RT Journal Article
T1 Kinesiophobia, catastrophizing, and the duration of immobilization: A prospective study on factors associated with shoulder disability following wrist-hand injuries
A1 Cantero-Téllez, Raquel
A1 Rider, John
A1 Cruz Gambero, Leire
A1 Villafañe, Jorge Hugo
A1 Valdes, Kristin
K1 Manos - Lesiones y heridas
K1 Hombros - Enfermedades
K1 Dolor
K1 Rehabilitación
AB BackgroundShoulder pain is a major musculoskeletal problem after wrist-hand immobilization. There is limited evidence regarding the relationship of kinesiophobia or pain catastrophizing with shoulder pain and disability after wrist-hand injury.PurposeTo explore associations between kinesiophobia and pain catastrophizing with ipsilateral persistent shoulder disability in patients with wrist-hand injury after 6 months.Study DesignProspective study.MethodsParticipants aged ≥18 years referred to hand therapy after wrist-hand injury requiring wrist-hand immobilization were recruited and completed the Numeric Pain Scale, Shoulder Pain and Disability Index, Pain Catastrophizing Scale (PCS), and Tampa scale for kinesiophobia (TSK) at baseline, after an immobilization period, and after 6 months.ResultsA total of 107 patients were included in the study. Scaphoid fractures were found in 49 (45.8%) of patients, and 58 (54.2%) had distal radius fractures. For each week of increased time spent in immobilization, the Shoulder Pain and Disability Index score increased by 10.2 points, 95% confidence interval (CI) [6.76, 13.57], with higher levels of immobilization being associated with increased shoulder pain and disability. The baseline TSK score was 17.4 and 11.2 at follow-up. The PCS score was initially 14.8 and decreased to 9.3 at follow-up. The addition of TSK and PCS to the predictive model led to a statistically significant increase in R2 of 0.163, F(2,100) = 47.471, p < 0.001.ConclusionsThe duration of wrist immobilization following an injury may play a crucial role in the level of shoulder disability experienced at the 6-month mark post-injury. This shoulder disability may be influenced by factors such as fear of movement.
PB Elsevier
YR 2025
FD 2025-01-06
LK https://hdl.handle.net/10630/38375
UL https://hdl.handle.net/10630/38375
LA eng
NO Cantero-Téllez, R., Rider, J., Cruz-Gambero, L., Villafañe, J. H., & Valdes, K. (2025). Kinesiophobia, catastrophizing, and the duration of immobilization: A prospective study on factors associated with shoulder disability following wrist-hand injuries. Journal of Hand Therapy.
NO Funding for open access charge: Universidad de Málaga / CBUA
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 4 mar 2026