The Impact of the Degree of Kinesiophobia on Recovery in Patients With Achilles Tendinopathy.
The Impact of the Degree of Kinesiophobia on Recovery in Patients With Achilles Tendinopathy.
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运动恐惧症程度对跟腱病患者康复的影响。
DOI：
10.1093/ptj/pzab178
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发表时间：
2021
期刊：
影响因子：
3.2
通讯作者：
Silbernagel,KarinGrävare
中科院分区：
文献类型：
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作者：
Alghamdi,NabeelHamdan;Pohlig,RyanT;Lundberg,Mari;Silbernagel,KarinGrävare
目的研究认为运动恐惧症会影响跟腱病患者的康复。然而，不同程度运动恐惧症患者的结果是否存在差异尚不清楚。本研究的目的是比较患有跟腱病和不同程度运动恐惧症的患者在基线和恢复时的特征。方法：本研究是对59例跟腱病变患者的前瞻性观察队列研究的二次分析。根据运动恐惧症坦帕量表（Tampa Scale for Kinesiophobia， TSK）得分将参与者分为低TSK得分[≤33分，低TSK组]、中TSK得分[34-41分，中TSK组]、高TSK得分[≥42分，高TSK组]3组。所有参与者在基线、6个月和12个月时通过自我报告的结果、临床评估、肌腱形态、粘弹性测量和小腿肌肉耐力测试进行评估。在整个研究期间没有提供任何治疗。结果低TSK组16例（女性8例），年龄为51.9 [SD = 15.3]岁，体重指数[BMI] = 22.3-25.4])，中TSK组28例（女性13例），年龄为52.7 [SD = 15.2]岁，BMI = 26.4[22.5-30.8]，高TSK组15例（女性8例），年龄为61.1 [SD = 11.1]岁，BMI = 28.1[25.2-33.6]。在基线组中，高TSK组的BMI和症状严重程度显著增加，生活质量较低。随着时间的推移，除了基线BMI调整后的肌腱粘弹性和肌腱增厚外，所有组的所有结果都有显著改善。高和中等TSK组在6个月时运动恐惧症有所减少，但低TSK组没有变化。结论尽管高TSK组在基线时BMI最高，症状严重程度和生活质量较差，但在12个月内，该组成员在所有结局领域的改善与其他组相似。评估跟腱病患者的运动恐惧症程度可能有助于了解他们是如何受到损伤的影响的。然而，运动恐惧症在基线时的程度似乎并不影响康复；这一发现可能是由于患者接受了有关损伤和康复期望的教育。
ObjectiveKinesiophobia has been proposed to influence recovery in individuals with Achilles tendinopathy. However, whether there are differences in outcomes in individuals with different levels of kinesiophobia is unknown. The purpose of this study was to compare the characteristics of patients at baseline and recovery over time in individuals with Achilles tendinopathy and various levels of kinesiophobia.MethodsThis study was a secondary analysis of a prospective observational cohort study of 59 individuals with Achilles tendinopathy. The participants were divided into 3 groups on the basis of scores on the Tampa Scale for Kinesiophobia (TSK) (those with low TSK scores [≤33; low TSK group], those with medium TSK scores [34–41; medium TSK group], and those with high TSK scores [≥42; high TSK group]). All participants were evaluated with self-reported outcomes, clinical evaluation, tendon morphology, viscoelastic property measurements, and a calf muscle endurance test at baseline, 6 months, and 12 months. No treatment was provided throughout the study period.ResultsThere were 16 participants (8 women) in the low TSK group (age = 51.9 [SD = 15.3] years, body mass index [BMI] = 24.3 [22.3–25.4]), 28 participants (13 women) in the medium TSK group (age = 52.7 [SD = 15.2] years, BMI = 26.4 [22.5–30.8]), and 15 participants (8 women) in the high TSK group (age = 61.1 [SD = 11.1] years, BMI = 28.1 [25.2–33.6]). Among the groups at baseline, the high TSK group had significantly greater BMI and symptom severity and lower quality of life. All groups showed significant improvement over time for all outcomes except tendon viscoelastic properties and tendon thickening when there was an adjustment for baseline BMI. The high and medium TSK groups saw decreases in kinesiophobia at 6 months, but there was no change for the low TSK group.ConclusionDespite the high TSK group having the highest BMI and the worse symptom severity and quality of life at baseline, members of this group showed improvements in all of the outcome domains similar to those of the other groups over 12 months.ImpactEvaluating the degree of kinesiophobia in individuals with Achilles tendinopathy might be of benefit for understanding how they are affected by the injury. However, the degree of kinesiophobia at baseline does not seem to affect recovery; this finding could be due to the patients receiving education about the injury and expectations of recovery.