Evidence map›Paper›PMID 28371481›Full record

Trial reportArthritis care & research2017

Fear of Movement and Associated Factors Among Adults With Symptomatic Knee Osteoarthritis.

Alexander H Gunn, Todd A Schwartz, Liubov S Arbeeva, Leigh F Callahan, Yvonne Golightly, Adam Goode, Carla H Hill, Kim Huffman, Maura D Iversen, Ami Pathak and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Arthritis care & research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03875040 (Is There a Relationship Between Kinesiophobia and Physical Activity Level in Patients With Knee Osteoarthritis?), which is not on this map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03875040 completednot on this mapstarted 2018, after this paper: background citation

Is There a Relationship Between Kinesiophobia and Physical Activity Level in Patients With Knee Osteoarthritis?

TypeobservationalSponsorAksaray University Training and Research HospitalRan2018 to 2018Enrolled96ConditionsFear of Pain, Knee Osteoarthritis, Physical ActivityArmskinesiophobia
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

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  11. Latent profile analysis of kinesiophobia in patients after lumbar spine surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Alexander H GunnDuke University, Durham, North Carolina.
Todd A SchwartzUniversity of North Carolina, Chapel Hill.
Liubov S ArbeevaUniversity of North Carolina, Chapel Hill.
Leigh F CallahanUniversity of North Carolina, Chapel Hill.
Yvonne GolightlyUniversity of North Carolina, Chapel Hill.
Adam GoodeDuke University, Durham, North Carolina.
Carla H HillUniversity of North Carolina, Chapel Hill.
Kim HuffmanDuke University Medical Center and Durham VA Medical Center, Durham, North Carolina.
Maura D IversenNortheastern University, and Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Ami PathakComprehensive Physical Therapy Center, Chapel Hill, North Carolina.
Shannon Stark TaylorCenter for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina.
Kelli D AllenUniversity of North Carolina, Chapel Hill, and Center for Health Services Research in Primary Care, Durham VA Medical Center, Durham, North Carolina.
University of North Carolina at Chapel Hill · USDuke University · USDurham VA Medical Center · USAmerican Physical Therapy Association · USDuke University Hospital · USNortheastern University · US

Funding

Patient-Centered Outcomes Research Institute CER-1306-02043
6 · The paper itself

Abstract

objectiveTo examine the frequency of and factors associated with fear of movement (FOM) among patients with symptomatic knee osteoarthritis (KOA), using the new Brief Fear of Movement (BFOM) measure.

methodsParticipants (n = 350) enrolled in a clinical trial completed the BFOM scale prior to randomization. The relationships of BFOM with the following characteristics were examined: age, sex, race, education, pain and activities of daily living (ADL) subscales of the Knee Injury and Osteoarthritis Outcome Score (KOOS), knee symptom duration, depressive symptoms (8-item Patient Health Questionnaire [PHQ-8]), history of falls and knee injury, family history of knee problems, self-efficacy for exercise (SEE), and unilateral balance test. A proportional odds logistic regression model examined multivariable associations of participant characteristics with a 3-level BFOM variable (agreement with 0, 1-2, or ≥3 items).

resultsThe majority of participants (77%) agreed with at least 1 item on the BFOM scale, and 36% endorsed 3+ items, suggesting a high degree of FOM. In the multivariable model, the following remained significant after backward selection: age (odds ratio [OR] 0.79 per 10-point increase, 95% confidence interval [95% CI] 0.66-0.95), KOOS ADL (OR 0.86 per 10-point increase, 95% CI 0.76-0.97), PHQ-8 (OR 1.15, 95% CI 1.08-1.22), and SEE (OR 0.87 per 10-point increase, 95% CI 0.78-0.96).

conclusionFOM was common among patients with symptomatic KOA, and this could negatively impact physical activity. Psychological variables were significantly associated with FOM, suggesting behavioral and psychological interventions may decrease FOM and improve outcomes among individuals with symptomatic KOA.

Indexed as

FearMotor ActivityAgedBiomechanical PhenomenaChi-Square DistributionCost of IllnessCross-Sectional StudiesFemaleHumansKnee JointLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioOsteoarthritis, Knee

Identifiers

PMID28371481
PMCPMC6020682
OpenAlexW2599515206

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.