Clinical predictors of post-concussion kinesiophobia severity among adolescents.
Alexander Wiegman, Mathew Wingerson, Katherine Smulligan and 4 others
PMID 40990413WHAT IT FOUND
Adolescents with more severe initial concussion symptoms reported greater fear of movement.
Prior musculoskeletal injuries were linked to lower fear of movement during recovery. Demographics and concussion history showed no association with kinesiophobia severity.
Key findings
01Higher initial symptom severity was significantly associated with higher initial kinesiophobia scores.
02A history of musculoskeletal injury was significantly associated with lower kinesiophobia scores at the follow-up visit.
03Age, sex, and history of concussion were not significantly associated with kinesiophobia ratings at either visit.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The study was conducted in a specific geographic region with relatively homogeneous demographics, limiting generalizability. The follow-up period was limited to 30-90 days, so long-term effects on kinesiophobia were not assessed. The Tampa Scale of Kinesiophobia was originally designed for chronic musculoskeletal pain, which may not fully capture the unique aspects of fear of movement after concussion. The study could not establish causal relationships, only associations.
The easy way to misread this
Do not assume that a history of musculoskeletal injury protects against fear of movement immediately after a concussion. This association was only significant at the follow-up visit, not the initial evaluation.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →