Influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy adults

Sandra Jorna-Lakke, Remko Soer, Wim Krijnen, Cees van der Schans, Michiel Reneman, Jan Geertzen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND:
Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.
OBJECTIVE:
The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.
DESIGN:
A blinded, cluster-randomized cross-sectional study was performed.
METHODS:
The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.
RESULTS:
Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.
LIMITATIONS:
Generalizability to physical therapists and patients with pain should be studied.
CONCLUSIONS:
Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.
Original languageEnglish
Pages (from-to)1-10
JournalPhysical therapy
Volume95
Issue number8
DOIs
Publication statusPublished - 2015

Keywords

  • physiotherapy
  • kinesiophobic beliefs
  • lifting tests

Cite this

@article{03c22470599d4e77ba4031c520da0adc,
title = "Influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy adults",
abstract = "BACKGROUND: Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.OBJECTIVE: The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.DESIGN: A blinded, cluster-randomized cross-sectional study was performed.METHODS: The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.RESULTS: Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.LIMITATIONS: Generalizability to physical therapists and patients with pain should be studied.CONCLUSIONS: Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.",
keywords = "physiotherapy, kinesiophobic beliefs, lifting tests, fysiotherapie, bewegingsangst, tiltests, tillen",
author = "Sandra Jorna-Lakke and Remko Soer and Wim Krijnen and {van der Schans}, Cees and Michiel Reneman and Jan Geertzen",
year = "2015",
doi = "10.2522/ptj.20130194",
language = "English",
volume = "95",
pages = "1--10",
journal = "Physical therapy",
issn = "0031-9023",
publisher = "American Physical Therapy Association",
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}

Influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy adults. / Jorna-Lakke, Sandra; Soer, Remko; Krijnen, Wim; van der Schans, Cees; Reneman, Michiel; Geertzen, Jan.

In: Physical therapy, Vol. 95, No. 8, 2015, p. 1-10.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy adults

AU - Jorna-Lakke, Sandra

AU - Soer, Remko

AU - Krijnen, Wim

AU - van der Schans, Cees

AU - Reneman, Michiel

AU - Geertzen, Jan

PY - 2015

Y1 - 2015

N2 - BACKGROUND: Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.OBJECTIVE: The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.DESIGN: A blinded, cluster-randomized cross-sectional study was performed.METHODS: The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.RESULTS: Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.LIMITATIONS: Generalizability to physical therapists and patients with pain should be studied.CONCLUSIONS: Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.

AB - BACKGROUND: Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.OBJECTIVE: The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.DESIGN: A blinded, cluster-randomized cross-sectional study was performed.METHODS: The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.RESULTS: Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.LIMITATIONS: Generalizability to physical therapists and patients with pain should be studied.CONCLUSIONS: Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.

KW - physiotherapy

KW - kinesiophobic beliefs

KW - lifting tests

KW - fysiotherapie

KW - bewegingsangst

KW - tiltests

KW - tillen

UR - http://www.mendeley.com/research/research-report-influence-physical-therapists-kinesiophobic-beliefs-lifting

U2 - 10.2522/ptj.20130194

DO - 10.2522/ptj.20130194

M3 - Article

VL - 95

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JO - Physical therapy

JF - Physical therapy

SN - 0031-9023

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