S.E. Lakke, PT, PhD, Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University Groningen, University of Applied Sciences, PO Box 3109, 9701 DC Groningen, the Netherlands, and Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, the Netherlands.
R. Soer, PT, PhD, Expertise Center of Health and Wellbeing, Saxion University of Applied Sciences, Enschede, the Netherlands, and Groningen Spine Center, University Medical Center Groningen, University of Groningen.
Phys Ther. 2015 Sep;95(9):1224-33. doi: 10.2522/ptj.20130194. Epub 2015 Apr 2.
Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.
The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.
A blinded, cluster-randomized cross-sectional study was performed.
The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.
Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.
Generalizability to physical therapists and patients with pain should be studied.
Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.
物理治疗师建议患者避免日常体力活动可能会受到治疗师运动恐惧症信念的影响。关于物理治疗师的运动恐惧症信念对患者在举重测试中实际举重能力的影响程度，知之甚少。
本研究旨在确定物理治疗师的运动恐惧症信念对健康人群举重能力的影响。
采用盲法、聚类随机横断面研究。
参与者（n=256；男 105 人，女 151 人）为物理治疗专业学生，进行举重能力测试。检查者（n=24）从二年级物理治疗学生中选择。组 A（n=124）的参与者在运动恐惧症量表健康护理提供者版（TSK-HC）得分较高的检查者面前进行测试，组 B（n=132）的参与者在 TSK-HC 得分较低的检查者面前进行测试。对举重能力进行混合模型分析，以检验可能的（交互）效应。
组 A 的平均举重能力为 32.1 公斤（SD=13.6），组 B 为 39.6 公斤（SD=16.4）。混合模型分析表明，在校正性别、体重、自我效能感以及检查者和参与者运动恐惧症信念之间的相互作用后，检查者运动恐惧症信念的影响使有运动恐惧症信念的参与者的举重能力显著降低 14.4 公斤，无运动恐惧症信念的参与者降低 8.0 公斤。
应研究其在物理治疗师和疼痛患者中的泛化能力。
物理治疗师的运动恐惧症信念会对健康成年人的举重能力产生负面影响。在日常临床实践中，物理治疗师应意识到其运动恐惧症信念对患者功能能力的影响。
