Universidad de Malaga, Facultad Ciencias de la Salud, Department of Physiotherapy, Malaga, Spain; Instituto de Investigación Biomédica de Málaga, Malaga, Spain.
Universidad de Malaga, Facultad Ciencias de la Salud, Department of Physiotherapy, Malaga, Spain.
J Manipulative Physiol Ther. 2020 Oct;43(8):791-798. doi: 10.1016/j.jmpt.2019.12.009. Epub 2020 Aug 21.
Kinesiophobia is a clinically relevant factor in the management of chronic musculoskeletal pain. The aim of this study was to explore the cross-sectional association between kinesiophobia and both pain intensity and disability among individuals with chronic shoulder pain.
A total of 65 participants with chronic unilateral subacromial shoulder pain were recruited from 3 primary care centers. The Shoulder Pain and Disability Index assessed pain intensity and disability. The Tampa Scale for Kinesiophobia short form assessed the presence of kinesiophobia. A linear multivariable regression analysis evaluated the potential association between kinesiophobia and range of movement free of pain with pain intensity and disability. The analysis was adjusted for sex and age.
In the linear multivariable regression analysis, only greater kinesiophobia (standardized β = 0.35, P < .01) and sex (standardized β = -0.29, P < .01) contributed to explain 19% of the variance in shoulder pain and disability scores.
This cross-sectional study provides preliminary evidence about the association between kinesiophobia and pain intensity and disability among individuals with chronic shoulder pain. However, our findings only contributed to explain 19% of the variance in shoulder pain and disability scores.
运动恐惧症是慢性肌肉骨骼疼痛管理中一个具有临床意义的因素。本研究旨在探讨慢性肩部疼痛患者运动恐惧症与疼痛强度和残疾之间的横断面关联。
从 3 家初级保健中心共招募了 65 名患有慢性单侧肩峰下肩痛的患者。肩部疼痛和残疾指数评估疼痛强度和残疾程度。坦帕运动恐惧症量表短表评估运动恐惧症的存在。线性多变量回归分析评估运动恐惧症与无疼痛运动范围与疼痛强度和残疾之间的潜在关联。分析调整了性别和年龄。
在多元线性回归分析中，只有更大的运动恐惧症（标准化β=0.35，P<.01）和性别（标准化β=-0.29，P<.01）有助于解释肩部疼痛和残疾评分变异的 19%。
这项横断面研究提供了关于慢性肩部疼痛患者运动恐惧症与疼痛强度和残疾之间关联的初步证据。然而，我们的发现仅有助于解释肩部疼痛和残疾评分变异的 19%。
