Department of Physical Therapy, Children's Hospital Colorado, USA; Sports Medicine Center, Children's Hospital Colorado, USA.
Sports Medicine Center, Children's Hospital Colorado, USA.
J Sci Med Sport. 2022 Jan;25(1):20-24. doi: 10.1016/j.jsams.2021.07.010. Epub 2021 Jul 29.
To examine kinesiophobia (i.e. fear of movement) among adolescent athletes with concussion compared to controls, and correlations of kinesiophobia with symptoms and reaction time.
Prospective cohort study.
We evaluated 49 adolescent athletes twice. The concussion group was assessed within 14 days of injury and at return-to-play clearance. The control group was tested initially and approximately 28 days later. Participants completed Tampa Scale of Kinesiophobia, Post-Concussion Symptom Inventory, and clinical reaction time assessments.
We included 32 concussion participants (15 ± 2 years; 50% female) and 17 controls (16 ± 1 years; 47% female). Acutely (<14 days post-injury), the concussion group reported greater Tampa Scale of Kinesiophobia scores (38.5 ± 5.4 vs. 29.4 ± 6.7; p < 0.001; Cohen's d = 1.54), and a greater proportion of "high" (≥37) scores than controls (69% vs. 6%; p < 0.001). At return-to-play, there were no significant between-group differences (33.3 ± 6.5 vs. 30.8 ± 7.4; p = 0.23; Cohen's d = 0.36); 28% of the concussion group reported "high" Tampa Scale of Kinesiophobia scores. At return-to-play, kinesiophobia was significantly/moderately correlated with clinical reaction time for the concussion group (r = 0.50; p = 0.01).
Adolescents recovering from concussion commonly reported high kinesiophobia initially postconcussion, while 28% continued to report high kinesiophobia at return-to-play clearance. Additionally, a correlation between Tampa Scale of Kinesiophobia scores and clinical reaction time was observed for the concussion group. This finding would benefit from further study to determine potential perception-behavior relationships following concussion.
与对照组相比，检查患有脑震荡的青少年运动员的运动恐惧症（即对运动的恐惧），以及运动恐惧症与症状和反应时间的相关性。
前瞻性队列研究。
我们对 49 名青少年运动员进行了两次评估。脑震荡组在受伤后 14 天内和恢复比赛许可时进行评估。对照组最初进行测试，大约 28 天后再次进行测试。参与者完成了坦帕运动恐惧量表、脑震荡后症状问卷和临床反应时间评估。
我们纳入了 32 名脑震荡参与者（15±2 岁；50%为女性）和 17 名对照组（16±1 岁；47%为女性）。急性（<14 天），脑震荡组报告的坦帕运动恐惧量表评分更高（38.5±5.4 比 29.4±6.7；p<0.001；Cohen's d=1.54），并且有更高比例的“高”（≥37）评分（69%比 6%；p<0.001）。重返赛场时，两组之间没有显著差异（33.3±6.5 比 30.8±7.4；p=0.23；Cohen's d=0.36）；28%的脑震荡组报告“高”坦帕运动恐惧量表评分。重返赛场时，脑震荡组的运动恐惧症与临床反应时间显著/中度相关（r=0.50；p=0.01）。
从脑震荡中恢复的青少年在脑震荡后最初经常报告高度的运动恐惧症，而 28%的人在重返赛场时仍报告高度的运动恐惧症。此外，脑震荡组的坦帕运动恐惧量表评分与临床反应时间之间存在相关性。这一发现需要进一步研究，以确定脑震荡后潜在的感知-行为关系。
