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Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain

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Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain

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dc.contributor.author Doménech, J.
dc.contributor.author Sanchis-Alfonso, Vicente
dc.contributor.author Espejo Tort, Begoña
dc.date.accessioned 2014-11-28T11:12:29Z
dc.date.available 2014-11-28T11:12:29Z
dc.date.issued 2014
dc.identifier.citation Doménech, J. Sanchis-Alfonso, V. Espejo Tort, Begoña 2014 Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain Knee Surgery Sports Traumatology Arthroscopy 22 10 2295 2300
dc.identifier.uri http://hdl.handle.net/10550/40333
dc.description.abstract Purpose. The purpose of the study was to investigate if changes in psychological variables are related to the outcome in pain and disability in patients with chronic anterior knee pain. Methods. A longitudinal observational study on 47 patients with chronic anterior knee pain was performed in a secondary healthcare setting. Pain was measured with the visual analogue scale and disability with the Lysholm scale. The psychological variables, such as anxiety, depression, pain coping strategies, catastrophizing and fear to movement beliefs, were studied by using self-administered questionnaires. Results. Among the pain coping strategies, only the catastrophizing subscale showed a significant reduction. Similarly, anxiety, depression and kinesiophobia were significantly reduced after treatment. Those patients who decreased the catastrophizing, kinesiophobia, anxiety and depression showed a greater improvement in pain and disability after a purely biomedical treatment. A multiple regression analysis revealed that changes in catastrophizing predicted the amount of improvement in pain severity and that changes in both catastrophizing and anxiety predicted changes in disability after treatment. Conclusion. What has been found suggests that clinical improvement in pain and disability is associated with a reduction in catastrophizing and kinesiophobia. Therefore, co-interventions to reduce catastrophizing thinking and kinesiophobia may enhance the results. Level of evidence. Prospective Cohort Study, Level I for prognosis.
dc.language.iso eng
dc.relation.ispartof Knee Surgery Sports Traumatology Arthroscopy, 2014, vol. 22, num. 10, p. 2295-2300
dc.subject Ansietat
dc.title Changes in catastrophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with anterior knee pain
dc.type journal article es_ES
dc.date.updated 2014-11-28T11:12:29Z
dc.identifier.doi 10.1007/s00167-014-2968-7
dc.identifier.idgrec 099101
dc.rights.accessRights open access es_ES

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