Dergiler / Turkish Journal of Kinesiology / 2026 / Volume: 12 Issue: 4

Kinesiophobia independently predicts muscle strength and functional capacity in university students with musculoskeletal pain

Dilek Bayraktar(Department of Sports Medicine, Faculty of Medicine, Ege University, İzmir, Türkiye.)0000-0002-3200-7456
Sayfa
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Yayın Tarihi
2026-08-29
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Kinesiophobia should be considered when evaluating functional limitations in this population.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Musculoskeletal pain may impair functional performance in university students.
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Temel Bulgular & Veri:This cross-sectional study included 115 students aged 18–30 years with musculoskeletal pain lasting at least three months.
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Sonuç & Katkı:Kinesiophobia should be considered when evaluating functional limitations in this population.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:2026 Verileri
⚙️Değişkenler:Functional capacity · kinesiophobia · muscle strength

Abstract

Musculoskeletal pain may impair functional performance in university students. Although kinesiophobia, defined as excessive movement-related fear and fear of re-injury, is associated with pain-related disability, its relationship with muscle strength and functional capacity in young adults remains unclear. This study examined the associations between kinesiophobia, lower extremity muscle strength, and functional capacity in university students with chronic musculoskeletal pain. This cross-sectional study included 115 students aged 18–30 years with musculoskeletal pain lasting at least three months. Data were collected at the Department of Therapy and Rehabilitation, Kayseri University, between February 2026 and May 2026. Kinesiophobia was assessed using the Tampa Scale of Kinesiophobia (TSK). Pain intensity and physical activity were evaluated using the Numeric Rating Scale and International Physical Activity Questionnaire–Short Form. Lower extremity strength was measured by handheld dynamometry, and functional capacity was assessed using the Timed Up and Go (TUG), Five Times Sit-to-Stand (5xSTS), and Six-Minute Walk Tests (6MWT). Associations were analyzed using Pearson or Spearman correlation analysis, and hierarchical multiple regression was used to determine whether kinesiophobia independently predicted functional outcomes after adjustment for demographic variables, pain intensity, and physical activity. Higher kinesiophobia was associated with lower muscle strength and poorer functional capacity. TSK scores correlated with knee extensor strength (r = −0.46), TUG (r = 0.44), 5xSTS (r = 0.48), and 6MWT (r = −0.52) (all p < 0.001). Kinesiophobia remained an independent predictor of functional capacity after adjustment for demographic variables, pain intensity, and physical activity (β = −0.41, p < 0.001). Kinesiophobia was independently associated with impaired physical function in university students with chronic musculoskeletal pain. Kinesiophobia should be considered when evaluating functional limitations in this population.

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Bu Makaleye Atıf Yap

Bayraktar, D., Çopuroğlu, Ö. B. (2026). Kinesiophobia independently predicts muscle strength and functional capacity in university students with musculoskeletal pain. Turkish Journal of Kinesiology, Volume: 12 Issue: 4. https://doi.org/10.31459/turkjkin.1960151

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Kaynakça (29)

