Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1111/sms.13767 http://hdl.handle.net/11449/199146 |
Resumo: | Background: Altered patellofemoral joint (PFJ) loading and elevated kinesiophobia are commonly reported in people with patellofemoral pain (PFP). However, the relative relationship of these physical-psychological variables with pain and disability in people with PFP is unknown. Aim: To explore the relationship of PFJ loading during stair ascent and kinesiophobia, with self-reported pain and disability in women with PFP. Methods: Fifty-seven women with PFP completed the Tampa Scale for Kinesiophobia, a Visual Analog Scale (0-100 mm) for pain during stair ascent, and the Anterior Knee Pain Scale (disability). Stair ascent mechanics were assessed via three-dimensional motion analysis while participants ascended an instrumented seven-step staircase. Peak PFJ contact force and stress, and PFJ contact force and stress loading rates were estimated using a musculoskeletal model. The relationships of PFJ kinetics during stair ascent and kinesiophobia, with the Anterior Knee Pain Scale (disability) and pain during stair ascent, were evaluated with Spearman rank correlation. Variables (kinetics and kinesiophobia) significantly correlating with the dependent variables (pain and disability) were inserted in linear regression models. Results: Kinesiophobia was moderately associated with self-reported pain (rho = 0.37) and disability (rho = −0.58) in women with PFP. No PFJ loading variables were found to be associated with self-reported pain or disability (P >.05). Kinesiophobia explained 14% of the variance of participants’ pain while ascending stairs and 33% of the variance of participant's self-reported disability. Conclusion: Addressing kinesiophobia during treatment of women with PFP may be important to reduce self-reported pain and disability. |
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Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variablesanterior knee painbiomechanicspsychologyrehabilitationBackground: Altered patellofemoral joint (PFJ) loading and elevated kinesiophobia are commonly reported in people with patellofemoral pain (PFP). However, the relative relationship of these physical-psychological variables with pain and disability in people with PFP is unknown. Aim: To explore the relationship of PFJ loading during stair ascent and kinesiophobia, with self-reported pain and disability in women with PFP. Methods: Fifty-seven women with PFP completed the Tampa Scale for Kinesiophobia, a Visual Analog Scale (0-100 mm) for pain during stair ascent, and the Anterior Knee Pain Scale (disability). Stair ascent mechanics were assessed via three-dimensional motion analysis while participants ascended an instrumented seven-step staircase. Peak PFJ contact force and stress, and PFJ contact force and stress loading rates were estimated using a musculoskeletal model. The relationships of PFJ kinetics during stair ascent and kinesiophobia, with the Anterior Knee Pain Scale (disability) and pain during stair ascent, were evaluated with Spearman rank correlation. Variables (kinetics and kinesiophobia) significantly correlating with the dependent variables (pain and disability) were inserted in linear regression models. Results: Kinesiophobia was moderately associated with self-reported pain (rho = 0.37) and disability (rho = −0.58) in women with PFP. No PFJ loading variables were found to be associated with self-reported pain or disability (P >.05). Kinesiophobia explained 14% of the variance of participants’ pain while ascending stairs and 33% of the variance of participant's self-reported disability. Conclusion: Addressing kinesiophobia during treatment of women with PFP may be important to reduce self-reported pain and disability.La Trobe Sport and Exercise Medicine Research Centre (LASEM) School of Allied Health Human Services and Sport La Trobe UniversityDepartment of Physiotherapy School of Science and Technology Sao Paulo State University (UNESP)School of Physical Therapy and Movement Sciences University of MontanaDepartment of Surgery St Vincent's Hospital University of MelbourneDepartment of Physiotherapy School of Science and Technology Sao Paulo State University (UNESP)La Trobe UniversityUniversidade Estadual Paulista (Unesp)University of MontanaUniversity of MelbourneDe Oliveira Silva, Danilo [UNESP]Willy, Richard W.Barton, Christian J.Christensen, KellyPazzinatto, Marcella F. [UNESP]Azevedo, Fábio M. [UNESP]2020-12-12T01:31:58Z2020-12-12T01:31:58Z2020-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1111/sms.13767Scandinavian Journal of Medicine and Science in Sports.1600-08380905-7188http://hdl.handle.net/11449/19914610.1111/sms.137672-s2.0-8508847587086325040246170880000-0002-4187-7058Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengScandinavian Journal of Medicine and Science in Sportsinfo:eu-repo/semantics/openAccess2021-10-23T03:22:21Zoai:repositorio.unesp.br:11449/199146Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T18:27:45.900965Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
