Predictors of Fear of Movement in Patients With Rheumatoid Arthritis

Abstract

Purpose: Patients with rheumatoid arthritis (RA) frequently have experience difficulties during daily activities since decrease in upper and lower extremity functions. The aim of this study was to investigate the association between fear of movement and age, upper and lower extremity function and functional disability in patients with RA. Methods: A total of 88 patients (mean age: 56.01±11.51 years) with RA participated in the study. Disease activity was assessed using the Disease Activity Score in 28 joints (DAS28). Functional disability was assessed using the Health Assessment Questionnaire-Disability Index (HAQ-DI). The Disabilities of the Arm, Shoulder and Hand Score (QuickDASH) was used to assess upper extremity function. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evalute the lower extremity function. The Tampa Scale for Kinesiophobia (TSK) was used to assess pain-related fear of movement. The multiple stepwise linear regression model with R-square (R 2) was used to compare across the models and explain the total variance.

Relationship between Kinesiophobia, Foot Pain and Foot Function, and Disease Activity in Patients with Rheumatoid Arthritis: A Cross-Sectional Study

“…Previous studies agree with the present results, such as Kinikli et al, where pain and function were considered as predictive factors to suffer from kinesiophobia [ 16 ]. Additionally, Luque et al, Bilgin et al and Luijsterburg et al [ 26 , 32 , 33 ] demonstrated an association between kinesiophobia and musculoskeletal pain (mainly in the shoulder, neck, and back).…”

“…However, there are a lack of studies related to kinesiophobia and foot and ankle involvement in patients with RA. Some previous studies examined the level of fear of movement in patients with RA through the TSK-17 but on a general level [ 16 ]. From another perspective, some previous studies have been published regarding the relationship between kinesiophobia and the following areas: upper limbs in osteoarthritis [ 17 , 18 , 19 ], osteoporosis [ 20 ], and knee and hip surgery [ 21 , 22 ].…”

Responsiveness and minimal important change of the QuickDASH and PSFS when used among patients with shoulder pain

“…The correlation between the QuickDASH/PSFS change score and the SQK change score is moderate (> 0.30 and < 0.60). This hypothesis is based on previous studies showing that fear of movement scales correlates moderately with shoulder disability scores [47,48].…”

Pulmoner Hi̇pertansi̇yonlu Bi̇reylerde Ki̇nezyofobi̇

“…Korku kaçınma modelinin sonucu olarak ağrıyla ilgili korku, hareket korkusu ve kinezyofobi kavramları ortaya çıkmıştır (27). Literatürde kronik ağrılı bireylerde ve ağrılı diğer hastalıklarda kinezyofobi düzeyinin yüksek olduğu gösterilmiştir (28,29). Fakat PH'de kas iskelet sistemi ağrısı yaygın bir semptom olmamakla birlikte, çalışmamızda yaşam kalitesinin alt grup ölçeklerinden olan ağrı ile kinezyofobi düzeyi ilişkili bulunmuştur.…”