Abstract
Objective
To compare baseline kinesiophobia levels and their association with health-related
quality of life across injury locations.
Design
Retrospective cross-sectional study.
Setting
Single, large outpatient physical therapy clinic within an academic medical center.
Participants
Patients (N=1233) who underwent an initial evaluation for a diagnosis related to musculoskeletal
pain and completed the 11-item version of the Tampa Scale for Kinesiophobia (TSK-11)
and the Medical Outcomes Study 8-Item Short-Form Health Survey (SF-8) questionnaires
within 7 days of their first visit were eligible for inclusion. Three hundred eighty
patients were excluded because of missing data or because they were younger than 18
years. A total of 853 patients (mean age, 43.55y; range, 18–94y) were included.
Interventions
Not applicable.
Main Outcome Measures
Comparison of baseline kinesiophobia levels and their association with health-related
quality of life across injury locations in an outpatient physical therapy setting.
Results
Separate analysis of variance models compared TSK-11 scores based on involved body
region, and Pearson correlation coefficients were used to examine the association
between TSK-11 scores and the SF-8 subscales at each body region. TSK-11 scores did
not differ by body region (range, 23.9–26.1). Weak to moderate negative correlations
existed between kinesiophobia and the SF-8 subscales.
Conclusions
Kinesiophobia levels appear elevated and negatively associated with health-related
quality of life at initial physical therapy evaluation regardless of injury location.
These findings suggest that physical therapists in outpatient orthopedic settings
should implement routine kinesiophobia assessment and provide stratified care based
on kinesiophobia levels across musculoskeletal conditions.
Keywords
List of abbreviations:
BMI (body mass index), FAM (fear-avoidance model), SF-8 (Medical Outcomes Study 8-Item Short-Form Health Survey), TSK-11 (Tampa Scale for Kinesiophobia (11-item version))To read this article in full you will need to make a payment
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Article info
Publication history
Published online: July 28, 2017
Footnotes
Current affiliation for Goldberg, ReQuest Physical Therapy, Gainesville, FL.
Current affiliation for Chmielewski, TRIA Orthopaedic Center, Bloomington, MN.
Disclosures: none.
Identification
Copyright
© 2017 by the American Congress of Rehabilitation Medicine
