Role of Fear of Movement in Cancer Survivors Participating in a Rehabilitation Program: A Longitudinal Cohort Study

Velthuis, Miranda J.; Peeters, Petra H.M.; Gijsen, B.; Berg, Jan-Paul van den; Koppejan-Rensenbrink, Ria A.; Vlaeyen, Johan W.S.; May, Anne M.

doi:10.1016/j.apmr.2011.08.014

Cited by 23 publications

(23 citation statements)

References 22 publications

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“…Finally, systematic evaluation of the effects of exercise on a multitude of cancer-related concerns, e.g., fatigue, sleep and mood reveals it is effective for these impairments, but also shows some efficacy for decreasing pain in this population. 67 Pain beliefs such as pain catastrophizing, 33,68 fear of movement 69 and fear of cancer (recurrence) can prevent patients following cancer of returning to normal physical activity levels or limit effect sizes of exercise interventions. Therefore, at the end of the PNE, the patient should be able to put their post-cancer pain into the right perspective and feel less threatened by the pain, leading to the willingness to perform physical activity with progression toward feared or avoided movements.…”

Section: Learning Objectivesmentioning

confidence: 99%

Explaining pain following cancer: a practical guide for clinicians

Nijs

Wijma

Leysen

et al. 2019

Brazilian Journal of Physical Therapy

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Background: Pain is one of the most prevalent and debilitating symptom following cancer treatment. Objectives: This paper entails a practical guide for clinicians willing to apply pain neuroscience education (PNE) in this specific population, or clinical researchers willing to examine the effects of PNE in patients suffering from pain following cancer. Results: Patient-specific information (i.e. beliefs, cognitions, pain memories, social factors) as well as identification of the dominant pain mechanism are needed to tailor the education to the specific needs and beliefs of the patient. Therapists require an in-depth understanding of pain mechanisms, the skills to explain to their patients various pain mechanisms, specific communication skills (e.g. Socratic-style dialogof education) and experience with current evidence-based biopsychosocially-driven pain management strategies for successful implementation of PNE in the clinic. Rather than purely focusing on the biomedical characteristics of pain following cancer (e.g., tissue damage due to past cancer treatment), PNE implies teaching patients about the underlying biopsychosocial mechanisms of pain. Its application is backed-up by mounting evidence supporting the effectiveness of PNE in non-cancer pain populations, and a pilot study in patients having pain following cancer. Conclusion: PNE is a potential solution to improve pain outcome in cancer survivors. Further research using sufficiently powered and well-designed randomized clinical trials should be conducted to examine the potential of PNE in patients having pain following cancer.

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Section: Learning Objectivesmentioning

confidence: 99%

Explaining pain following cancer: a practical guide for clinicians

Nijs

Wijma

Leysen

et al. 2019

Brazilian Journal of Physical Therapy

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show abstract

“…Research has shown that, among breast cancer survivors, regular engagement in physical activity may help to restore positive bodyrelated perceptions (Brunet, Sabiston, & Burke, 2013) and help regain control and reduce distress associated with cancer (Maley, Warren, & Devine, 2013). Other common physical activity-related barriers and concerns include fear of movement and perceived risk of injury, which may negatively influence mental health outcomes (e.g., depression) among cancer survivors (Velthuis et al, 2012). Another reported barrier is pain associated with movement (Prinsloo, Gabel, Lyle, & Cohen, 2013;Sabiston, Brunet, & Burke, 2012).…”

Section: Strategies To Promote Physical Activitymentioning

confidence: 99%

Rationale for Promoting Physical Activity Among Cancer Survivors: Literature Review and Epidemiologic Examination

Loprinzi¹,

Lee²

2014

Oncology Nursing Forum

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“…Although kinesiophobia has been associated with a higher level of CRF in cancer patients [10,19], in this case, fear of movement seemed mainly related to symptoms of musculoskeletal pain and sporadic episodes of dizziness in the days following administration of chemotherapy treatments. This is in agreement with the literature having associated pain, fear of falling and side effects of chronic diseases with kinesiophobia in older adults [5,7,16].…”

Section: Pre-intervention Measurementsmentioning

confidence: 73%

Breaking Barriers: Could Exercise Supervision Attenuate Kinesiophobia in an Older Cancer Patient?

Parent-Roberge¹,

Maréchal²,

Fontvieille³

et al. 2019

Adv Geriatr Med Res

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Background: Kinesiophobia, the fear that movement and physical activity could worsen side effects such as fatigue and pain, is a barrier to exercise in cancer patients. Physical inactivity and deconditioning can lead to functional decline, higher mortality risk and lower quality of life, in older adults, and even more in oncogeriatrics because of a lower physical activity level during cancer treatments.The case: We present the case of an older breast cancer patient recruited in a controlled exercise trial and randomized to the control arm of the study (a 12-week supervised static stretching program). She expressed fear that physical activity might exacerbate some of her cancer-related symptoms during baseline physical capacity assessment (Senior Fitness Test, handgrip strength and maximal lower body strength). After completing the 12-week supervised static stretching program, she exhibited similar and/or larger improvements in many of the physical capacity tests than the mixed exercise intervention group, despite being in the control arm. Conclusions: These observations and physical capacity results have led us to emit the hypothesis that (1) this participant's baseline physical capacity assessment might have been biased by kinesiophobia and (2) the supervision by exercise physiologist might have mitigated this fear over time. Hence, based on this case, we suggest that kinesiophobia should be measured in future exercise trials and clinical interventions targeting older cancer patients.

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Role of Fear of Movement in Cancer Survivors Participating in a Rehabilitation Program: A Longitudinal Cohort Study

Abstract: Fear of movement is associated with the perceived global health status of cancer survivors. Fear of movement decreases after rehabilitation with graded activity in high scorers on baseline fear of movement.

Cited by 23 publications

References 22 publications

Explaining pain following cancer: a practical guide for clinicians

Explaining pain following cancer: a practical guide for clinicians

Rationale for Promoting Physical Activity Among Cancer Survivors: Literature Review and Epidemiologic Examination

Breaking Barriers: Could Exercise Supervision Attenuate Kinesiophobia in an Older Cancer Patient?

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