{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T15:29:27Z","timestamp":1788449367180,"version":"build-2803163510"},"reference-count":70,"publisher":"Georg Thieme Verlag KG","issue":"06","funder":[{"name":"Eunice Kennedy Shriver National Institute of Child Health &\n                        Health Development, National Center for Medical Rehabilitation Research","award":["R01HD108133"],"award-info":[{"award-number":["R01HD108133"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Sports Med"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A concussion can lead to anxiety, pain, kinesiophobia, and\/or postural control\n                    deficits. We conducted a cross-sectional study evaluating adolescents with a\n                    recent concussion. We hypothesized that those reporting higher levels of\n                    anxiety, pain-interference, and kinesiophobia would perform worse on postural\n                    control tests. Participants completed anxiety, pain-interference, and\n                    kinesiophobia ratings and postural control tests (single\/dual-task tandem gait\n                    and a modified balance error scoring system). Using a multivariable linear\n                    regression model, we evaluated the relationship among anxiety,\n                    pain-interference, and kinesiophobia (predictors) with postural control measures\n                    (tandem gait and a modified balance error scoring system, outcomes), adjusting\n                    for sex and anxiety history. We enrolled 128 participants (53% female,\n                    age=15.4\u00b11.7 y, and 9.3\u00b14.0 d post-concussion). Higher anxiety was weakly\n                    correlated with slower dual-task tandem gait times (r=0.31;\n                    p=0.001) and more modified balance error scoring system errors\n                    (r=0.22; p=0.01). Multivariable modeling indicated that a higher\n                    post-concussion anxiety rating was associated with a slower dual-task tandem\n                    gait time (\u03b2=0.21, 95% confidence interval=0.01\u20130.41; p=0.04). The\n                    female sex was associated with slower single-task tandem gait (\u03b2=\u22123.01,\n                    95% confidence interval=\u22126.01, \u22120.01; p=0.049). Adolescents with a higher\n                    anxiety post-concussion performed worse on dual-task tandem gait assessments,\n                    while pain-interference and kinesiophobia were not associated with postural\n                    control. Anxiety and impaired postural control are independently associated with\n                    poor concussion outcomes; thus, this association may inform individualized\n                    concussion care strategies.<\/jats:p>","DOI":"10.1055\/a-2558-7690","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:16:06Z","timestamp":1741911366000},"page":"446-455","source":"Crossref","is-referenced-by-count":3,"title":["Anxiety, pain, and fear of pain: predictors of postural stability\n                    after a concussion"],"prefix":"10.1055","volume":"46","author":[{"given":"Madison L","family":"Brna","sequence":"additional","affiliation":[{"name":"School of Medicine, The University of North Carolina at\n                    Chapel Hill, Chapel Hill, USA"},{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado,\n                    Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine L","family":"Smulligan","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado,\n                    Aurora, USA"},{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"},{"name":"Division of Sports Medicine, Boston Children\u2019s Hospital,\n                    Boston, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew J","family":"Wingerson","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado,\n                    Aurora, USA"},{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha N","family":"Magliato","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay E","family":"Kemp","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C","family":"Wilson","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado,\n                    Aurora, USA"},{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"},{"name":"Department of Pediatrics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2955-0191","authenticated-orcid":false,"given":"David R","family":"Howell","sequence":"additional","affiliation":[{"name":"Sports Medicine Center, Children\u2019s Hospital Colorado,\n                    Aurora, USA"},{"name":"Department of Orthopedics, University of Colorado Denver\n                    