title: Influence of Physical Therapists' Kinesiophobic Beliefs on Lifting Capacity in Healthy Adults.
abstract: BACKGROUND
  Physical therapists' recommendations to patients to avoid daily physical activity can be influenced by the therapists' kinesiophobic beliefs. Little is known about the amount of influence of a physical therapist's kinesiophobic beliefs on a patient's actual lifting capacity during a lifting test.
  
  
  OBJECTIVE
  The objective of this study was to determine the influence of physical therapists' kinesiophobic beliefs on lifting capacity in healthy people.
  
  
  METHODS
  A blinded, cluster-randomized cross-sectional study was performed.
  
  
  METHODS
  The participants (n=256; 105 male, 151 female) were physical therapist students who performed a lifting capacity test. Examiners (n=24) were selected from second-year physical therapist students. Participants in group A (n=124) were tested in the presence of an examiner with high scores on the Tampa Scale of Kinesiophobia for health care providers (TSK-HC), and those in group B (n=132) were tested in the presence of an examiner with low scores on the TSK-HC. Mixed-model analyses were performed on lifting capacity to test for possible (interacting) effects.
  
  
  RESULTS
  Mean lifting capacity was 32.1 kg (SD=13.6) in group A and 39.6 kg (SD=16.4) in group B. Mixed-model analyses revealed that after controlling for sex, body weight, self-efficacy, and the interaction between the examiners' and participants' kinesiophobic beliefs, the influence of examiners' kinesiophobic beliefs significantly reduced lifting capacity by 14.4 kg in participants with kinesiophobic beliefs and 8.0 kg in those without kinesiophobic beliefs.
  
  
  CONCLUSIONS
  Generalizability to physical therapists and patients with pain should be studied.
  
  
  CONCLUSIONS
  Physical therapists' kinesiophobic beliefs negatively influence lifting capacity of healthy adults. During everyday clinical practice, physical therapists should be aware of the influence of their kinesiophobic beliefs on patients' functional ability.
authors.affiliation: S.E. Lakke, PT, PhD, Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University Groningen, University of Applied Sciences, PO Box 3109, 9701 DC Groningen, the Netherlands, and Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, the Netherlands. a.e.jorna-lakke@pl.hanze.nl.
authors.forename: Sandra E
authors.initials: SE
authors.lastname: Lakke
authors.affiliation: R. Soer, PT, PhD, Expertise Center of Health and Wellbeing, Saxion University of Applied Sciences, Enschede, the Netherlands, and Groningen Spine Center, University Medical Center Groningen, University of Groningen.
authors.forename: Remko
authors.initials: R
authors.lastname: Soer
authors.affiliation: W.P. Krijnen, PhD, Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University Groningen, University of Applied Sciences.
authors.forename: Wim P
authors.initials: WP
authors.lastname: Krijnen
authors.affiliation: C.P. van der Schans, PT, CE, PhD, Research Group Healthy Ageing, Allied Health Care and Nursing, Hanze University Groningen, University of Applied Sciences, and Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen.
authors.forename: Cees P
authors.initials: CP
authors.lastname: van der Schans
authors.affiliation: M.F. Reneman, PT, PhD, Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen.
authors.forename: Michiel F
authors.initials: MF
authors.lastname: Reneman
authors.affiliation: J.H.B. Geertzen, MD, PhD, Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen.
authors.forename: Jan H B
authors.initials: JH
authors.lastname: Geertzen
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005080:Exercise Test; D005239:Fear; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017770:Lifting; D008297:Male; D009068:Movement; D010698:Phobic Disorders / Q000523:psychology; D059825:Physical Therapists / Q000523:psychology*; D011897:Random Allocation; D016037:Single-Blind Method; D011795:Surveys and Questionnaires; D055815:Young Adult