Brain injury · 2025
Clinical predictors of post-concussion kinesiophobia severity among adolescents.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wiegman Alexander, Wingerson Mathew, Smulligan Katherine, Kniss Joshua, Donahue Catherine, Wilson Julie, Howell David
Аннотация
BACKGROUND: Kinesiophobia is a common post-concussion comorbidity. Identifying factors associated with post-concussion kinesiophobia may be clinically useful to guide effective treatment plans.
PURPOSE: To identify patient-level factors associated with kinesiophobia among adolescents after concussion.
METHODS: Sixty-six participants (age = 15.3, SD = 1.8 years; 59% female) were evaluated at two visits: Visit 1 (mean = 9.9, SD = 4.3 days post-concussion) and Visit 2 (mean = 43.9, SD = 15.9 days post-concussion). They completed the Post-Concussion Symptom Inventory (PCSI) and Tampa Scale of Kinesiophobia (TSK-17) questionnaires. In addition, we collected age, sex, concussion history, and musculoskeletal injury history variables to include as covariates.
RESULTS: At Visit 1, higher PCSI ratings were significantly associated with higher TSK ratings (β = 0.07, 95% CI = 0.02, 0.13, p = 0.006). Higher TSK ratings at Visit 1 were significantly associated with higher TSK ratings at Visit 2 (β = 0.65, 95% CI = 0.41, 0.89, p < 0.001). History of musculoskeletal injury was significantly associated with lower TSK ratings at Visit 2 (β = -2.86, 95% CI = -5.53, -0.20, p = 0.03).
CONCLUSIONS: We observed an association between post-concussion kinesiophobia with symptom severity initially post-injury and previous musculoskeletal injury at later stages of recovery. Clinicians may consider the time since injury, overlap with concussion symptoms, and past injury history to help contextualize pathways to reduce post-concussion kinesiophobia.
PURPOSE: To identify patient-level factors associated with kinesiophobia among adolescents after concussion.
METHODS: Sixty-six participants (age = 15.3, SD = 1.8 years; 59% female) were evaluated at two visits: Visit 1 (mean = 9.9, SD = 4.3 days post-concussion) and Visit 2 (mean = 43.9, SD = 15.9 days post-concussion). They completed the Post-Concussion Symptom Inventory (PCSI) and Tampa Scale of Kinesiophobia (TSK-17) questionnaires. In addition, we collected age, sex, concussion history, and musculoskeletal injury history variables to include as covariates.
RESULTS: At Visit 1, higher PCSI ratings were significantly associated with higher TSK ratings (β = 0.07, 95% CI = 0.02, 0.13, p = 0.006). Higher TSK ratings at Visit 1 were significantly associated with higher TSK ratings at Visit 2 (β = 0.65, 95% CI = 0.41, 0.89, p < 0.001). History of musculoskeletal injury was significantly associated with lower TSK ratings at Visit 2 (β = -2.86, 95% CI = -5.53, -0.20, p = 0.03).
CONCLUSIONS: We observed an association between post-concussion kinesiophobia with symptom severity initially post-injury and previous musculoskeletal injury at later stages of recovery. Clinicians may consider the time since injury, overlap with concussion symptoms, and past injury history to help contextualize pathways to reduce post-concussion kinesiophobia.