In:
Arthritis Care & Research, Wiley, Vol. 69, No. 12 ( 2017-12), p. 1826-1833
Abstract:
To examine the frequency of and factors associated with fear of movement ( FOM ) among patients with symptomatic knee osteoarthritis ( KOA ), using the new Brief Fear of Movement ( BFOM ) measure. Methods Participants (n = 350) enrolled in a clinical trial completed the BFOM scale prior to randomization. The relationships of BFOM with the following characteristics were examined: age, sex, race, education, pain and activities of daily living ( ADL ) subscales of the Knee Injury and Osteoarthritis Outcome Score ( KOOS ), knee symptom duration, depressive symptoms (8‐item Patient Health Questionnaire [ PHQ ‐8]), history of falls and knee injury, family history of knee problems, self‐efficacy for exercise ( SEE ), and unilateral balance test. A proportional odds logistic regression model examined multivariable associations of participant characteristics with a 3‐level BFOM variable (agreement with 0, 1–2, or ≥3 items). Results The majority of participants (77%) agreed with at least 1 item on the BFOM scale, and 36% endorsed 3+ items, suggesting a high degree of FOM . In the multivariable model, the following remained significant after backward selection: age (odds ratio [ OR ] 0.79 per 10‐point increase, 95% confidence interval [95% CI ] 0.66–0.95), KOOS ADL ( OR 0.86 per 10‐point increase, 95% CI 0.76–0.97), PHQ ‐8 ( OR 1.15, 95% CI 1.08–1.22), and SEE ( OR 0.87 per 10‐point increase, 95% CI 0.78–0.96). Conclusion FOM was common among patients with symptomatic KOA , and this could negatively impact physical activity. Psychological variables were significantly associated with FOM , suggesting behavioral and psychological interventions may decrease FOM and improve outcomes among individuals with symptomatic KOA .
Type of Medium:
Online Resource
ISSN:
2151-464X
,
2151-4658
Language:
English
Publisher:
Wiley
Publication Date:
2017
detail.hit.zdb_id:
2016713-1
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