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Titre : | The association between kinesiophobia and functional limitations in service members with knee pain (2023) |
Auteurs : | Marisa Pontillo ; Brittney Mazzone Gunterstockman ; Timothy C. Mauntel ; Shawn Farrokhi |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 65, June 2023) |
Article en page(s) : | 102766 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur ; Etats-Unis ; Genou ; Kinésiophobie ; Maladies ostéomusculaires ; Membre inférieur ; Mesures des résultats rapportés par les patients (PROM) ; Personnel militaire |
Résumé : | Background Knee diagnoses account for more than 50% of lower extremity musculoskeletal conditions in non-deployed US Service members. However, there is limited information regarding kinesiophobia in Service members with non-operative knee diagnoses. Hypotheses The objectives of this study were to determine the prevalence of high levels of kinesiophobia in US military Service members with knee pain across different knee diagnoses, and to determine the relationships between kinesiophobia and lower extremity function and/or specific functional limitations in Service members with knee pain. It was hypothesized Service members with knee pain would exhibit high levels of kinesiophobia across all knee diagnoses examined, and higher levels of both kinesiophobia and pain would be associated with worse self-reported function in this population. It was also hypothesized higher levels of kinesiophobia would be associated with functional activities with high knee loading. Design Retrospective cohort study. Level of evidence IV. Methods Sixty-five US Service members presenting to an outpatient physical therapy clinic were included in this study (20 females; age = 30.8 + 7.7 years; height = 1.74 + 0.9 m; mass = 80.7 + 16.2 kg). Inclusion criterion was the presence of knee pain (duration = 50 + 59 months); exclusion criterion was knee pain as a sequela of knee surgery. Data regarding demographic, pain chronicity, pain by Numeric Rating Scale (NRS), Tampa Scale of Kinesiophobia (TSK), and Lower Extremity Functional Scale (LEFS) were retrospectively obtained from patients? medical records. A high level of kinesiophobia was defined as a TSK score of greater than 37 points. Patient diagnoses included: osteoarthritis (n = 16); patellofemoral pain syndrome (n = 23); and other non-operative knee diagnoses (n = 26). Commonality analysis was utilized to determine the effects of age, height, mass, NRS, and TSK on LEFS score. Predictor values were interpreted as 1% = small; >9% = moderate, >25% = large. Additionally, exploratory item-specific analyses examined the strength of the relationships between kinesiophobia and LEFS item responses. Binary logistic regression determined if difficulty with an individual LEFS item could be predicted from either NRS or TSK score. Statistical significance was set at P |
Disponible en ligne : | Oui |
En ligne : | https://www.sciencedirect.com/science/article/pii/S2468781223000516 |