{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T21:50:50Z","timestamp":1790286650939,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To assess the effect of kinesiophobia or fear of reinjury on patient\u2010reported outcome measures and physical performance measures in patients with chronic Achilles tendinopathy (AT).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three databases were systematically screened for studies from inception to May 22nd, 2023 for literature investigating the impact of kinesiophobia on PROMs or physical performance metrics in AT. The authors adhered to the PRISMA and R\u2010AMSTAR guidelines as well as the Cochrane Handbook for Systematic Reviews of Interventions. Data on demographics, pain, level of activity, self\u2010reported injury severity, quality of life, single\u2010leg hop performance, and heel\u2010raise performance were recorded. Data was presented primarily in a narrative summary fashion. The MINORS score was used for all studies to perform a quality assessment of included studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six studies comprising 705 patients were included in this review. Variations of the Tampa Scale of Kinesiophobia (TSK\u201011 or TSK\u201017) were used in all studies. TSK scores were strongly correlated with the Pain Catastrophizing Score (PCS) and Visual Analogue Scale (VAS) scores and were correlated with decreased Victorian Institute of Sports Assessment Achilles (VISA\u2010A) and Foot and Ankle Outcome Scores Quality of Life (FAOS\u2010QoL) subscale scores. Kinesiophobia was associated with heel raise completion with conflicting evidence on correlations with hop test performance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Increased kinesiophobia scores (&gt;\u200935 points), measured by TSK are associated with worse PROMs, including increased pain, decreased quality of life, increased self\u2010reported severity, and is also associated with poorer physical performance measures in patients with AT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>IV.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-023-07537-2","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T13:01:42Z","timestamp":1691499702000},"page":"5199-5206","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Kinesiophobia contributes to worse functional and patient\u2010reported outcome measures in Achilles tendinopathy: a systematic review"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-5121","authenticated-orcid":false,"given":"Prushoth","family":"Vivekanantha","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/05jyrng31<\/institution-id>--> Michael DeGroote School of Medicine McMaster University Medical Centre 1200 Main Street West, 4E14 L8N 3Z5 Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"de SA","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/02fa3aq29<\/institution-id>--> Division of Orthopaedic Surgery, Department of Surgery McMaster University Hamilton ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansur","family":"Halai","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/04skqfp25<\/institution-id>--> Division of Orthopaedic Surgery, Department of Surgery St. Michael\u2019s Hospital Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy","family":"Daniels","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/04skqfp25<\/institution-id>--> Division of Orthopaedic Surgery, Department of Surgery St. Michael\u2019s Hospital Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"del Balso","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/037tz0e16<\/institution-id>--> Division of Orthopaedic Surgery, Department of Surgery London Health Sciences Centre London ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellie","family":"Pinsker","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/04skqfp25<\/institution-id>--> Division of Orthopaedic Surgery, Department of Surgery St. Michael\u2019s Hospital Toronto ON Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay","family":"Shah","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--><!--<institution-id institution-id-type=\"ROR\">https:\/\/ror.org\/03dbr7087<\/institution-id>--> Division of Orthopaedic Surgery, Postgraduate Medical Education University of Toronto Toronto ON 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