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Work ability is influenced by kinesiophobia among patients with persistent pain

Journal article
Authors Anna Grimby-Ekman
M. Lundberg
Published in Physiotherapy Theory and Practice
Volume 33
Issue 8
Pages 634-643
ISSN 0959-3985
Publication year 2017
Published at Institute of Medicine, Department of Public Health and Community Medicine, Section of Occupational and environmental medicine
Pages 634-643
Language en
Keywords Chronic pain, fear of movement, physiotherapy, return to work, work capacity, low-back-pain, fear-avoidance beliefs, chronic musculoskeletal pain, exposure in-vivo, sick leave, united-states, tampa scale, health-care, disability, prevalence, Rehabilitation
Subject categories Environmental Health and Occupational Health


The purpose of this study was to investigate how kinesiophobia fluctuates in patients over a four weeks multimodal rehabilitation program and to study the relationship between work ability and kinesiophobia. The study included 112 patients (94 women, 18 men). Measurements were made before, directly after, 2months after, and 12months after the program. The level of work ability was rated by the patients on a scale from 0% to 100%, and kinesiophobia was measured by the Swedish version of the Tampa Scale for Kinesiophobia (TSK-SV). Kinesiophobia decreased between the start of the multimodal rehabilitation program and the follow-up periods. Work ability increased over time, but not between baseline and the 2-month follow-up. Decreases in the TSK-SV score between baseline and the 2-month follow-up were related to the increased probability of improved work ability at the 12-month follow-up. In conclusion, a decrease in kinesiophobia seems to be related to increased work ability of patients participating in a 4-week multimodal rehabilitation program.

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