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���Ҵ�ý�ƽ������ neuroscience student Alexander Wiegman’s research finds that a history of concussions doesn’t necessarily lead to later kinesiophobia

Stadium lights stream over the field. It’s Friday night, and over the course of the football game touchdowns have been scored, penalty flags have flown and countless plays have been run. However, on the next play, something goes awry. A player is down on the field and they’re helped to the medical tent. Upon further observation, medics diagnose a concussion.��

In sports, injury is always a possibility. A misstep or collision can cause an athlete to need a period of recovery, changing not only their physical health but also their relationship with movement. For , a former football player and an undergraduate University of Colorado Boulder neuroscience student, a similar reality became personal and, later, scientific.

Alexander Wiegman, a former football player and an undergraduate University of Colorado Boulder neuroscience student, studies how concussions can lead to kinesiophobia, a debilitating fear of movement that usually results from an injury or re-injury.

Wiegman’s recently examines how concussions can lead to kinesiophobia, a debilitating fear of movement that usually results from an injury or re-injury.

Individuals who’ve experienced kinesiophobia, a fear of movement due to the possibility of pain, can have decreased physical activity levels, stemming from the fear and hesitancy of activity. Research such as Wiegman’s, which looks into the mental recovery from a concussion, seeks to predict which patients are more likely to develop severe kinesiophobia. Building a broader understanding of the mental effects of concussions can help providers to optimize care and provide recommendations for how individuals can recover from kinesiophobia.

Working with Dr. David Howell, Dr. Julie Wilson and the team of researchers in the at the University of Colorado Anschutz, Wiegman initially predicted that if a patient experienced a lower initial symptom severity as well as a lower number of prior concussions, they would have lower kinesiophobia scores. However, the research findings suggested the opposite.

From the field to the lab

Wiegman played football for as long as he can remember, and like many athletes, he experienced injuries, including concussions. Even after going through his recovery care with the help of a concussion specialist, he was still unsure about moving his body again. This fear inspired him to begin his research.��

As an undergraduate, he has had an opportunity to bring his experience with concussion care full circle. Working alongside his co-researchers, Wiegman transformed his initial experience with concussions into a hypothesis. He notes that he was allowed “to take the reins with my project. We began by discussing my experience with concussions because I've been through it. The fear of movement and the fear of getting back to activity is something that I really struggled with.

“I was always a math and science person, and by the time I got to high school, I knew I wanted to study something in that realm. But by the time I got to college, I knew I wanted to go into medicine.”

Understanding the fear of movement

Kinesiophobia is a response that has been documented across many types of injuries, though it's been less studied in people diagnosed with concussions. With numerous injuries, kinesiophobia can contribute to other symptoms even after the injury itself has healed. Understanding kinesiophobia is important because it can affect the severity of initial injuries, including concussions. A patient’s quality of life and recovery times are all aspects that can be impacted.��

To better understand this gap in kinesiophobia research with concussions, Wiegman collaborated with CCRL researchers. Participants completed one assessment within 21 days of their injury and another between 30 and 90 days post-concussion.��

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“It is possible that individuals who have experiences with prior injuries understand the recovery process and have developed resilience against the negative aspects of fear of movement,” says ���Ҵ�ý�ƽ������ researcher Alexander Wiegman. (Photo: John Torcasio/Unsplash)

From a clinical perspective, "the first thing you think about is getting someone physically healthy," Wiegman explains, adding that he and his co-researchers examined "the broader idea of mental health after concussions" in an attempt to enhance the care that can be provided after a concussion. Wiegman and his research colleagues looked at the period post-concussion because typically this is when the physical injury has recovered. Focusing on this window of time allowed them to better understand how patients were recovering both physically and mentally from their injury.��

What looking under the hood revealed��

Contrary to Wiegman’s hypothesis that patients who had a more extensive injury history would exhibit more severe kinesiophobia, these patients actually displayed less-severe kinesiophobia.��

However, after analyzing patient data, Wiegman concluded that those who had previously recovered from injuries were less fearful in moving their body again. “It is possible that individuals who have experiences with prior injuries understand the recovery process and have developed resilience against the negative aspects of fear of movement,” he says.

The research found that there was no evidence to suggest that age, sex, or prior concussions were independently associated with kinesiophobia. Wiegman concluded that prior injury and the experience of recovery may be one of the most influential factors in how a patient may or may not develop kinesiophobia.

Looking ahead��

As a senior, Wiegman is pursuing a route to medical school. Interning as an athletic trainer with ���Ҵ�ý�ƽ������ track and football teams, as well as working as a phlebotomist, he’s had hands-on experience with athletes and their injuries. As Wiegman was completing his research and defending his senior thesis, he also studied for and took the MCAT.��

Wiegman hopes to learn more about the relationship between kinesiophobia and concussions. “In my mind, I wanted to find some definitiveness, especially with this being intended to be used in a clinical setting; I really wanted to have the answer,” he says. “It was hard to wrap my head around [the fact] that we have data, but we don’t have an answer per se.” He explains that this research is a step in the right direction and hopes to continue on to further research of kinesiophobia and other mental health disparities following concussions.

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