Fear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral pain

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dc.contributor.authorPazzinatto, Marcella F. [UNESP]
dc.contributor.authorSilva, Danilo De Oliveira [UNESP]
dc.contributor.authorWilly, Richard W.
dc.contributor.authorAzevedo, Fábio M. [UNESP]
dc.contributor.authorBarton, Christian J.
dc.contributor.institutionLa Trobe University
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversity of Montana
dc.contributor.institutionUniversity of Melbourne
dc.date.accessioned2021-06-25T10:14:52Z
dc.date.available2021-06-25T10:14:52Z
dc.date.issued2020-01-01
dc.description.abstractObjectives: Investigate the association of fear of movement and (re)injury with clinical outcomes in women with patellofemoral pain (PFP). Methods: 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. Results: 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). Conclusion: 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.en
dc.description.affiliationLa Trobe Sports and Exercise Medicine Research Centre School of Allied Health Human Services and Sport La Trobe University
dc.description.affiliationLaboratory of Biomechanics and Motor Control School of Science and Technology Sao Paulo State University (UNESP)
dc.description.affiliationSchool of Physical Therapy and Rehabilitation Sciences University of Montana
dc.description.affiliationDepartment of Surgery St Vincent’s Hospital University of Melbourne
dc.description.affiliationUnespLaboratory of Biomechanics and Motor Control School of Science and Technology Sao Paulo State University (UNESP)
dc.identifierhttp://dx.doi.org/10.1080/09593985.2020.1830323
dc.identifier.citationPhysiotherapy Theory and Practice.
dc.identifier.doi10.1080/09593985.2020.1830323
dc.identifier.issn1532-5040
dc.identifier.issn0959-3985
dc.identifier.scopus2-s2.0-85094656626
dc.identifier.urihttp://hdl.handle.net/11449/205410
dc.language.isoeng
dc.relation.ispartofPhysiotherapy Theory and Practice
dc.sourceScopus
dc.subjectavoidance behavior
dc.subjecthyperalgesia
dc.subjectkinesiophobia
dc.subjectKnee
dc.subjectphysical functional performance
dc.titleFear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral painen
dc.typeArtigo
unesp.author.orcid0000-0002-7363-6304[1]
unesp.author.orcid0000-0003-0753-2432[2]
unesp.author.orcid0000-0002-1249-228X[3]
unesp.author.orcid0000-0002-4187-7058[4]
unesp.author.orcid0000-0002-3545-5094[5]

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