Pain-Related Fear and Its Disabling Impact in Hypermobile Adolescents With Chronic Musculoskeletal Pain

Pain-Related Fear and Its Disabling Impact in Hypermobile Adolescents With Chronic Musculoskeletal Pain

Study Design Cross-sectional study. Background Chronic musculoskeletal pain (CMP) has a negative impact on physical functioning. During adolescence, joint hypermobility is a potential risk factor for developing CMP, and pain-related fear contributes to the persistence of CMP. Whether pain-related fe...

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Bibliographic Details
Published in:The journal of orthopaedic and sports physical therapy Vol. 47; no. 10; pp. 775 - 781
Main Authors: van Meulenbroek, Thijs, Huijnen, Ivan P J, Wiertz, Carlijn M H, Verbunt, Jeanine A
Format: Journal Article
Language:English
Published: United States 01-10-2017
Subjects:
Adolescent
Child
Chronic Pain - etiology
Chronic Pain - psychology
Cross-Sectional Studies
Disability Evaluation
Female
Humans
Joint Instability - complications
Joint Instability - psychology
Male
Musculoskeletal Pain - etiology
Musculoskeletal Pain - psychology
Pain Measurement
Perception
Phobic Disorders
Risk Factors
Young Adult
Beighton
joint hypermobility syndrome
disability
perceived harmfulness
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Summary:Study Design Cross-sectional study. Background Chronic musculoskeletal pain (CMP) has a negative impact on physical functioning. During adolescence, joint hypermobility is a potential risk factor for developing CMP, and pain-related fear contributes to the persistence of CMP. Whether pain-related fear and hypermobility are related, and even reinforce each other, resulting in a stronger association with perceived level of disability, is still unknown. Objectives To evaluate whether pain-related fear has a stronger association with disability in hypermobile compared to nonhypermobile adolescents with CMP. Methods The study included 116 adolescents with CMP. The presence of hypermobility was assessed using the Beighton score. Measures of pain intensity, age, sex, and pain-related fear were collected and included in the multivariable model. Hierarchical regression analysis, with disability as the dependent variable, was used to examine the interaction between hypermobility and pain-related fear. Results Hypermobile adolescents with CMP do not have more pain-related fear compared to nonhypermobile adolescents with CMP. There was no interaction effect between hypermobility and pain-related fear in explaining disability (β = .20, P = .42). Similarly, perceived harmfulness of balance-related activities was not more strongly associated with disability in hypermobile adolescents with CMP. Conclusion The association of pain-related fear with the perceived level of disability is not more pronounced in hypermobile compared to nonhypermobile adolescents with CMP. J Orthop Sports Phys Ther 2017;47(10):775-781. Epub 12 Sep 2017. doi:10.2519/jospt.2017.7282.
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ISSN:0190-6011
1938-1344
DOI:10.2519/jospt.2017.7282