Influence of kinesiophobia on activities of daily living of elder institutionalized persons with chronic pain

Abstract

Aging of population leads to limitations in functional abilities and in activities of daily living (ADL) which are the essential elements of independent care of oneself. Limitations in performing these activities result in increasing need for assistance and institutionalizing of the elderly. The aim of this study was to investigate the influence of fear of movement, or kinesiophobia, on ADL in elder institutionalized people with chronic pain. The research included 60 individuals older than 65 suffering from chronic musculoskeletal pain, institutionalized in Gerontoloski Centar Nis. The participants` fear of movement was assesed by Tampa Scale of Kinesiophobia, performing ADL was assesed by Katz index and pain intensity was evaluated by Numerical Rating Scale. We found that a large number of participants had high degree of kinesiophobia (63%), as well as that there is statistically significant negative correlation between the values of Katz index and Tampa Scale (r=-0.583, p<0.01). There is no statistically significant negative correlation between the values of Numerical Rating Scale and Katz index (r=0.139, p<0.289). There is no statistically significant positive correlation between the values of Numerical Rating Scale and Tampa Scale (r=0.215, p=0.098). The research showed that kinesiophobia has influence on ADL in elder institutionalized people with chronic pain. Higher degree of fear of movement corresponds to greater dependence of the participants in performing ADL. Pain intensity influenced neither the fear of movement nor the dependence/independence in performing ADL.

High Levels of Kinesiophobia at Discharge from the Hospital May Negatively Affect the Short-Term Functional Outcome of Patients Who Have Undergone Knee Replacement Surgery

“…However, both groups demonstrated TUG outcomes below the required threshold at that time. These findings are in accordance with previous studies in which a relation was demonstrated between kinesiophobia and the willingness or ability to perform transitions during activities of daily living [47,48]. Based on the proposed findings, one can conclude that a high level of kinesiophobia at time of discharge may negatively affect the short-term performance of the TUG test in patients with knee replacement.…”

A Study of Kinesiophobia in Elderly with and without Pain

“…Our study is in agreement with Milenković M.et al whose research indicates that kinesiophobia occurred in a considerable number of participants (more than a half) in a sample of elder institutionalized population with chronic pain. [3] Researches conducted by Crombez G et al, [11] Vlaeyen JW et al [12] and Roelofs J et al [13] state that kinesiophobia is not only an essential factor resulting in the avoidance of movement, but also the factor leading to disability even more than the pain itself.…”

“…Hence aging may lead to limitations in functional abilities and in activities of daily living. [3] Statistics show that pain is a critical public health problem affecting 37-41% people worldwide. The persistence of pain can lead to changes in behaviour for both physical and psychological reasons.…”

“…[7] Higher degree of kinesiophobia leads to greater limitation in performing ADLs implying the need for institutionalizing the elderly. [3] The Tampa scale for kinesiophobia (TSK) was developed to measure fear of movement/ (re)injury in chronic pain patients. [8] A valid and reliable psychometric measure, it has a high degree of internal consistency.…”

“…[4,7,9] but there has been very little research directed at the elderly. [3,6] A literature review has further revealed that there is a lack of uniformity with respect to the association between pain and kinesiophobia. [3,6] The current study therefore aims to compare kinesiophobia in the elderly population with and without pain.…”