1. Fear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral pain.
- Author
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Pazzinatto, Marcella F., Silva, Danilo De Oliveira, Willy, Richard W., Azevedo, Fábio M., and Barton, Christian J.
- Subjects
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EVALUATION of medical care , *STATISTICS , *PHOBIAS , *CONFIDENCE intervals , *CROSS-sectional method , *FEAR , *WOMEN , *VISUAL analog scale , *REGRESSION analysis , *AVOIDANCE (Psychology) , *BODY movement , *QUALITY of life , *DESCRIPTIVE statistics , *WOUNDS & injuries , *PLICA syndrome , *BODY mass index , *DATA analysis software , *DATA analysis - Abstract
Investigate the association of fear of movement and (re)injury with clinical outcomes in women with patellofemoral pain (PFP). This cross-sectional study included 92 women with PFP who completed the TAMPA scale for kinesiophobia. The TAMPA score and its two subscales – activity avoidance and somatic focus were correlated with BMI, physical activity level, pain catastrophizing scale, health-related quality of life, pain sensitivity via pressure pain threshold, self-reported disability, and worst knee pain in last month. Greater fear of movement and (re)injury, activity avoidance, and somatic focus were correlated with lower local pain sensitivity (rho = −0.29 to −0.55), lower health-related quality of life (rho = −0.38 to −0.42), greater pain catastrophizing (rho = 0.41 to 0.47), and greater self-reported disability (rho = −0.31 to −0.52). Greater fear of movement and (re)injury and activity avoidance were correlated with adjacent and remote pain sensitivity (rho = −0.24 to −0.39). Greater fear of movement and (re)injury and somatic focus were correlated with greater worst knee pain in last month (rho = 0.21 to 0.32). Fear of movement and (re)injury predicted pain measures, disability, and health-related quality of life (p ≤ 0.010). The relationship of greater fear of movement and (re)injury with greater disability, pain catastrophizing, pain sensitization, and poorer health-related quality of life highlights the potential importance of considering this psychological feature of PFP during assessment and management. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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