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Related Experiment Video

Updated: Sep 17, 2025

Author Spotlight: Exploring the Complexities of Achilles Tendon Injuries — Research and Future Directions
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Does Resilience Correlate with Patient-Reported Outcomes Following Isolated Gastrocnemius Recession.

Garrett Jebeles1, Marc Bernstein1, Tyler Kelly1

  • 1Department of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

The Iowa Orthopaedic Journal
|July 3, 2025
PubMed
Summary
This summary is machine-generated.

This study shows that higher resilience in patients undergoing gastrocnemius recession surgery for plantar fasciitis or Achilles tendinopathy correlates with better patient-reported outcomes. Optimizing resilience may improve surgical results and manage patient expectations.

Keywords:
PROMISgastrocnemiuspatient-reported outcomeseresilience

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Area of Science:

  • Orthopaedic Surgery
  • Patient-Reported Outcomes
  • Psychological Factors in Health

Background:

  • Patient characteristics significantly influence outcomes after orthopaedic surgery.
  • Resilience, a key psychological factor, is explored in relation to surgical results.
  • Isolated gastrocnemius recession is a procedure for plantar fasciitis or Achilles tendinopathy.

Purpose of the Study:

  • To determine the impact of resilience on patient-reported outcomes after gastrocnemius recession.
  • To explore factors influencing these outcomes through secondary analysis.
  • To utilize the Brief Resilience Scale to quantify patient resilience.

Main Methods:

  • Patients undergoing procedure 27687 (2013-2020) were identified.
  • Demographic data and patient-reported outcome measurement information system (PROMIS) scores, foot function index (FFI) scores, and Brief Resilience Scale data were collected.
  • Pearson correlations and linear regression models were used to analyze the data, with P < 0.05 as the significance threshold.

Main Results:

  • Higher resilience correlated with improved PROMIS physical function, reduced PROMIS pain interference, and decreased PROMIS depression.
  • Increased resilience was associated with lower FFI activity limitation, disability, pain, and total scores.
  • Significant correlations were observed across all measured domains (p < 0.0001).

Conclusions:

  • Resilience positively impacts patient-reported outcomes following gastrocnemius recession for plantar fasciitis and Achilles tendinopathy.
  • A moderate correlation exists between higher resilience and better PROMIS and FFI scores.
  • Preoperative resilience optimization may enhance surgical outcomes and aid in managing patient expectations.