Kinesiophobia and its Association with Health Related Quality of Life Across Injury Locations

Publication date: Available online 29 July 2017
Source:Archives of Physical Medicine and Rehabilitation
Author(s): Penny Goldberg, Giorgio Zeppieri, Joel Bialosky, Charlotte Bocchino, Jon van den Boogaard, Susan Tillman, Terese L. Chmielewski
ObjectiveTo compare baseline kinesiophobia levels and their association with health-related quality of life across injury locations.DesignRetrospective cross-sectional study.SettingSingle, large outpatient physical therapy clinic within an academic medical center.Participants1233 patients who underwent an initial evaluation for a diagnosis related to musculoskeletal pain and completed the TSK-11 and SF-8™ questionnaires within 7 days of their first visit were eligible for inclusion. 380 patients were excluded for missing data or because they were under 18 years of age.InterventionsNot applicable.Main Outcome MeasuresComparison of baseline kinesiophobia levels and their association with health-related quality of life across injury locations in an outpatient physical therapy setting.ResultsA total of 853 patients (range: 18-94 years, mean age = 43.55 years) were included. Separate ANOVA models compared TSK-11 scores based on involved body region and Pearson correlation coefficients were used to examine the association between TSK-11 scores the SF-8™ sub-scales at each body region. TSK-11 scores did not differ by body region (range = 23.9 to 26.1). Weak to moderate negative correlations existed between kinesiophobia and the SF-8™ subscales.ConclusionKinesiophobia levels appear elevated and negatively associated with health-related quality of life at initial physical therapy evaluation regardless of injury location. These findings suggest physical therapists in outpatient orthopaedic settings should implement routine kinesiophobia assessment and provide stratified care based on kinesiophobia levels across musculoskeletal conditions.



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