San-Antolín Marta, Rodríguez-Sanz David, Vicente-Campos Davinia, Palomo-López Patricia, Romero-Morales Carlos, Benito-de-Pedro María, López-López Daniel, Calvo-Lobo César
Department of Psychology, Universidad Europea de Madrid, Villaviciosa, de Odón, Madrid, Spain.
Facultad de Enfermería, Fisioterapia y Podología, Universidad Complutense de Madrid, Madrid, Spain.
Pain Med. 2020 Aug 1;21(8):1626-1635. doi: 10.1093/pm/pnz362.
To compare and predict kinesiophobia and fear avoidance beliefs between athletes with gastrocnemius myofascial pain syndrome (MPS) and healthy athletes.
Case-control.
Outpatient clinic.
Fifty athletes were divided into athletes with chronic gastrocnemius MPS (N = 25) and healthy athletes (N = 25).
Kinesiophobia symptoms total and domain scores (harm and activity avoidance) and levels were determined by the Tampa Scale of Kinesiophobia (TSK-11). Fear avoidance beliefs total and domain scores (physical and working activities) were measured by the Fear Avoidance Beliefs Questionnaire (FABQ).
Significant differences (P < 0.05) with a large effect size (d = 0.81-4.22) were found between both groups, with greater kinesiophobia symptom scores for the TSK-11 activity avoidance domain and total scores, and greater fear avoidance beliefs scores for the FABQ physical and working activities domains and total scores of athletes with gastrocnemius MPS with respect to healthy athletes. TSK-11 total score showed a prediction model (R2 = 0.256) based on the FABQ total score. The FABQ total score showed a prediction model (R2 = 0.741) based on gastrocnemius MPS presence (R2 = 0.665), levels of kinesiophobia (R2 = 0.052), and height (R2 = 0.025).
Greater kinesiophobia levels, greater total and activity avoidance domain scores (but not for the harm domain), and greater fear avoidance beliefs total and domain scores (work and physical activity) were shown for athletes with gastrocnemius MPS vs healthy athletes. Higher kinesiophobia symptoms were predicted by greater fear avoidance beliefs in athletes. Greater fear avoidance beliefs were predicted by the presence of gastrocnemius MPS, higher levels of kinesiophobia, and lower height in athletes.
比较并预测患有腓肠肌肌筋膜疼痛综合征（MPS）的运动员与健康运动员之间的运动恐惧和恐惧回避信念。
病例对照研究。
门诊诊所。
50名运动员被分为慢性腓肠肌MPS运动员（N = 25）和健康运动员（N = 25）。
通过坦帕运动恐惧量表（TSK - 11）确定运动恐惧症状总分及各领域得分（伤害和活动回避）和水平。通过恐惧回避信念问卷（FABQ）测量恐惧回避信念总分及各领域得分（身体和工作活动）。
两组之间存在显著差异（P < 0.05），效应量较大（d = 0.81 - 4.22），患有腓肠肌MPS的运动员在TSK - 11活动回避领域和总分的运动恐惧症状得分更高，在FABQ身体和工作活动领域及总分的恐惧回避信念得分相对于健康运动员更高。TSK - 11总分基于FABQ总分显示出一个预测模型（R2 = 0.256）。FABQ总分基于腓肠肌MPS状态（R2 = 0.665）、运动恐惧水平（R2 = 0.052）和身高（R2 = 0.025）显示出一个预测模型（R2 = 0.741）。
与健康运动员相比，患有腓肠肌MPS的运动员表现出更高的运动恐惧水平、更高的总分及活动回避领域得分（但伤害领域得分无差异），以及更高的恐惧回避信念总分及领域得分（工作和身体活动）。运动员中更高的运动恐惧症状可由更高的恐惧回避信念预测。运动员中更高的恐惧回避信念可由腓肠肌MPS的存在、更高水平的运动恐惧和更低的身高预测。
