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Kinesiophobia and physical therapy-related pain in musculoskeletal pain: A national multicenter cohort study on patients and their general physicians

dc.rights.licenseopenen_US
dc.contributor.authorPERROT, S.
dc.contributor.authorTROUVIN, A. P.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorRONDEAU, Virginie
dc.contributor.authorCHARTIER, I.
dc.contributor.authorARNAUD, R.
dc.contributor.authorMILON, J. Y.
dc.contributor.authorPOUCHAIN, D.
dc.date.accessioned2020-12-14T13:47:26Z
dc.date.available2020-12-14T13:47:26Z
dc.date.issued2018-01
dc.identifier.issn1778-7254 (Electronic) 1297-319X (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/21445
dc.description.abstractEnINTRODUCTION: Physical therapy (PT) represents a major approach in musculoskeletal (MSK) pain. This study aimed to assess kinesiophobia, its impact and management, in patients with MSK pain treated by PT. METHODS: A national multicentre, prospective study was conducted in France in patients with MSK pain referred to PT. Kinesiophobia was scored with the Tampa Scale of Kinesiophobia (TSK). Pain, satisfaction, analgesic intake and acceptability were assessed at the initial visit, at the 5th PT session, and at the end of PT. RESULTS: 700 consecutive outpatients with MSK pain, 54.5% female, referred to PT were recruited by 186 GPs: 501 had significant levels of kinesiophobia (TSK score > 40). Patients with kinesiophobia were significantly older, with less physical activity, more pain and less acceptability. Patients from GPs presenting with kinesiophobia had both higher pain and kinesiophobia levels. After 5 PT sessions, global satisfaction was significantly higher in patients without kinesiophobia. A significant increase of PT satisfaction was observed in patients who had been given preventive analgesics before PT sessions, in 25.6% of patients. Independent predictors for specific management of PT-induced pain were: patient's kinesiophobia (OR = 2.02 [1.07-3.82]), current analgesics treatment (OR=2.05 [1.16-3.63]), GP with postgraduate course on pain (OR = 2.65 [1.29-5.43]), GP's independent practice (OR = 1.88 [1.01-3.48]). CONCLUSION: Kinesiophobia is frequent in patients with MSK pain, is associated to GPs' kinesiophobia and decreases satisfaction of Physical Therapy. Preventive analgesic treatment before PT sessions improves patients' satisfaction and should be proposed to improve MSK pain management.
dc.language.isoENen_US
dc.subject.enBiostatistics
dc.subject.enEPICENE
dc.title.enKinesiophobia and physical therapy-related pain in musculoskeletal pain: A national multicenter cohort study on patients and their general physicians
dc.title.alternativeJoint Bone Spineen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.jbspin.2016.12.014en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed28062380en_US
bordeaux.journalJoint Bone Spineen_US
bordeaux.page101-107en_US
bordeaux.volume85en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - U1219en_US
bordeaux.issue1en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.teamEPICENE_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-03193055
hal.version1
hal.date.transferred2021-04-08T13:20:59Z
hal.exporttrue
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