Clinical predictors of post-concussion kinesiophobia severity among adolescents.

IF 1.8 4区医学 Q4 NEUROSCIENCES

Brain injury Pub Date : 2025-09-24 DOI:10.1080/02699052.2025.2565632

Alexander Wiegman, Mathew Wingerson, Katherine Smulligan, Joshua Kniss, Catherine Donahue, Julie Wilson, David Howell

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引用次数: 0

Abstract

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.

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青少年脑震荡后运动恐惧症严重程度的临床预测因素。

背景：运动恐惧症是一种常见的脑震荡后合并症。识别与脑震荡后运动恐惧症相关的因素可能在临床上有助于指导有效的治疗计划。目的：确定青少年脑震荡后运动恐惧症的相关患者水平因素。方法：66名参与者（年龄= 15.3,SD = 1.8岁；59%为女性）在两次访问中进行评估：第一次访问（平均= 9.9,SD = 4.3天）和第二次访问（平均= 43.9,SD = 15.9天）。他们完成了脑震荡后症状量表（PCSI）和坦帕运动恐惧症量表（TSK-17）问卷。此外，我们收集了年龄、性别、脑震荡史和肌肉骨骼损伤史变量作为协变量。结果：在就诊1时，较高的PCSI评分与较高的TSK评分显著相关（β = 0.07, 95% CI = 0.02, 0.13, p = 0.006）。访问1时较高的TSK评分与访问2时较高的TSK评分显著相关（β = 0.65, 95% CI = 0.41, 0.89, p p = 0.03）。结论：我们观察到脑震荡后运动恐惧症与损伤后最初的症状严重程度和恢复后期的先前肌肉骨骼损伤之间存在关联。临床医生可以考虑受伤后的时间，是否有脑震荡症状，以及过去的受伤史，以帮助确定减少脑震荡后运动恐惧症的途径。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Brain injury 医学-康复医学

CiteScore

3.50

自引率

5.30%

发文量

148

审稿时长

12 months

期刊介绍： Brain Injury publishes critical information relating to research and clinical practice, adult and pediatric populations. The journal covers a full range of relevant topics relating to clinical, translational, and basic science research. Manuscripts address emergency and acute medical care, acute and post-acute rehabilitation, family and vocational issues, and long-term supports. Coverage includes assessment and interventions for functional, communication, neurological and psychological disorders.