Article

OBJECTIVE: To compare baseline kinesiophobia levels and their association with
health-related quality of life across injury locations.
DESIGN: Retrospective
cross-sectional study. SETTING: Single, large outpatient physical therapy clinic
within an academic medical center. PARTICIPANTS: Patients (N=1233) who underwent
an initial evaluation for a diagnosis related to musculoskeletal pain and
completed the 11-item version of the Tampa Scale for Kinesiophobia (TSK-11) and
the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8) questionnaires
within 7 days of their first visit were eligible for inclusion. Three hundred
eighty patients were excluded because of missing data or because they were
younger than 18 years. A total of 853 patients (mean age, 43.55y; range, 18-94y)
were included. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Comparison
of baseline kinesiophobia levels and their association with health-related
quality of life across injury locations in an outpatient physical therapy
setting. RESULTS: Separate analysis of variance models compared TSK-11 scores
based on involved body region, and Pearson correlation coefficients were used to
examine the association between TSK-11 scores and the SF-8 subscales at each body
region. TSK-11 scores did not differ by body region (range, 23.9-26.1). Weak to
moderate negative correlations existed between kinesiophobia and the SF-8
subscales. CONCLUSIONS: Kinesiophobia levels appear elevated and negatively
associated with health-related quality of life at initial physical therapy
evaluation regardless of injury location. These findings suggest that physical
therapists in outpatient orthopedic settings should implement routine
kinesiophobia assessment and provide stratified care based on kinesiophobia
levels across musculoskeletal conditions.
CI - Copyright (c) 2017 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS