Can kinesiophobia predict the duration of neck symptoms in acute whiplash?

被引:52
作者
Buitenhuis, J
Jaspers, JPC
Fidler, V
机构
[1] Unive Insurance, Dept Med, NL-9400 AA Assen, Netherlands
[2] Univ Groningen, Dept Social Med, Med Ctr, Groningen, Netherlands
[3] Univ Groningen, Dept Med Psychol, Med Ctr, Groningen, Netherlands
[4] Univ Groningen, Dept Epidemiol & Bioinformat, Med Ctr, Groningen, Netherlands
关键词
post-whiplash syndrome; kinesiophobia; litigation;
D O I
10.1097/01.ajp.0000173180.54261.0a
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objectives: In low back pain, clinical studies suggest that kinesiophobia (fear of movement/(re)injury) is important in the etiology of chronic symptoms. In this prospective cohort study, the predictive role of kinesiophobia in the development of late whiplash syndrome was examined. Methods: Victims of car collisions with neck symptoms who initiated compensation claim procedures with a Dutch insurance company were sent a questionnaire containing symptom-related questions and the Tampa Scale of Kinesiophobia (TSK-DV). Follow-up questionnaires were administered 6 and 12 months after the collision. Survival analysis was used to study the relationship between the duration of neck symptoms and explanatory variables. Results: Of the 889 questionnaires sent, 590 (66%) were returned and 367 used for analysis. The estimated percentage Of Subjects with neck symptoms persisting 1 year after the collision was 47% (SE 2.7%). In a regression model without symptom-related variables, kinesiophobia was found to be related to a longer duration of neck symptoms (P = 0.001). However, when symptom-related information was entered into the model, the effect of kinesiophobia did not reach statistical significance (P = 0.089). Conclusions: Although a higher score on the TSK-DV was found to be associated with a longer duration of neck symptoms, information on early kinesiophobia was not found to improve the ability to predict the duration of neck symptoms after motor vehicle collisions.
引用
收藏
页码:272 / 277
页数:6
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