School of Medicine, Aurora, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"publisher","first-page":"695","DOI":"10.1136\/bjsports-2023-106898","article-title":"Consensus statement on concussion in sport: the 6th International Conference on\n                    Concussion in Sport\u2013Amsterdam, October 2022","volume":"57","author":"J S Patricios","year":"2023","journal-title":"Br J Sports Med"},{"issue":"11","key":"ref2","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1136\/bjsports-2022-106661","article-title":"Acute evaluation of sport-related concussion and implications for the Sport\n                    Concussion Assessment Tool (SCAT6) for adults, adolescents and children: a\n                    systematic review","volume":"57","author":"R J Echemendia","year":"2023","journal-title":"Br J Sports Med"},{"issue":"04","key":"ref3","doi-asserted-by":"publisher","first-page":"438","DOI":"10.1016\/j.jshs.2022.01.001","article-title":"Which psychosocial factors are associated with return to sport following\n                    concussion? A systematic review","volume":"11","author":"J van Ierssel","year":"2022","journal-title":"J Sport Health Sci"},{"issue":"11","key":"ref4","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1136\/bjsports-2023-106897","article-title":"Beyond acute concussion assessment to office management: a systematic review\n                    informing the development of a Sport Concussion Office Assessment Tool (SCOAT6)\n                    for adults and children","volume":"57","author":"J S Patricios","year":"2023","journal-title":"Br J Sports Med"},{"issue":"06","key":"ref5","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1097\/HTR.0000000000000527","article-title":"Multidisciplinary Concussion Management: A Model for Outpatient Concussion\n                    Management in the Acute and Post-Acute Settings","volume":"34","author":"C Bailey","year":"2019","journal-title":"J Head Trauma Rehabil"},{"issue":"11","key":"ref6","doi-asserted-by":"publisher","first-page":"2304","DOI":"10.1177\/0363546511423503","article-title":"Assessment and management of sport-related concussions in United States high\n                    schools","volume":"39","author":"W P Meehan","year":"2011","journal-title":"Am J Sports Med"},{"issue":"11\/12","key":"ref7","doi-asserted-by":"publisher","first-page":"1072","DOI":"10.4085\/1062-6050-0470.21","article-title":"Post-Concussion Dizziness, Sleep Quality, and Postural Instability: A\n                    Cross-Sectional Investigation","volume":"57","author":"K L Smulligan","year":"2021","journal-title":"J Athl Train"},{"issue":"12","key":"ref8","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.4085\/1062-6050-52.11.23","article-title":"Gait and Quiet-Stance Performance Among Adolescents After Concussion-Symptom\n                    Resolution","volume":"52","author":"J Berkner","year":"2017","journal-title":"J Athl Train"},{"issue":"21","key":"ref9","doi-asserted-by":"publisher","first-page":"6297","DOI":"10.3390\/s20216297","article-title":"Dual-Task Gait Stability after Concussion and Subsequent Injury: An Exploratory\n                    Investigation","volume":"20","author":"D R Howell","year":"2020","journal-title":"Sensors"},{"issue":"11","key":"ref10","doi-asserted-by":"publisher","first-page":"2279","DOI":"10.1249\/MSS.0000000000002385","article-title":"Gait Performance Is Associated with Subsequent Lower Extremity Injury following\n                    Concussion","volume":"52","author":"J R Oldham","year":"2020","journal-title":"Med Sci Sports Exerc"},{"issue":"14","key":"ref11","doi-asserted-by":"publisher","first-page":"1630","DOI":"10.1089\/neu.2017.5570","article-title":"Worsening Dual-Task Gait Costs after Concussion and their Association with\n                    Subsequent Sport-Related Injury","volume":"35","author":"D R Howell","year":"2018","journal-title":"J Neurotrauma"},{"issue":"12","key":"ref12","doi-asserted-by":"publisher","first-page":"798","DOI":"10.1136\/bjsports-2022-106682","article-title":"Clinical recovery from concussion\u2013return to school and sport: a systematic\n                    review and meta-analysis","volume":"57","author":"M Putukian","year":"2023","journal-title":"Br J Sports Med"},{"issue":"12","key":"ref13","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1136\/bjsports-2017-097729","article-title":"Predictors of clinical recovery from concussion: a systematic review","volume":"51","author":"G L Iverson","year":"2017","journal-title":"Br J Sports Med"},{"issue":"03","key":"ref14","doi-asserted-by":"publisher","first-page":"363","DOI":"10.1080\/02699052.2020.1723698","article-title":"Sport-related