Chang C, Putukian M, Aerni G, Diamond A, Hong G, Ingram Y, Reardon CL, Wolanin A. Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement-Executive Summary. Br J Sports Med. 2020 Feb;54(4):216-220. doi: 10.1136/bjsports-2019-101583. Epub 2019 Dec 6.

Study record dates

Study Major Dates

• Study Start (Actual): November 12, 2021
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 1, 2026

Study Registration Dates

• First Submitted: October 22, 2021
• First Submitted That Met QC Criteria: November 5, 2021
• First Posted (Actual): November 8, 2021

Study Record Updates

• Last Update Posted (Actual): April 2, 2024
• Last Update Submitted That Met QC Criteria: April 1, 2024
• Last Verified: April 1, 2024

More Information

Terms related to this study

• Keywords: Gymnastics; Quality of Life and Life Satisfaction
• Additional Relevant MeSH Terms: Wounds and Injuries
• Other Study ID Numbers: 21-4271

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO