Pain-related fear contributes to self-reported disability in patients with foot and ankle pathology.
Arch Phys Med Rehabil
; 91(4): 557-61, 2010 Apr.
Article
de En
| MEDLINE
| ID: mdl-20382287
ABSTRACT
OBJECTIVE:
To determine the unique influence of pain-related fear of movement on foot and ankle disability, after accounting for pain, demographic, and physical impairment variables.DESIGN:
Cross-sectional study using retrospective chart review.SETTING:
Outpatient rehabilitation clinic.PARTICIPANTS:
Referred sample of subjects with foot- and ankle-related disability (N=85, 40 men; mean age, 33y; range, 16-77y).INTERVENTIONS:
Not applicable. MAIN OUTCOMEMEASURES:
Lower Extremity Functional Scale (LEFS), Shortened Tampa Scale of Kinesiophobia (TSK-11).RESULTS:
Hierarchical regression analysis determined the proportions of explained variance in disability (LEFS). Demographic variables were entered into the model first, followed by pain intensity and range-of-motion (ROM) deficit, and finally, TSK-11. Demographics collectively contributed 9% (P=.015) of the variance in disability scores. Pain intensity and overall ROM deficit contributed an additional 11% (P<.001) of the variance, and TSK-11 scores contributed an additional 14% (P<.001). In the overall model, age (beta=-.29, P=.004), chronicity of symptoms (beta=.23, P=.024), ROM deficit (beta=-.28, P=.003), and TSK-11 (beta=-.41, P<.001) explained 34% of the variance in the LEFS score (P<.001).CONCLUSIONS:
Age, chronicity of symptoms, ROM deficit, and TSK-11 scores all significantly contributed to baseline foot and ankle self-reported disability. Pain-related fear of movement was the strongest single contributor to disability in this group of patients.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Douleur
/
Traumatismes de la cheville
/
Traumatismes du pied
/
Évaluation de l'invalidité
/
Peur
Type d'étude:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Arch Phys Med Rehabil
Année:
2010
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique