Kinesiophobia, Fear of Falling, Functional Independence, and Psychological Status in Spinal Cord Injury

NCT07549217 | Not Yet Recruiting

• 1 other identifier: Istftreah11
• Study Type: observational
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

Individuals aged 18-65 years who have been clinically diagnosed with spinal cord injury and have developed paraplegia will be included in the study. Demographic and clinical data of the participants, including age, sex, height, weight, etiology of injury, level of injury, duration of injury, and comorbidities, will be recorded. In addition, disease-specific characteristics such as ambulation status, wheelchair use, presence of incontinence, and presence and severity of pain will be assessed. Kinesiophobia levels of the patients will be evaluated using the Tampa Scale for Kinesiophobia (TSK). Functional independence will be assessed using the Spinal Cord Independence Measure-III Self-Report (SCIM-III SR). Fall-related concerns will be evaluated using the Spinal Cord Injury-Falls Concern Scale (SCI-FCS). Pain severity will be assessed using the Visual Analog Scale (VAS), and the presence of neuropathic pain will be evaluated using the DN4 Neuropathic Pain Questionnaire. Symptoms related to anxiety and depression will be assessed using the Hospital Anxiety and Depression Scale (HADS). All assessments will be conducted through face-to-face interviews. The collected data will be analyzed to investigate the relationship between kinesiophobia and functional independence, fear of falling, pain, and psychological status in individuals with paraplegic spinal cord injury. Validated Turkish versions of all scales used in the study will be employed.

Conditions

Spinal Cord Injuries

Outcome Measures

Primary Outcomes (1)

• Tampa Scale for Kinesiophobia (TSK)

  The TSK is a self-reported questionnaire used to assess fear of movement/re-injury. It consists of 17 items scored on a 4-point Likert scale, with total scores ranging from 17 to 68. Higher scores indicate greater kinesiophobia.

  Baseline

Secondary Outcomes (6)

• Spinal Cord Independence Measure-III Self-Report (SCIM-III SR)

  Baseline

• Spinal Cord Injury-Falls Concern Scale (SCI-FCS)

  Baseline

• Visual Analog Scale (VAS)

  Baseline

• DN4 Neuropathic Pain Questionnaire

  Baseline

• Hospital Anxiety and Depression Scale - Anxiety Subscale (HADS-A)

  Baseline

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Spinal cord injury patients

You may qualify if:

• Aged between 18 and 65 years
• Clinically diagnosed with spinal cord injury
• Presence of paraplegia
• Injury duration of at least 3 months (to exclude acute phase effects)
• Medically stable condition
• Ability to understand and respond to questionnaires
• Willingness to participate and provide written informed consent

You may not qualify if:

• Tetraplegia or other neurological conditions affecting motor function
• Severe cognitive impairment or psychiatric disorders that may interfere with assessments
• Presence of active infection, malignancy, or severe systemic disease
• Severe visual or hearing impairment preventing participation in assessments
• Current participation in another interventional clinical study
• Recent surgery or acute medical condition within the last 3 months
• Incomplete clinical data or inability to complete questionnaires

Sponsors & Collaborators

• Istanbul Physical Medicine Rehabilitation Training and Research Hospital: lead

MeSH Terms

Conditions

Spinal Cord Injuries

Condition Hierarchy (Ancestors)

Spinal Cord Diseases; Central Nervous System Diseases; Nervous System Diseases; Trauma, Nervous System; Wounds and Injuries

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 18, 2026
• First Posted: April 24, 2026
• Study Start (Estimated): May 20, 2026
• Primary Completion (Estimated): June 20, 2026
• Study Completion (Estimated): June 20, 2026
• Last Updated: April 24, 2026

Record last verified: 2026-04