concussion is associated with elevated anxiety, but not\n                    attentional bias to threat","volume":"34","author":"J M Carlson","year":"2020","journal-title":"Brain Inj"},{"issue":"05","key":"ref15","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1001\/jamaneurol.2014.4778","article-title":"Recovery of Cerebral Blood Flow Following Sports-Related Concussion","volume":"72","author":"T B Meier","year":"2015","journal-title":"JAMA Neurol"},{"issue":"08","key":"ref16","doi-asserted-by":"publisher","first-page":"2258","DOI":"10.1177\/03635465221098112","article-title":"The Role of Reported Affective Symptoms and Anxiety in Recovery Trajectories\n                    After Sport-Related Concussion","volume":"50","author":"Ivy League\u2013Big Ten Epidemiology of Concussion Study\n                            Investigators","year":"2022","journal-title":"Am J Sports Med"},{"issue":"10","key":"ref17","doi-asserted-by":"publisher","first-page":"1060","DOI":"10.1136\/jnnp-2020-323137","article-title":"Concussion symptomology and recovery in children and adolescents with\n                    pre-existing anxiety","volume":"91","author":"A K Martin","year":"2020","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"23","key":"ref18","doi-asserted-by":"publisher","first-page":"1345","DOI":"10.1136\/bjsports-2022-105598","article-title":"Risk factors for prolonged recovery from concussion in young patients","volume":"56","author":"S Cuff","year":"2022","journal-title":"Br J Sports Med"},{"issue":"01","key":"ref19","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1016\/j.pain.2010.04.025","article-title":"Development of a PROMIS item bank to measure pain interference","volume":"150","author":"D Amtmann","year":"2010","journal-title":"Pain"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1097\/JSM.0000000000001140","article-title":"Influence of Personal and Injury-Related Factors Predicting Deficits in Quality\n                    of Life Domains Among Pediatric Athletes: Findings From the Sport Concussion\n                    Outcomes in Pediatrics Study","volume":"33","author":"T C Valovich McLeod","year":"2023","journal-title":"Clin J Sport Med"},{"issue":"01","key":"ref21","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.jsams.2021.07.010","article-title":"Transitory kinesiophobia after sport-related concussion and its correlation with\n                    reaction time","volume":"25","author":"S Reinking","year":"2022","journal-title":"J Sci Med Sport"},{"issue":"02","key":"ref22","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1123\/jsr.2022-0193","article-title":"More Physical Activity Is Correlated With Reduction in Kinesiophobia for\n                    Adolescents With Persistent Symptoms After Concussion","volume":"32","author":"K L Smulligan","year":"2023","journal-title":"J Sport Rehabil"},{"issue":"04","key":"ref23","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1097\/JSM.0000000000000951","article-title":"Association Between Fear of Pain and Sports-Related Concussion Recovery in a\n                    Pediatric Population","volume":"32","author":"J T Arnold","year":"2022","journal-title":"Clin J Sport Med"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"102513","DOI":"10.1016\/j.humov.2019.102513","article-title":"Gait, balance, mobility and muscle strength in people with anxiety compared to\n                    healthy individuals","volume":"67","author":"R Feldman","year":"2019","journal-title":"Hum Mov Sci"},{"issue":"04","key":"ref25","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1176\/ajp.153.4.503","article-title":"Panic, agoraphobia, and vestibular dysfunction","volume":"153","author":"R G Jacob","year":"1996","journal-title":"Am J Psychiatry"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1016\/j.ptsp.2021.05.002","article-title":"Effects of kinesiophobia and pain on performance and willingness to perform\n                    jumping tests in Achilles tendinopathy: A cross-sectional study","volume":"50","author":"H B Sigurdsson","year":"2021","journal-title":"Phys Ther Sport"},{"issue":"03","key":"ref27","doi-asserted-by":"publisher","first-page":"S90","DOI":"10.1016\/j.pain.2010.10.020","article-title":"Moving differently in pain: A new theory to explain the adaptation to pain","volume":"152","author":"P W Hodges","year":"2011","journal-title":"Pain"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1147907","DOI":"10.3389\/fmed.2023.1147907","article-title":"Associations between gait performance and pain intensity, psychosocial factors,\n                    executive functions as well as prefrontal cortex activity in chronic