Fear of movement and (re)injury is associated with condition specific outcomes and health-related quality of life in women with patellofemoral pain

Author(s)

Pazzinatto, Marcella F. ; Silva, Danilo De Oliveira ; Willy, Richard W. ; Azevedo, Fabio M. ; Barton, Christian J.

• Document type: Journal article
• Source: PHYSIOTHERAPY THEORY AND PRACTICE; v. 38, n. 9, p. 10-pg., 2020-10-23.

Abstract

Objectives Investigate the association of fear of movement and (re)injury with clinical outcomes in women with patellofemoral pain (PFP). Methods This cross-sectional study included 92 women with PFP who completed the TAMPA scale for kinesiophobia. The TAMPA score and its two subscales - activity avoidance and somatic focus were correlated with BMI, physical activity level, pain catastrophizing scale, health-related quality of life, pain sensitivity via pressure pain threshold, self-reported disability, and worst knee pain in last month. Results Greater fear of movement and (re)injury, activity avoidance, and somatic focus were correlated with lower local pain sensitivity (rho = -0.29 to -0.55), lower health-related quality of life (rho = -0.38 to -0.42), greater pain catastrophizing (rho = 0.41 to 0.47), and greater self-reported disability (rho = -0.31 to -0.52). Greater fear of movement and (re)injury and activity avoidance were correlated with adjacent and remote pain sensitivity (rho = -0.24 to -0.39). Greater fear of movement and (re)injury and somatic focus were correlated with greater worst knee pain in last month (rho = 0.21 to 0.32). Fear of movement and (re)injury predicted pain measures, disability, and health-related quality of life (p <= 0.010). Conclusion The relationship of greater fear of movement and (re)injury with greater disability, pain catastrophizing, pain sensitization, and poorer health-related quality of life highlights the potential importance of considering this psychological feature of PFP during assessment and management. (AU)

• FAPESP's process: 16/11665-1 - Exercise therapy including resistance training and movement pattern retraining in females with patellofemoral pain: a pilot randomized controlled trial evaluating kinematics, pain and function
• Grantee: Danilo de Oliveira Silva
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate
• FAPESP's process: 17/23096-4 - Benefits of education and exercise therapy delivered by physiotherapists for people with patellofemoral pain: (BEEP) pilot trial
• Grantee: Marcella Ferraz Pazzinatto
• Support Opportunities: Scholarships abroad - Research Internship - Doctorate