Madison L Brna, Katherine L Smulligan, Mathew J Wingerson, Samantha N Magliato, Lindsay E Kemp, Julie Wilson, David R Howell
{"title":"焦虑、疼痛和对疼痛的恐惧:脑震荡后姿势稳定性的预测因素。","authors":"Madison L Brna, Katherine L Smulligan, Mathew J Wingerson, Samantha N Magliato, Lindsay E Kemp, Julie Wilson, David R Howell","doi":"10.1055/a-2558-7690","DOIUrl":null,"url":null,"abstract":"<p><p>Concussion can lead to anxiety, pain, kinesiophobia, and/or postural control deficits. We conducted a cross-sectional study evaluating adolescents with a recent concussion. We hypothesized that those reporting higher levels of anxiety, pain-interference, and kinesiophobia would perform worse on postural control tests. Participants completed anxiety, pain-interference, and kinesiophobia ratings, and postural control tests (single/dual-task tandem gait [TG], modified balance error scoring system [mBESS]). Using multivariable linear regression model, we evaluated the relationship between anxiety, pain-interference, and kinesiophobia (predictors) with postural control measures (TG and mBESS, outcomes), adjusting for sex and anxiety history. We enrolled 128 participants (53% female, age=15.4±1.7 years, 9.3±4.0 days post-concussion). Higher anxiety was weakly correlated with slower dual-task TG time (r=0.31; p=0.001) and more mBESS errors (r=0.22; p=0.01). Multivariable modeling indicated that a higher post-concussion anxiety rating was associated with slower dual-task TG time (β=0.21, 95% CI=0.01, 0.41; p=0.04). Female sex was associated with slower single-task tandem gait (β=-3.01, 95% CI= -6.01, -0.01; p=0.049). Adolescents with higher anxiety post-concussion performed worse on dual-task tandem gait assessments, while pain-interference and kinesiophobia were not associated with postural control. Anxiety and impaired postural control are independently associated with poor concussion outcomes; thus, this association may inform individualized concussion care strategies.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Anxiety, pain, and fear of pain: predictors of postural stability after concussion.\",\"authors\":\"Madison L Brna, Katherine L Smulligan, Mathew J Wingerson, Samantha N Magliato, Lindsay E Kemp, Julie Wilson, David R Howell\",\"doi\":\"10.1055/a-2558-7690\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Concussion can lead to anxiety, pain, kinesiophobia, and/or postural control deficits. We conducted a cross-sectional study evaluating adolescents with a recent concussion. We hypothesized that those reporting higher levels of anxiety, pain-interference, and kinesiophobia would perform worse on postural control tests. Participants completed anxiety, pain-interference, and kinesiophobia ratings, and postural control tests (single/dual-task tandem gait [TG], modified balance error scoring system [mBESS]). Using multivariable linear regression model, we evaluated the relationship between anxiety, pain-interference, and kinesiophobia (predictors) with postural control measures (TG and mBESS, outcomes), adjusting for sex and anxiety history. We enrolled 128 participants (53% female, age=15.4±1.7 years, 9.3±4.0 days post-concussion). Higher anxiety was weakly correlated with slower dual-task TG time (r=0.31; p=0.001) and more mBESS errors (r=0.22; p=0.01). Multivariable modeling indicated that a higher post-concussion anxiety rating was associated with slower dual-task TG time (β=0.21, 95% CI=0.01, 0.41; p=0.04). Female sex was associated with slower single-task tandem gait (β=-3.01, 95% CI= -6.01, -0.01; p=0.049). Adolescents with higher anxiety post-concussion performed worse on dual-task tandem gait assessments, while pain-interference and kinesiophobia were not associated with postural control. Anxiety and impaired postural control are independently associated with poor concussion outcomes; thus, this association may inform individualized concussion care strategies.</p>\",\"PeriodicalId\":14439,\"journal\":{\"name\":\"International journal of sports medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-03-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of sports medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1055/a-2558-7690\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of sports medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2558-7690","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Anxiety, pain, and fear of pain: predictors of postural stability after concussion.
Concussion can lead to anxiety, pain, kinesiophobia, and/or postural control deficits. We conducted a cross-sectional study evaluating adolescents with a recent concussion. We hypothesized that those reporting higher levels of anxiety, pain-interference, and kinesiophobia would perform worse on postural control tests. Participants completed anxiety, pain-interference, and kinesiophobia ratings, and postural control tests (single/dual-task tandem gait [TG], modified balance error scoring system [mBESS]). Using multivariable linear regression model, we evaluated the relationship between anxiety, pain-interference, and kinesiophobia (predictors) with postural control measures (TG and mBESS, outcomes), adjusting for sex and anxiety history. We enrolled 128 participants (53% female, age=15.4±1.7 years, 9.3±4.0 days post-concussion). Higher anxiety was weakly correlated with slower dual-task TG time (r=0.31; p=0.001) and more mBESS errors (r=0.22; p=0.01). Multivariable modeling indicated that a higher post-concussion anxiety rating was associated with slower dual-task TG time (β=0.21, 95% CI=0.01, 0.41; p=0.04). Female sex was associated with slower single-task tandem gait (β=-3.01, 95% CI= -6.01, -0.01; p=0.049). Adolescents with higher anxiety post-concussion performed worse on dual-task tandem gait assessments, while pain-interference and kinesiophobia were not associated with postural control. Anxiety and impaired postural control are independently associated with poor concussion outcomes; thus, this association may inform individualized concussion care strategies.
期刊介绍:
The IJSM provides a forum for the publication of papers dealing with both basic and applied information that advance the field of sports medicine and exercise science, and offer a better understanding of biomedicine. The journal publishes original papers, reviews, short communications, and letters to the Editors.