Spondyloarthritis & psoriatic arthritis
Prevalence and associations of kinesiophobia with patient reported outcomes and mobility measures in axial spondyloarthritis
Authors' conclusion
Kinesiophobia seems to be a clinically relevant problem of axSpA patients, since the mobility of patients with moderate to high TSK and FABQ scores was much more impaired in this study. Of interest, the level of kinesiophobia showed stronger correlations with physical function, global functioning and health than with mobility and PA.
Study context
- Population
- Consecutive patients with axSpA and healthy controls
- Participants
- 100 vs 20
- Exposure
- axSpA patients vs healthy controls
- axSpAn = 100
- Healthy controls (HC)n = 20reference
- Outcome
- Prevalence and associations of kinesiophobia (TSK, FABQ)
Methodological detailsobservational, consecutive patients
- Observational
- Consecutive patients
Main finding
As reported in the abstract
Kinesiophobia scores (TSK, FABQ)
| Group | Value | Fear avoidance belief questionnaire (FABQ) |
|---|---|---|
| axSpA | 25.5 ± 6.8 | 40.1±22 |
| HC | 14.0 ± 5.1 | 3.1±6.9 |
Value
axSpA25.5 ± 6.8
HC14.0 ± 5.1
Fear avoidance belief questionnaire (FABQ)
axSpA40.1±22
HC3.1±6.9
- axSpA vs HC: all P≤0.001 — Tampa scale of kinesiophobia (TSK) and FABQ higher in axSpA
Observational data: associations, not effects.
Further findings
Kinesiophobia level categories vs performance (axSpA)
- Higher kinesiophobia levels: significantly worse ASPI and Short Physical Performance Battery (SPPB) tasks, impairments in BASMI and Epionics SPINE (ES) measures
Correlations of TSK and FABQ with outcomes
- ASAS HI (TSK; FABQ)
- r=0.45 and r=0.52
- BASFI (TSK; FABQ)
- r=0.38 and r=0.44
- BASMI, weak (TSK; FABQ)
- r=0.24 and r=0.38
- BASDAI, weak
- both r=0.35
- No correlation with ASPI, SPPB and RoK
Original publication
Prevalence and associations of kinesiophobia with patient reported outcomes and mobility measures in axial spondyloarthritis. Joint Bone Spine. Published 25 February 2025. doi:10.
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