low back\n                    pain patients: A cross-sectional fNIRS study","volume":"10","author":"T Nguyen","year":"2023","journal-title":"Front Med"},{"issue":"01","key":"ref29","doi-asserted-by":"publisher","first-page":"e31","DOI":"10.1097\/j.pain.0000000000002303","article-title":"Relationship between gait complexity and pain attention in chronic low back\n                    pain","volume":"163","author":"A F Homs","year":"2022","journal-title":"Pain"},{"issue":"05","key":"ref30","doi-asserted-by":"publisher","first-page":"2792","DOI":"10.3390\/ijerph19052792","article-title":"Relationship between Kinesiophobia and Ankle Joint Position Sense and Postural\n                    Control in Individuals with Chronic Ankle Instability-A Cross-Sectional\n                    Study","volume":"19","author":"M S Alshahrani","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.gaitpost.2018.10.033","article-title":"Kinesiophobia, but not strength is associated with altered movement in women\n                    with patellofemoral pain","volume":"68","author":"D de Oliveira Silva","year":"2019","journal-title":"Gait Posture"},{"issue":"01","key":"ref32","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1097\/00002508-199103000-00053","article-title":"The Tampa Scale a Measure of Kinisophobia","volume":"7","author":"R P Miller","year":"1991","journal-title":"Clin J Pain"},{"issue":"04","key":"ref33","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1093\/arclin\/acu014","article-title":"Psychometric Characteristics of the Postconcussion Symptom Inventory in Children\n                    and Adolescents","volume":"29","author":"M D Sady","year":"2014","journal-title":"Arch Clin Neuropsychol"},{"issue":"05","key":"ref34","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1097\/AJP.0000000000001104","article-title":"The Tampa Scale of Kinesiophobia: A Systematic Review of Its Psychometric\n                    Properties in People With Musculoskeletal Pain","volume":"39","author":"F Dupuis","year":"2023","journal-title":"Clin J Pain"},{"issue":"04","key":"ref35","doi-asserted-by":"publisher","first-page":"1233","DOI":"10.1007\/s11136-013-0544-0","article-title":"Psychometric properties of the PROMIS pediatric scales: precision, stability,\n                    and comparison of different scoring and administration options","volume":"23","author":"J W Varni","year":"2014","journal-title":"Qual Life Res"},{"issue":"01","key":"ref36","doi-asserted-by":"publisher","first-page":"13","DOI":"10.1007\/s11136-015-1058-8","article-title":"Estimating minimally important difference (MID) in PROMIS pediatric measures\n                    using the scale-judgment method","volume":"25","author":"D Thissen","year":"2016","journal-title":"Qual Life Res"},{"issue":"11","key":"ref37","doi-asserted-by":"publisher","first-page":"622","DOI":"10.1136\/bjsports-2023-107036","article-title":"Sport concussion assessment tool\u2122 \u2013 6 (SCAT6)","volume":"57","author":"R J Echemendia","year":"2023","journal-title":"Br J Sports Med"},{"issue":"02","key":"ref38","doi-asserted-by":"publisher","first-page":"106","DOI":"10.4085\/323-20","article-title":"Clinical feasibility and utility of a dual-task tandem gait protocol for\n                    pediatric concussion management","volume":"58","author":"M J Wingerson","year":"2020","journal-title":"J Athl Train"},{"issue":"02","key":"ref39","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1016\/0304-3959(93)90127-B","article-title":"A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance\n                    beliefs in chronic low back pain and disability","volume":"52","author":"G Waddell","year":"1993","journal-title":"Pain"},{"issue":"02","key":"ref40","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.jshs.2020.08.005","article-title":"The diagnostic and prognostic utility of the dual-task tandem gait test for\n                    pediatric concussion","volume":"10","author":"K A Van Deventer","year":"2021","journal-title":"J Sport Health Sci"},{"key":"ref41","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1136\/bjsports-2017-097506","article-title":"The Sport Concussion Assessment Tool 5th Edition (SCAT5)","volume":"51","author":"R J Echemendia","year":"2017","journal-title":"Br J Sports Med"},{"key":"ref42","first-page":"Chapter 202","volume-title":"Anxiety","author":"J J Griffin","year":"1990"},{"issue":"01","key":"ref43","first-page":"44","article-title":"[Distinction between anxiety state\/trait in general practice: a descriptive\n                    study]","volume":"25","author":"R