Article

OBJECTIVE: To determine the unique influence of pain-related fear of movement on
foot and ankle disability, after accounting for pain, demographic, and physical
impairment variables. DESIGN: Cross-sectional study using retrospective chart
review. SETTING: Outpatient rehabilitation clinic. PARTICIPANTS: Referred sample
of subjects with foot- and ankle-related disability (N=85, 40 men; mean age, 33y;
range, 16-77y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Lower Extremity Functional Scale (LEFS), Shortened Tampa Scale of Kinesiophobia
(TSK-11). RESULTS: Hierarchical regression analysis determined the proportions of
explained variance in disability (LEFS). Demographic variables were entered into
the model first, followed by pain intensity and range-of-motion (ROM) deficit,
and finally, TSK-11. Demographics collectively contributed 9% (P=.015) of the
variance in disability scores. Pain intensity and overall ROM deficit contributed
an additional 11% (P<.001) of the variance, and TSK-11 scores contributed an
additional 14% (P<.001). In the overall model, age (beta=-.29, P=.004),
chronicity of symptoms (beta=.23, P=.024), ROM deficit (beta=-.28, P=.003), and
TSK-11 (beta=-.41, P<.001) explained 34% of the variance in the LEFS score
(P<.001). CONCLUSIONS: Age, chronicity of symptoms, ROM deficit, and TSK-11
scores all significantly contributed to baseline foot and ankle self-reported
disability. Pain-related fear of movement was the strongest single contributor to
disability in this group of patients.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS