{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T11:37:46Z","timestamp":1792841866840,"version":"4.5.0"},"reference-count":53,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T00:00:00Z","timestamp":1778457600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recurrent lateral ankle sprain (RLAS) often results in persistent symptoms, functional limitations, and reduced health-related quality of life (HRQOL). However, psychosocial and behavioral factors influencing recovery, particularly in Saudi Arabia, remain underexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To identify demographic, clinical, and behavioral predictors of HRQOL among adults with RLAS, focusing on fear-avoidance beliefs (FABs) and physical activity levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional, web-based survey was conducted among 461 adults who reported \u22652 lateral ankle sprains within the previous 12 months or persistent symptoms consistent with recurrent injury. HRQOL was assessed using the Arabic version of the EuroQol 5-Dimension 5-Level questionnaire (EQ-5D-5L), and FABs were measured using the Arabic Fear-Avoidance Beliefs Questionnaire (FABQ-Arabic). Internal consistency of the FABQ-Arabic in the present sample was high (Cronbach's \u03b1\u2009=\u20090.89). Participants self-reported physical activity levels, demographics, and clinical characteristics. Multiple linear regression was used to identify independent predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Higher FABQ-Arabic scores were strongly associated with lower HRQOL (standardized \u03b2\u2009=\u2009\u20130.328, p\u2009&lt;\u20090.001). Additional factors predicting reduced HRQOL included age \u226545 years (\u03b2\u2009=\u2009\u20130.091, p\u2009=\u20090.017), being retired or unemployed (\u03b2\u2009=\u2009\u20130.082, p\u2009=\u20090.024), and the presence of foot deformity (\u03b2\u2009=\u2009\u20130.069, p\u2009=\u20090.043). Engagement in moderate (\u03b2\u2009=\u20090.112, p\u2009=\u20090.011) and high (\u03b2\u2009=\u20090.141, p\u2009=\u20090.001) levels of physical activity was independently associated with higher HRQOL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Psychological factors (fear), age, employment status, physical activity, and foot deformities influence HRQOL. Rehabilitation should target FABs and promote physical activity to enhance recovery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261449004","type":"journal-article","created":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T10:39:41Z","timestamp":1778495981000},"page":"1983-1993","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of health-related quality of life in adults with recurrent lateral ankle sprain in Saudi Arabia: A cross-sectional study"],"prefix":"10.1177","volume":"39","author":[{"given":"Mousa Ahmed","family":"Hamdi","sequence":"first","affiliation":[{"name":"Ministry of Health, Jazan Health Cluster, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sultan Mohammed","family":"Aldhafri","sequence":"additional","affiliation":[{"name":"Al Hada Armed Forces Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shoroug Nawar","family":"Algethami","sequence":"additional","affiliation":[{"name":"Al Hada Armed Forces Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal Adnan","family":"Mohammed","sequence":"additional","affiliation":[{"name":"Al Hada Armed Forces Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulmajeed Nasser","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"King Faisal Medical Complex, Taif Health Cluster, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mousa Mohammed","family":"Jabali","sequence":"additional","affiliation":[{"name":"Ministry of Health, Jazan Health Cluster, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noorah","family":"Alshoweir","sequence":"additional","affiliation":[{"name":"Al Hada Armed Forces Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Albarrati","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-447-17"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/os.70082"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221137640"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01537"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e318192d044"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2013.0303"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2024.111699"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.4085\/1062-6050-0054.24"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2023.102328"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.02.018"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2011.08.006"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00242-0"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-011-9903-x"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsr.2021-0015"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2021.1920079"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/clinpract13030060"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/JNSM.JNSM_87_20"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-024-07733-2"},{"key":"e_1_3_4_20_2","first-page":"376","article-title":"Clinical and imaging trends of ankle sprains in al kharj city","volume":"15","author":"Arab THA","year":"2025","unstructured":"Arab THA, Alqahtani NM, Alkhalidi KH, et al. 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