Jouvent","year":"1999","journal-title":"L\u2019Encephale"},{"issue":"01","key":"ref44","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/s0304-3940(02)00578-5","article-title":"Mood states and anxiety influence abilities to maintain balance control in\n                    healthy human subjects","volume":"329","author":"B Bolmont","year":"2002","journal-title":"Neurosci Lett"},{"issue":"01","key":"ref45","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/j.neulet.2004.04.014","article-title":"The effect of anxiety on postural control in humans depends on visual\n                    information processing","volume":"364","author":"H Ohno","year":"2004","journal-title":"Neurosci Lett"},{"issue":"01","key":"ref46","doi-asserted-by":"publisher","first-page":"53","DOI":"10.2165\/00007256-200838010-00005","article-title":"The effect of sport concussion on neurocognitive function, self-report symptoms\n                    and postural control\u202f: a meta-analysis","volume":"38","author":"S P Broglio","year":"2008","journal-title":"Sports Med"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"2325967121S0042","DOI":"10.1177\/2325967121S00425","article-title":"Sleep Problems Following Concussion are Associated with Worse Balance and More\n                    Severe Symptoms in Youth Athletes","volume":"10","author":"S N Magliato","year":"2022","journal-title":"Orthop J Sports Med"},{"issue":"06","key":"ref48","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1111\/j.1749-4486.2007.01487.x","article-title":"Dizziness and anxiety","volume":"32","author":"J F Thong","year":"2007","journal-title":"Clin Otolaryngol"},{"issue":"06","key":"ref49","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1097\/YCO.0000000000000204","article-title":"Sleep and anxiety in late childhood and early adolescence","volume":"28","author":"D L McMakin","year":"2015","journal-title":"Curr Opin Psychiatry"},{"key":"ref50","doi-asserted-by":"publisher","first-page":"116","DOI":"10.3389\/fneur.2012.00116","article-title":"Interactions between Stress and Vestibular Compensation \u2013 A Review","volume":"3","author":"Y Saman","year":"2012","journal-title":"Front Neurol"},{"issue":"03","key":"ref51","doi-asserted-by":"publisher","first-page":"249","DOI":"10.31887\/DCNS.2003.5.3\/lstaner","article-title":"Sleep and anxiety disorders","volume":"5","author":"L Staner","year":"2003","journal-title":"Dialogues Clin Neurosci"},{"issue":"06","key":"ref52","doi-asserted-by":"publisher","first-page":"1112","DOI":"10.3758\/PBR.16.6.1112","article-title":"Effects of state anxiety on performance using a task-switching paradigm: an\n                    investigation of attentional control theory","volume":"16","author":"N Derakshan","year":"2009","journal-title":"Psychon Bull Rev"},{"issue":"01","key":"ref53","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1177\/0883073819876473","article-title":"Post-traumatic Headache After Pediatric Traumatic Brain Injury: Prevalence, Risk\n                    Factors, and Association With Neurocognitive Outcomes","volume":"35","author":"B McConnell","year":"2020","journal-title":"J Child Neurol"},{"issue":"04","key":"ref54","doi-asserted-by":"publisher","first-page":"1185","DOI":"10.1097\/PEC.0000000000002544","article-title":"Incidence of Neck Pain in Patients With Concussion in a Pediatric Emergency\n                    Department","volume":"38","author":"J A King","year":"2022","journal-title":"Pediatr Emerg Care"},{"issue":"01","key":"ref55","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.apmr.2019.08.471","article-title":"Frequency of Primary Neck Pain in Mild Traumatic Brain Injury\/Concussion\n                    Patients","volume":"101","author":"J A King","year":"2020","journal-title":"Arch Phys Med Rehabil"},{"issue":"05","key":"ref56","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1097\/JSM.0b013e318223f3a4","article-title":"Presence of headache does not influence sideline neurostatus or balance in high\n                    school football athletes","volume":"21","author":"M J Sabin","year":"2011","journal-title":"Clin J Sport Med"},{"issue":"06","key":"ref57","doi-asserted-by":"publisher","first-page":"562","DOI":"10.1097\/JSM.0000000000001054","article-title":"Dizziness Is Associated With Neck\/Shoulder Pain Following Pediatric\n                    Concussion","volume":"32","author":"K L Smulligan","year":"2022","journal-title":"Clin J Sport Med"},{"issue":"02","key":"ref58","doi-asserted-by":"publisher","first-page":"145","DOI":"10.1123\/jsr.2022-0134","article-title":"Kinesiophobia Is Related to Acute Musculoskeletal Injury Incidence Following\n                    Concussion","volume":"32","author":"X D Thompson","year":"2023","journal-title":"J Sport