Effects of Kinesiophobia and Pain on Performance and Willingness to Perform Jumping Tests in Achilles Tendinopathy: A Cross-sectional Study

Overview

Journal Phys Ther Sport

Specialty Orthopedics

Date 2021 May 21

PMID 34020290

Citations 4

Authors

Haraldur B Sigurdsson

Madeline Collazo Maguire

Phoebe Balascio

Karin Gravare Silbernagel

Affiliations

Soon will be listed here.

Abstract

Objectives: Fear of movement may be a source of systemic bias in studies reporting functional deficits in patients with Achilles tendinopathy. The purpose of this study was to assess the effects of kinesiophobia on completion rate and performance on tests evaluating lower extremity function, while controlling for self-reported pain.

Design: Cross-sectional study; SETTING: Tendon research laboratory.

Participants: Ninety-four participants with Achilles tendinopathy.

Main Outcome Measures: Completion (yes/no) and performance (cm) on the counter-movement jump, hopping, and drop counter-movement jump.

Results: The models fit the data (R^2 = 0.81, both models). TSK score did not predict completion (beta = -0.01, 95% CI = -0.13 - 0.09, P = 0.74) but pain did (beta = -0.36, 95% CI = -0.53 to -0.19, P < 0.0001). TSK score did not predict performance (beta = -0.06, 95% CI = -0.14 - 0.003, P = 0.07), but pain did (beta = -0.15, 95% CI = -0.22 to -0.07, P < 0.0001).

Conclusions: Kinesiophobia did not affect the physical performance tests in patients with Achilles tendinopathy. Measures of physical performance should be interpreted alongside self-reported pain.

Citing Articles

Kinesiophobia contributes to worse functional and patient-reported outcome measures in Achilles tendinopathy: a systematic review.

Vivekanantha P, de Sa D, Halai M, Daniels T, Balso C, Pinsker E Knee Surg Sports Traumatol Arthrosc. 2023; 31(11):5199-5206.

PMID: 37553554 DOI: 10.1007/s00167-023-07537-2.

Biopsychosocial approach to tendinopathy.

Edgar N, Clifford C, ONeill S, Pedret C, Kirwan P, Millar N BMJ Open Sport Exerc Med. 2022; 8(3):e001326.

PMID: 35990762 PMC: 9345071. DOI: 10.1136/bmjsem-2022-001326.

Is the VISA-A Still Seaworthy, or Is It in Need of Maintenance?.

Sigurdsson H, Silbernagel K Orthop J Sports Med. 2022; 10(8):23259671221108950.

PMID: 35982828 PMC: 9380230. DOI: 10.1177/23259671221108950.

Kinesiophobia Severity Categories and Clinically Meaningful Symptom Change in Persons With Achilles Tendinopathy in a Cross-Sectional Study: Implications for Assessment and Willingness to Exercise.

Chimenti R, Post A, Silbernagel K, Hadlandsmyth K, Sluka K, Moseley G Front Pain Res (Lausanne). 2022; 2:739051.

PMID: 35295417 PMC: 8915659. DOI: 10.3389/fpain.2021.739051.

References

Harris P, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J . Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2008; 42(2):377-81. PMC: 2700030. DOI: 10.1016/j.jbi.2008.08.010. View

Iversen J, Bartels E, Langberg H . The victorian institute of sports assessment - achilles questionnaire (visa-a) - a reliable tool for measuring achilles tendinopathy. Int J Sports Phys Ther. 2012; 7(1):76-84. PMC: 3273883. View

Silbernagel K, Thomee R, Eriksson B, Karlsson J . Full symptomatic recovery does not ensure full recovery of muscle-tendon function in patients with Achilles tendinopathy. Br J Sports Med. 2007; 41(4):276-80. PMC: 2658968. DOI: 10.1136/bjsm.2006.033464. View

Silbernagel K, Thomee R, Eriksson B, Karlsson J . Continued sports activity, using a pain-monitoring model, during rehabilitation in patients with Achilles tendinopathy: a randomized controlled study. Am J Sports Med. 2007; 35(6):897-906. DOI: 10.1177/0363546506298279. View

Mc Auliffe S, Synott A, Casey H, Mc Creesh K, Purtill H, OSullivan K . Beyond the tendon: Experiences and perceptions of people with persistent Achilles tendinopathy. Musculoskelet Sci Pract. 2017; 29:108-114. DOI: 10.1016/j.msksp.2017.03.009. View

