%0 Journal Article
%T Association between fear of pain and sports-related concussion recovery in a pediatric population
%J Clinical journal of sport medicine
%D 2021
%A Arnold, Jennifer T.
%A Franklin, Elizabeth V.
%A Baker, Zachary G.
%A Abowd, Marian
%A Santana, Jonathan A.
%V ePub
%N ePub
%P ePub-ePub
%X OBJECTIVE: To determine whether an association exists between fear of pain and recovery time from sports-related concussion in a pediatric population. <br><br>DESIGN: Prospective observational study. SETTING: Primary outpatient sports medicine clinic of a large pediatric hospital. PATIENTS: One hundred twenty-eight pediatric patients aged 8 to 18 years who presented to clinic with a primary diagnosis of concussion from September 2018 to March 2020. Inclusion criteria included presentation within 2 weeks of injury and symptomatic on initial visit. Patients who sustained a concussion because of motor vehicle collisions or assault were excluded. INDEPENDENT VARIABLES: There was no intervention. Study participants who met inclusion criteria were administered the Fear of Pain Questionnaire (FOPQ) at their initial visit. MAIN OUTCOME MEASURES: Time to clinical recovery was the main outcome measure and was determined by the fellowship-trained sports medicine physician based on resolution of concussion symptoms, resumption of normal physical and cognitive daily activities, no use of accommodations or medications, and normalization of physical exam. <br><br>RESULTS: There was a significant difference in FOPQ scores for those with prolonged recovery (M = 33.12, SD = 18.36) compared with those recovering in fewer than 28 days (M = 26.16, SD = 18.44; t [126] = -2.18, P = 0.036). <br><br>CONCLUSIONS: Consistent with the adult literature, we found that pediatric patients are more likely to have a prolonged recovery from concussion when they have higher fear of pain.<p /> <p>Language: en</p>
%G en
%I Lippincott Williams and Wilkins
%@ 1050-642X
%U http://dx.doi.org/10.1097/JSM.0000000000000951