Rehabil"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1016\/j.jpeds.2016.03.014","article-title":"Specific Factors Influence Postconcussion Symptom Duration among Youth Referred\n                    to a Sports Concussion Clinic","volume":"174","author":"G L Heyer","year":"2016","journal-title":"J Pediatr"},{"issue":"05","key":"ref60","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1097\/JSM.0000000000000629","article-title":"Concussion Symptom Profiles Among Child, Adolescent, and Young Adult\n                    Athletes","volume":"29","author":"D R Howell","year":"2019","journal-title":"Clin J Sport Med"},{"key":"ref61","doi-asserted-by":"publisher","first-page":"386","DOI":"10.3389\/fnhum.2016.00386","article-title":"Neural Correlates of Fear of Movement in Patients with Chronic Low Back Pain vs.\n                    Pain-Free Individuals","volume":"10","author":"M L Meier","year":"2016","journal-title":"Front Hum Neurosci"},{"key":"ref62","doi-asserted-by":"publisher","first-page":"102129","DOI":"10.1016\/j.msksp.2020.102129","article-title":"Behavioural activation and inhibition systems in relation to pain intensity and\n                    duration in a sample of people experiencing chronic musculoskeletal pain","volume":"47","author":"N Sanson","year":"2020","journal-title":"Musculoskelet Sci Pract"},{"issue":"06","key":"ref63","doi-asserted-by":"publisher","first-page":"955","DOI":"10.1002\/ejp.1011","article-title":"Age-related changes in pain sensitivity in healthy humans: A systematic review\n                    with meta-analysis","volume":"21","author":"H El Tumi","year":"2017","journal-title":"Eur J Pain"},{"issue":"03","key":"ref64","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1097\/JSM.0000000000000509","article-title":"Dual-Task Tandem Gait and Average Walking Speed in Healthy Collegiate\n                    Athletes","volume":"29","author":"D R Howell","year":"2019","journal-title":"Clin J Sport Med"},{"issue":"06","key":"ref65","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1016\/j.cpr.2009.05.003","article-title":"Brave men and timid women? A review of the gender differences in fear and\n                    anxiety","volume":"29","author":"C P McLean","year":"2009","journal-title":"Clin Psychol Rev"},{"issue":"13","key":"ref66","doi-asserted-by":"publisher","first-page":"3254","DOI":"10.1177\/0363546518796830","article-title":"Identifying Persistent Postconcussion Symptom Risk in a Pediatric Sports\n                    Medicine Clinic","volume":"46","author":"D R Howell","year":"2018","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref67","doi-asserted-by":"publisher","first-page":"54","DOI":"10.3171\/2018.11.PEDS18626","article-title":"Clinical predictors of symptom resolution for children and adolescents with\n                    sport-related concussion","volume":"24","author":"D R Howell","year":"2019","journal-title":"J Neurosurg Pediatr"},{"issue":"06","key":"ref68","doi-asserted-by":"publisher","first-page":"634","DOI":"10.4085\/1062-6050-49.3.75","article-title":"Development and Validation of the Athlete Fear Avoidance Questionnaire","volume":"50","author":"G Dover","year":"2015","journal-title":"J Athl Train"},{"issue":"07","key":"ref69","doi-asserted-by":"publisher","first-page":"911","DOI":"10.1080\/09297049.2021.1908533","article-title":"Fear avoidance behavior in youth with poor recovery from concussion: measurement\n                    properties and correlates of a new scale","volume":"27","author":"M Cairncross","year":"2021","journal-title":"Child Neuropsychol"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1002\/acr.20561","article-title":"Measures of anxiety: State-Trait Anxiety Inventory (STAI), Beck Anxiety\n                    Inventory (BAI), and Hospital Anxiety and Depression Scale-Anxiety (HADS-A)","volume":"63 Suppl 11","author":"L J Julian","year":"2011","journal-title":"Arthritis Care Res"}],"container-title":["International Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2558-7690.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T22:35:13Z","timestamp":1749508513000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2558-7690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,13]]},"references-count":70,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,6,9]]},"published-print":{"date-parts":[[2025,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2558-7690","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0172-4622","1439-3964"],"issn-type":[{"value":"0172-4622","type":"print"},{"value":"1439-3964","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,3,13]]},"published":{"date-parts":[[2025,3,13]]}}}