Anxiety, pain, and fear of pain: predictors of postural stability after concussion.

IF 2 4区 医学 Q2 SPORT SCIENCES International journal of sports medicine Pub Date : 2025-03-13 DOI:10.1055/a-2558-7690
Madison L Brna, Katherine L Smulligan, Mathew J Wingerson, Samantha N Magliato, Lindsay E Kemp, Julie Wilson, David R Howell
{"title":"Anxiety, pain, and fear of pain: predictors of postural stability after concussion.","authors":"Madison L Brna, Katherine L Smulligan, Mathew J Wingerson, Samantha N Magliato, Lindsay E Kemp, Julie Wilson, David R Howell","doi":"10.1055/a-2558-7690","DOIUrl":null,"url":null,"abstract":"<p><p>Concussion can lead to anxiety, pain, kinesiophobia, and/or postural control deficits. We conducted a cross-sectional study evaluating adolescents with a recent concussion. We hypothesized that those reporting higher levels of anxiety, pain-interference, and kinesiophobia would perform worse on postural control tests. Participants completed anxiety, pain-interference, and kinesiophobia ratings, and postural control tests (single/dual-task tandem gait [TG], modified balance error scoring system [mBESS]). Using multivariable linear regression model, we evaluated the relationship between anxiety, pain-interference, and kinesiophobia (predictors) with postural control measures (TG and mBESS, outcomes), adjusting for sex and anxiety history. We enrolled 128 participants (53% female, age=15.4±1.7 years, 9.3±4.0 days post-concussion). Higher anxiety was weakly correlated with slower dual-task TG time (r=0.31; p=0.001) and more mBESS errors (r=0.22; p=0.01). Multivariable modeling indicated that a higher post-concussion anxiety rating was associated with slower dual-task TG time (β=0.21, 95% CI=0.01, 0.41; p=0.04). Female sex was associated with slower single-task tandem gait (β=-3.01, 95% CI= -6.01, -0.01; p=0.049). Adolescents with higher anxiety post-concussion performed worse on dual-task tandem gait assessments, while pain-interference and kinesiophobia were not associated with postural control. Anxiety and impaired postural control are independently associated with poor concussion outcomes; thus, this association may inform individualized concussion care strategies.</p>","PeriodicalId":14439,"journal":{"name":"International journal of sports medicine","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of sports medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/a-2558-7690","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0

Abstract

Concussion can lead to anxiety, pain, kinesiophobia, and/or postural control deficits. We conducted a cross-sectional study evaluating adolescents with a recent concussion. We hypothesized that those reporting higher levels of anxiety, pain-interference, and kinesiophobia would perform worse on postural control tests. Participants completed anxiety, pain-interference, and kinesiophobia ratings, and postural control tests (single/dual-task tandem gait [TG], modified balance error scoring system [mBESS]). Using multivariable linear regression model, we evaluated the relationship between anxiety, pain-interference, and kinesiophobia (predictors) with postural control measures (TG and mBESS, outcomes), adjusting for sex and anxiety history. We enrolled 128 participants (53% female, age=15.4±1.7 years, 9.3±4.0 days post-concussion). Higher anxiety was weakly correlated with slower dual-task TG time (r=0.31; p=0.001) and more mBESS errors (r=0.22; p=0.01). Multivariable modeling indicated that a higher post-concussion anxiety rating was associated with slower dual-task TG time (β=0.21, 95% CI=0.01, 0.41; p=0.04). Female sex was associated with slower single-task tandem gait (β=-3.01, 95% CI= -6.01, -0.01; p=0.049). Adolescents with higher anxiety post-concussion performed worse on dual-task tandem gait assessments, while pain-interference and kinesiophobia were not associated with postural control. Anxiety and impaired postural control are independently associated with poor concussion outcomes; thus, this association may inform individualized concussion care strategies.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
焦虑、疼痛和对疼痛的恐惧:脑震荡后姿势稳定性的预测因素。
脑震荡可导致焦虑、疼痛、运动恐惧和/或姿势控制缺陷。我们进行了一项横断面研究,评估了近期受过脑震荡的青少年。我们假设,焦虑、疼痛干扰和运动恐惧程度较高的青少年在姿势控制测试中的表现会较差。受试者完成了焦虑、疼痛干扰和运动恐惧症评分以及姿势控制测试(单/双任务串联步态[TG]、改良平衡失误评分系统[mBESS])。我们使用多变量线性回归模型评估了焦虑、疼痛干扰和运动恐惧(预测因素)与姿势控制测量(TG 和 mBESS,结果)之间的关系,并对性别和焦虑史进行了调整。我们共招募了 128 名参与者(53% 为女性,年龄=15.4±1.7 岁,脑震荡后 9.3±4.0 天)。较高的焦虑与较慢的双任务 TG 时间(r=0.31;p=0.001)和较多的 mBESS 错误(r=0.22;p=0.01)呈弱相关。多变量模型显示,脑震荡后焦虑等级越高,双任务 TG 时间越慢(β=0.21,95% CI=0.01,0.41;p=0.04)。女性性别与单任务串联步态较慢有关(β=-3.01,95% CI= -6.01,-0.01;p=0.049)。脑震荡后焦虑程度较高的青少年在双任务串联步态评估中表现较差,而疼痛干扰和运动恐惧与姿势控制无关。焦虑和姿势控制能力受损与脑震荡的不良后果有独立关联;因此,这种关联可为个体化脑震荡护理策略提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
CiteScore
4.80
自引率
4.00%
发文量
111
审稿时长
3-8 weeks
期刊介绍: The IJSM provides a forum for the publication of papers dealing with both basic and applied information that advance the field of sports medicine and exercise science, and offer a better understanding of biomedicine. The journal publishes original papers, reviews, short communications, and letters to the Editors.
期刊最新文献
Anxiety, pain, and fear of pain: predictors of postural stability after concussion. Comparing unilateral and bilateral assessments of adductor isometric strength symmetry. Epidemiology of causes, and management of severe spinal injuries in elite male wrestlers. Running critical power modeling: insights into physiological and neuromuscular performance. Twelve-week interval training alters cytokines, adipokines and bone markers in women with obesity.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1