Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.

Chronic neck pain (CNP) incidence in the general population is high and contributes to a significant health problem. Kinesiophobia (fear of pain to movement or re-injury) combined with emotions and physical variables may play a vital role in assessing and managing individuals with CNP. The study...

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Main Authors: Faisal Asiri, Ravi Shankar Reddy, Jaya Shanker Tedla, Mohammad A ALMohiza, Mastour Saeed Alshahrani, Shashikumar Channmgere Govindappa, Devika Rani Sangadala
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2021-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254262&type=printable
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author Faisal Asiri
Ravi Shankar Reddy
Jaya Shanker Tedla
Mohammad A ALMohiza
Mastour Saeed Alshahrani
Shashikumar Channmgere Govindappa
Devika Rani Sangadala
author_facet Faisal Asiri
Ravi Shankar Reddy
Jaya Shanker Tedla
Mohammad A ALMohiza
Mastour Saeed Alshahrani
Shashikumar Channmgere Govindappa
Devika Rani Sangadala
author_sort Faisal Asiri
collection DOAJ
description Chronic neck pain (CNP) incidence in the general population is high and contributes to a significant health problem. Kinesiophobia (fear of pain to movement or re-injury) combined with emotions and physical variables may play a vital role in assessing and managing individuals with CNP. The study's objectives are 1) to evaluate the relationship between kinesiophobia, neck pain intensity, proprioception, and functional performance; 2) to determine if kinesiophobia predicts pain intensity, proprioception, and functional performance among CNP individuals. Sixty-four participants with CNP (mean age 54.31 ± 9.41) were recruited for this cross-sectional study. The following outcome measures were evaluated: Kinesiophobia using the Tampa Scale of Kinesiophobia (TSK), neck pain intensity using the visual analog scale (VAS), cervical proprioceptive joint position errors (in flexion, extension, and rotation directions) using cervical range of motion (CROM) device and handgrip strength as a measure of functional performance using the Baseline® hydraulic hand dynamometer. Kinesiophobia showed a strong positive correlation with neck pain intensity (r = 0.81, p<0.001), a mild to a moderate positive correlation with proprioception joint position errors (JPE) in extension, rotation left and right directions (p<0.05), but no correlation in flexion direction (p = 0.127). Also, there was a moderate negative correlation with handgrip strength (r = -0.65, p<0.001). Regression analysis proved that kinesiophobia was a significant predictor of pain intensity, proprioception, and functional performance (p<0.05). This study infers that kinesiophobia in individuals with CNP predicts pain, proprioception, and functional performance. Kinesiophobia assessment should be considered in regular clinical practice to understand the barriers that can influence rehabilitation outcomes in CNP individuals.
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spelling doaj-art-e7185b89a35c4ea6b821f88c8c0a29fa2025-08-20T02:54:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-01167e025426210.1371/journal.pone.0254262Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.Faisal AsiriRavi Shankar ReddyJaya Shanker TedlaMohammad A ALMohizaMastour Saeed AlshahraniShashikumar Channmgere GovindappaDevika Rani SangadalaChronic neck pain (CNP) incidence in the general population is high and contributes to a significant health problem. Kinesiophobia (fear of pain to movement or re-injury) combined with emotions and physical variables may play a vital role in assessing and managing individuals with CNP. The study's objectives are 1) to evaluate the relationship between kinesiophobia, neck pain intensity, proprioception, and functional performance; 2) to determine if kinesiophobia predicts pain intensity, proprioception, and functional performance among CNP individuals. Sixty-four participants with CNP (mean age 54.31 ± 9.41) were recruited for this cross-sectional study. The following outcome measures were evaluated: Kinesiophobia using the Tampa Scale of Kinesiophobia (TSK), neck pain intensity using the visual analog scale (VAS), cervical proprioceptive joint position errors (in flexion, extension, and rotation directions) using cervical range of motion (CROM) device and handgrip strength as a measure of functional performance using the Baseline® hydraulic hand dynamometer. Kinesiophobia showed a strong positive correlation with neck pain intensity (r = 0.81, p<0.001), a mild to a moderate positive correlation with proprioception joint position errors (JPE) in extension, rotation left and right directions (p<0.05), but no correlation in flexion direction (p = 0.127). Also, there was a moderate negative correlation with handgrip strength (r = -0.65, p<0.001). Regression analysis proved that kinesiophobia was a significant predictor of pain intensity, proprioception, and functional performance (p<0.05). This study infers that kinesiophobia in individuals with CNP predicts pain, proprioception, and functional performance. Kinesiophobia assessment should be considered in regular clinical practice to understand the barriers that can influence rehabilitation outcomes in CNP individuals.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254262&type=printable
spellingShingle Faisal Asiri
Ravi Shankar Reddy
Jaya Shanker Tedla
Mohammad A ALMohiza
Mastour Saeed Alshahrani
Shashikumar Channmgere Govindappa
Devika Rani Sangadala
Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
PLoS ONE
title Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
title_full Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
title_fullStr Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
title_full_unstemmed Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
title_short Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain.
title_sort kinesiophobia and its correlations with pain proprioception and functional performance among individuals with chronic neck pain
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0254262&type=printable
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