Roelofs J, Goubert L, Peters M, Vlaeyen J, Crombez G . The Tampa Scale for Kinesiophobia: further examination of psychometric properties in patients with chronic low back pain and fibromyalgia. Eur J Pain. 2004; 8(5):495-502. DOI: 10.1016/j.ejpain.2003.11.016. View

Silbernagel K, Gustavsson A, Thomee R, Karlsson J . Evaluation of lower leg function in patients with Achilles tendinopathy. Knee Surg Sports Traumatol Arthrosc. 2006; 14(11):1207-17. DOI: 10.1007/s00167-006-0150-6. View

Hudes K . The Tampa Scale of Kinesiophobia and neck pain, disability and range of motion: a narrative review of the literature. J Can Chiropr Assoc. 2011; 55(3):222-32. PMC: 3154068. View

Rio E, Mc Auliffe S, Kuipers I, Girdwood M, Alfredson H, Bahr R . ICON PART-T 2019-International Scientific Tendinopathy Symposium Consensus: recommended standards for reporting participant characteristics in tendinopathy research (PART-T). Br J Sports Med. 2019; 54(11):627-630. DOI: 10.1136/bjsports-2019-100957. View

10.

Silbernagel K, Thomee R, Thomee P, Karlsson J . Eccentric overload training for patients with chronic Achilles tendon pain--a randomised controlled study with reliability testing of the evaluation methods. Scand J Med Sci Sports. 2001; 11(4):197-206. DOI: 10.1034/j.1600-0838.2001.110402.x. View

11.

Lundberg M, Larsson M, Ostlund H, Styf J . Kinesiophobia among patients with musculoskeletal pain in primary healthcare. J Rehabil Med. 2006; 38(1):37-43. DOI: 10.1080/16501970510041253. View

12.

Corrigan P, Cortes D, Pontiggia L, Silbernagel K . THE DEGREE OF TENDINOSIS IS RELATED TO SYMPTOM SEVERITY AND PHYSICAL ACTIVITY LEVELS IN PATIENTS WITH MIDPORTION ACHILLES TENDINOPATHY. Int J Sports Phys Ther. 2018; 13(2):196-207. PMC: 6063061. View

13.

Heuts P, Vlaeyen J, Roelofs J, de Bie R, Aretz K, van Weel C . Pain-related fear and daily functioning in patients with osteoarthritis. Pain. 2004; 110(1-2):228-35. DOI: 10.1016/j.pain.2004.03.035. View

14.

Chimenti R, Hall M, Dilger C, Merriwether E, Wilken J, Sluka K . Local Anesthetic Injection Resolves Movement Pain, Motor Dysfunction, and Pain Catastrophizing in Individuals With Chronic Achilles Tendinopathy: A Nonrandomized Clinical Trial. J Orthop Sports Phys Ther. 2020; 50(6):334-343. PMC: 10016231. DOI: 10.2519/jospt.2020.9242. View

15.

Mallows A, Debenham J, Walker T, Littlewood C . Association of psychological variables and outcome in tendinopathy: a systematic review. Br J Sports Med. 2016; 51(9):743-748. DOI: 10.1136/bjsports-2016-096154. View

16.

Maffulli N, Kenward M, Testa V, Capasso G, Regine R, King J . Clinical diagnosis of Achilles tendinopathy with tendinosis. Clin J Sport Med. 2003; 13(1):11-5. DOI: 10.1097/00042752-200301000-00003. View

17.

Silbernagel K, Brorsson A, Lundberg M . The majority of patients with Achilles tendinopathy recover fully when treated with exercise alone: a 5-year follow-up. Am J Sports Med. 2010; 39(3):607-13. DOI: 10.1177/0363546510384789. View

18.

Karcioglu O, Topacoglu H, Dikme O, Dikme O . A systematic review of the pain scales in adults: Which to use?. Am J Emerg Med. 2018; 36(4):707-714. DOI: 10.1016/j.ajem.2018.01.008. View

19.

Henriksen M, Aaboe J, Graven-Nielsen T, Bliddal H, Langberg H . Motor responses to experimental Achilles tendon pain. Br J Sports Med. 2010; 45(5):393-8. DOI: 10.1136/bjsm.2010.072561. View

20.

Harris P, Taylor R, Minor B, Elliott V, Fernandez M, ONeal L . The REDCap consortium: Building an international community of software platform partners. J Biomed Inform. 2019; 95:103208. PMC: 7254481. DOI: 10.1016/j.jbi.2019.103208. View