  1. Alaiti, R. K., Reis, F. J., Arruda-Sanchez, T., Caneiro, J. P., & Meulders, A. (2025). Unraveling the role of fear and avoidance behavior in chronic musculoskeletal pain: from theory to physical therapy clinical practice. Braz J Phys Ther, 29(3), 101197. doi: 10.1016/j.bjpt.2025.101197
  2. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166(1), 111-117. doi: 10.1164/ajrccm.166.1.at1102
  3. Cieza, A., Causey, K., Kamenov, K., Hanson, S. W., Chatterji, S., & Vos, T. (2021). Global estimates of the need for rehabilitation based on the Global Burden of Disease Study 2019. Lancet, 396(10267), 2006-2017. doi: 10.1016/S0140-6736(20)32340-0
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates.
  5. Craig, C. L., Marshall, A. L., Sjöström, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., Pratt, M., Ekelund, U., Yngve, A., Sallis, J. F., & Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc, 35(8), 1381–1395. doi: 10.1249/01.MSS.0000078924.61453.FB
  6. de Vitta, A., Campos, L. D., Bento, T., Felippe, L. A., Maciel, N. M., & Perrucini, P. (2022). Thoracic spine pain and associated factors in high school students. Pain Manag Nurs, 23(4), 517-523. doi: 10.1016/j.pmn.2021.11.005
  7. Downie, W. W., Leatham, P. A., Rhind, V. M., Wright, V., Branco, J. A., & Anderson, J. A. (1978). Studies with pain rating scales. Ann Rheum Dis, 37(4), 378-381. doi: 10.1136/ard.37.4.378
  8. Duport, A., Pelletier, R., Martel, M., & Léonard, G. (2022). The influence of kinesiophobia and pain catastrophizing on pain-induced corticomotor modulation in healthy participants. Neurophysiol Clin, 52(5), 375-383. doi: 10.1016/j.neucli.2022.08.001
  9. Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychol Bull, 133(4), 581-624. doi: 10.1037/0033-2909.133.4.581
  10. Hotta, G. H., Oliveira, A. S. D., Alaiti, R. K., & Reis, F. J. J.D. (2022). Therapeutic approach to pain-related fear and avoidance in adults with chronic musculoskeletal pain. BrJP, 5(1), 72-79. doi: 10.5935/2595-0118.20220015
  11. IPAQ Research Committee. (2005). Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ)—Short and Long Forms. http://www.ipaq.ki.se
  12. Ishak, N. A., Zahari, Z., & Justine, M. (2017). Kinesiophobia, pain, muscle functions, and functional performances among older persons with low back pain. Pain Res Treat, 2017, 3489617. doi: 10.1155/2017/3489617
  13. Jadhakhan, F., Sobeih, R., & Falla, D. (2023). Effects of exercise/physical activity on fear of movement in people with spine-related pain: a systematic review. Front Psychol, 14, 1213199. doi: 10.3389/fpsyg.2023.1213199
  14. John, J. N., Ugwu, E. C., Okezue, O. C., Ekechukwu, E. N. D., Mgbeojedo, U. G., John, D. O., & Ezeukwu, A. O. (2023). Kinesiophobia and associated factors among patients with chronic non-specific low back pain. Disabil Rehabil, 45(16), 2651–2659. doi: 10.1080/09638288.2022.2103747
  15. Kori, S. H., Miller, R. P., & Todd, D. D. (1990). Kinesiophobia: a new view of chronic pain behavior. Pain Manage, 3, 35-43.
  16. Luque-Suarez, A., Martinez-Calderon, J., & Falla, D. (2019). Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med, 53(9), 554-559. doi: 10.1136/bjsports-2017-098673
  17. Martinez-Calderon, J., Flores-Cortes, M., Morales-Asencio, J. M., Pineda-Galán, C., García-Rios, M. C., Torrontegui-Duarte, M., & Luque-Suarez, A. (2023). Is it possible to reduce pain-related fear in individuals with knee osteoarthritis? A systematic review of randomised clinical trials. Physiother Theory Pract, 39(6), 1106–1132. doi: 10.1080/09593985.2022.2038743
  18. Mekonnen, Y., Gashaw, M., Abich, Y., Takele, M. D., Chanie, S. T., Wayessa, D. I., Deme, S., & Kibret, A. K. (2025). Kinesiophobia and associated factors among people with musculoskeletal disorders in Ethiopia: a multicenter cross-sectional study. BMC Musculoskelet Disord, 26(1), 55. doi: 10.1186/s12891-025-08306-7
  19. Miller, R., Kori, S., & Todd, D. (1991). The Tampa Scale: a Measure of Kinisophobia. Clin J Pain, 7(1), 51.
  20. Parto, D. N., Wong, A. Y., & Macedo, L. (2023). Prevalence of musculoskeletal disorders and associated risk factors in Canadian university students. BMC Musculoskelet Disord, 24(1), 501. doi: 10.1186/s12891-023-06630-4
  21. Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39(2), 142–148. doi: 10.1111/j.1532-5415.1991.tb01616.x
  22. Tunca Yılmaz, Ö., Yakut, Y., Uygur, F., & Uluğ, N. (2011). Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turk J Physiother Rehabil, 22(1), 44-49.
  23. Vlaeyen, J. W. S., Crombez, G., & Linton, S. J. (2016). The fear-avoidance model of pain. Pain, 157(8), 1588–1589. doi: 10.1097/j.pain.0000000000000574
  24. Vlaeyen, J. W. S., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain, 85(3), 317–332. doi: 10.1016/S0304-3959(99)00242-0
  25. Wami, S.D., Mekonnen, T.H., Yirdaw, G., & Abere G. (2021). Musculoskeletal problems and associated risk factors among health science students in Ethiopia: a cross-sectional study. J Public Health, 29(4), 943-949. doi: 10.1007/s10389-020-01201-6
  26. Wang, L., Ye, H., Li, Z., Lu, C., Ye, J., Liao, M., & Chen, X. (2022). Epidemiological trends of low back pain at the global, regional, and national levels. Eur Spine J, 31(4), 953–962. doi: 10.1007/s00586-022-07133-x
  27. Wertli, M. M., Rasmussen-Barr, E., Weiser, S., Bachmann, L. M., & Brunner, F. (2014). The role of fear avoidance beliefs as a prognostic factor for outcome in patients with nonspecific low back pain: a systematic review. Spine J, 14(5), 816–836.e4. doi: 10.1016/j.spinee.2013.09.036
  28. Whitney, S. L., Wrisley, D. M., Marchetti, G. F., Gee, M. A., Redfern, M. S., & Furman, J. M. (2005). Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther, 85(10), 1034–1045.
  29. Wlazło, M., Szlacheta, P., Grajek, M., Staśkiewicz-Bartecka, W., Rozmiarek, M., Malchrowicz-Mośko, E., & Korzonek-Szlacheta, I. (2025). The impact of kinesiophobia on physical activity and quality of life in patients with chronic diseases: a systematic literature review. Appl Sci, 15(4), 2086. doi: 10.3390/app15042086