Evidence map›Paper›PMID 34935980›Full record

ArticlePhysical therapy2022

Elevated Kinesiophobia Is Associated With Reduced Recovery From Lower Extremity Musculoskeletal Injuries in Military and Civilian Cohorts.

Ruth L Chimenti, Molly S Pacha, Natalie A Glass, Mathew Frazier, Amy O Bowles, Andrew D Valantine, Kristin R Archer, Jason M Wilken

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Observational
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  6. Review
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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

8 authors.

Ruth L ChimentiDepartment of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa, USA.ORCID 0000-0002-0514-739X
Molly S PachaDepartment of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa, USA.
Natalie A GlassDepartment of Orthopedics and Rehabilitation, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA.
Mathew FrazierCarl R. Darnall Army Medical Center, Department of Rehabilitation and Physical Therapy Clinic, Fort Hood, Texas, USA.
Amy O BowlesBrain Injury Rehabilitation Service, Department of Rehabilitation Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas, USA.
Andrew D ValantineIntrepid Spirit TBI Clinic, NICoE Informatics Team, Fort Hood, Texas, USA.
Kristin R ArcherDepartment of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Jason M WilkenDepartment of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, Iowa, USA.

Funding

The University of Iowa Clinical and Translational Science AwardUL1TR002537 · NCATS · UNIVERSITY OF IOWA · PI HANSEN, MARLAN R, WINOKUR, PATRICIA · 2018 to 2022
$20.0M
Mechanism-based treatment approach to chronic tendinopathy painR00AR071517 · NIAMS · UNIVERSITY OF IOWA · PI CHIMENTI, RUTH LOUISE PORTER · 2019 to 2021
$740k
NCATS NIH HHS UL1 TR002537NIAMS NIH HHS R00 AR071517
6 · The paper itself

Abstract

objectiveThe purpose of this study was to examine associations between level of kinesiophobia and improvement in physical function during recovery from lower extremity injury.

methodsA total 430 adults (mean [SD]: age = 27.3 [6.4] years; sex = 70.5% men; body mass index = 27.6 [5.2] kg/m2) were included in the analyses. Using the Patient-Reported Outcomes Measurement Information System, physical function was evaluated in parallel with treatment from a physical therapist at the initial visit and every 3 weeks until final visit or up to 6 months. A Tampa Scale of Kinesiophobia (TSK-17) score of >41 indicated elevated TSK. Four TSK groups were identified: (1) TSK score improved from >41 at initial visit to <41 by final visit (TSK_I), (2) TSK score was <41 at initial and final visits (TSK-), (3) TSK score was >41 at initial and final visits (TSK+), and (4) TSK score worsened from <41 at initial visit to ≥41 by final visit (TSK_W). Linear mixed effects models were used to examine differences between groups in improved physical function over time, with adjustment for depression and self-efficacy.

resultsGroups with elevated kinesiophobia at the final visit had smaller positive improvements in physical function (mean change [95% CI]: TSK+ = 7.1 [4.8-9.4]; TSK_W: 6.0 [2.6-9.4]) compared with groups without elevated kinesiophobia at the final visit (TSK_I = 9.8 [6.4-13.3]; TSK- = 9.7 [8.1-11.3]) by 12 weeks.

conclusionsElevated kinesiophobia that persists or develops over the course of care is associated with less improvement in physical function within military and civilian cohorts. IMPACT: The findings of this prospective longitudinal study support the need to assess for elevated kinesiophobia throughout the course of care because of its association with decreased improvement in physical function. LAY SUMMARY: To help improve your physical function, your physical therapist can monitor the interaction between fear of movement and your clinical outcomes over the course of treatment.

Indexed as

Recovery of FunctionAdultBehavior Rating ScaleFearFemaleHumansLeg InjuriesLinear ModelsLongitudinal StudiesLower ExtremityMaleMilitary PersonnelPatient Reported Outcome MeasuresPhobic DisordersPhysical Therapy ModalitiesProspective StudiesAnkle InjuriesDisabilityKnee InjuriesMilitary PersonnelPainRehabilitation

Identifiers

PMID34935980
PMCPMC9432473

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.