title |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
spellingShingle |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables De Oliveira Silva, Danilo [UNESP] anterior knee pain biomechanics psychology rehabilitation |
title_short |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
title_full |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
title_fullStr |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
title_full_unstemmed |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
title_sort |
Pain and disability in women with patellofemoral pain relate to kinesiophobia, but not to patellofemoral joint loading variables |
author |
De Oliveira Silva, Danilo [UNESP] |
author_facet |
De Oliveira Silva, Danilo [UNESP] Willy, Richard W. Barton, Christian J. Christensen, Kelly Pazzinatto, Marcella F. [UNESP] Azevedo, Fábio M. [UNESP] |
author_role |
author |
author2 |
Willy, Richard W. Barton, Christian J. Christensen, Kelly Pazzinatto, Marcella F. [UNESP] Azevedo, Fábio M. [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
La Trobe University Universidade Estadual Paulista (Unesp) University of Montana University of Melbourne |
dc.contributor.author.fl_str_mv |
De Oliveira Silva, Danilo [UNESP] Willy, Richard W. Barton, Christian J. Christensen, Kelly Pazzinatto, Marcella F. [UNESP] Azevedo, Fábio M. [UNESP] |
dc.subject.por.fl_str_mv |
anterior knee pain biomechanics psychology rehabilitation |
topic |
anterior knee pain biomechanics psychology rehabilitation |
description |
Background: Altered patellofemoral joint (PFJ) loading and elevated kinesiophobia are commonly reported in people with patellofemoral pain (PFP). However, the relative relationship of these physical-psychological variables with pain and disability in people with PFP is unknown. Aim: To explore the relationship of PFJ loading during stair ascent and kinesiophobia, with self-reported pain and disability in women with PFP. Methods: Fifty-seven women with PFP completed the Tampa Scale for Kinesiophobia, a Visual Analog Scale (0-100 mm) for pain during stair ascent, and the Anterior Knee Pain Scale (disability). Stair ascent mechanics were assessed via three-dimensional motion analysis while participants ascended an instrumented seven-step staircase. Peak PFJ contact force and stress, and PFJ contact force and stress loading rates were estimated using a musculoskeletal model. The relationships of PFJ kinetics during stair ascent and kinesiophobia, with the Anterior Knee Pain Scale (disability) and pain during stair ascent, were evaluated with Spearman rank correlation. Variables (kinetics and kinesiophobia) significantly correlating with the dependent variables (pain and disability) were inserted in linear regression models. Results: Kinesiophobia was moderately associated with self-reported pain (rho = 0.37) and disability (rho = −0.58) in women with PFP. No PFJ loading variables were found to be associated with self-reported pain or disability (P >.05). Kinesiophobia explained 14% of the variance of participants’ pain while ascending stairs and 33% of the variance of participant's self-reported disability. Conclusion: Addressing kinesiophobia during treatment of women with PFP may be important to reduce self-reported pain and disability. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-12T01:31:58Z 2020-12-12T01:31:58Z 2020-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1111/sms.13767 Scandinavian Journal of Medicine and Science in Sports. 1600-0838 0905-7188 http://hdl.handle.net/11449/199146 10.1111/sms.13767 2-s2.0-85088475870 8632504024617088 0000-0002-4187-7058 |
url |
http://dx.doi.org/10.1111/sms.13767 http://hdl.handle.net/11449/199146 |
identifier_str_mv |
Scandinavian Journal of Medicine and Science in Sports. 1600-0838 0905-7188 10.1111/sms.13767 2-s2.0-85088475870 8632504024617088 0000-0002-4187-7058 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Scandinavian Journal of Medicine and Science in Sports |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128935477641216 |