The effect of kinesiophobia on physical activity, balance, and fear of falling in patients with Parkinson’s disease

Oğuz, Semra; Ertürk, Gamze; Polat, Mi̇ne Gülden; Apaydın, Hülya

doi:10.1080/09593985.2022.2028325

Cited by 4 publications

(5 citation statements)

References 35 publications

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“…In line with the current study, prior research has demonstrated no relationship between self-reported measures of physical activity and kinesiophobia in primary health care patients with musculoskeletal pain ( 56 ), younger adults with temporomandibular disorder ( 57 ), and patients with chronic neck pain ( 58 ). However, significant research has also found that greater kinesiophobia is associated with lower levels of self-reported physical activity in individuals with knee osteoarthritis ( 14 , 15 ), non-specified chronic pain ( 59 ), chronic low back pain ( 60 ), Parkinson's Disease ( 61 ), and a general adult population ( 18 ). It remains unclear why such discrepant results exist regarding the relationship between self-reported physical activity and kinesiophobia, but the wide variety of self-reported measures likely plays a role.…”

Section: Discussionmentioning

confidence: 99%

Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults

et al. 2022

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Advanced aging is associated with a general decline in physical function and physical activity. The current evidence suggests that pain-related fear of movement (i.e., kinesiophobia) is increased in the general older adult population and impacts physical activity levels in patients with chronic pain. However, whether kinesiophobia could impact physical activity and function in relatively healthy, chronic pain-free older adults remain unclear. Thus, the purpose of this study was to examine whether fear of movement due to pain predicted self-reported and objective levels of physical function and physical activity in healthy older adults without chronic pain. Fifty-two older adults were enrolled in this study. The participants completed the International Physical Activity Questionnaire (IPAQ) and wore an accelerometer on the hip for 7 days to measure physical activity. Measures of sedentary time, light physical activity, and moderate to vigorous physical activity were obtained from the accelerometer. Measures of physical function included the Physical Functioning subscale of the Short Form-36, Short Physical Performance Battery (SPPB), the 30-s Chair Stand test, and a maximal isometric hand-grip. The Tampa Scale of Kinesiophobia (TSK) was used to measure fear of movement or re-injury associated with pain. Potential covariates included self-reported activity-related pain and demographics. Hierarchical linear regressions were conducted to determine the relationship of kinesiophobia with levels of physical activity and physical function while controlling for activity-related pain and demographics. TSK scores did not predict self-reported physical activity on the IPAQ. However, TSK scores predicted self-reported physical function (Beta = −0.291, p = 0.015), 30-s Chair Stand test scores (Beta = −0.447, p = 0.001), measures from the SPPB (Gait speed time: Beta = 0.486, p < 0.001; Chair stand time: Beta = 0.423, p = 0.003), percentage of time spent in sedentary time (Beta = 0.420, p = 0.002) and light physical activity (Beta = −0.350, p = 0.008), and moderate to vigorous physical activity (Beta = −0.271, p = 0.044), even after controlling for significant covariates. These results suggest that greater pain-related fear of movement/re-injury is associated with lower levels of light and moderate to vigorous physical activity, greater sedentary behavior, and worse physical function in healthy, chronic pain-free older adults. These findings elucidate the potential negative impact of kinesiophobia in older adults who don't report chronic pain.

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Section: Discussionmentioning

confidence: 99%

Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults

et al. 2022

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“…No studies were found relating fear of falling and depression with fear of movement in individuals with lower limb lymphedema. However, studies carried out in other pathological conditions show that both the fear of falling ( 9 , 10 , 27 , 67 ) and depression ( 13 , 31 , 39 ) can be related to kinesiophobia. The coexistence of fear of falling and fear of movement has been demonstrated in people with Parkinson’s disease.…”

Section: Discussionmentioning

confidence: 99%

“…As previously mentioned, the relationship between pain and fear of movement has been widely studied, and this symptom may effectively be the determining factor for this difference. However, people with lymphedema may experience signs and symptoms, such as fatigue ( 18 , 52 , 53 ), decreased balance ( 19 , 27 , 54 ), reduced physical performance ( 17 , 19 ) fear of falling ( 27 , 55 ), and depression ( 26 , 56 – 61 ), and appear in the literature in association with kinesiophobia ( 9 , 18 , 19 , 26 , 27 , 31 ). Movement avoidance is common among people with fatigue regardless of the pathological condition creating it ( 18 , 62 – 64 ).…”

Section: Discussionmentioning

confidence: 99%

“…It is essential to point out that there are statistically significant differences between the groups in terms of age and BMI, which makes it challenging to understand the contribution of each one to kinesiophobia. Balance ( 9 , 27 , 66 ) and physical performance ( 8 , 67 , 68 ) are often related to kinesiophobia in the literature, regardless of the underlying condition associated. In other conditions, in which there are also asymmetries in the volume and weight of a part of the body, it has been shown that these variations can be explanatory of the changes in postural stability found by the change in the center of gravity ( 69 ), as well as in other conditions with changes in the somatosensory system, such as pain or pain associated with restricted range of motion, can be precipitating factors for avoiding a task with an adequate level of performance ( 66 ).…”

Section: Discussionmentioning

confidence: 99%

“…From the point of view of rehabilitation, kinesiophobia can also be seen as a barrier to adherence to treatment (4), as being able to increase treatment time and decrease patient satisfaction levels (5). More recent studies show a relationship between kinesiophobia and chronic conditions with and without pain (6)(7)(8)(9)(10)(11)(12)(13)(14), assuming that the causes of fear of movement may go beyond behavioral inadequacy to the presence of continuous pain (15). Thus, psychological symptoms such as fatigue or exhaustion and fear of physical and/or mental discomfort have also been pointed out as possible causes of kinesiophobia (16).…”

Section: Introductionmentioning

confidence: 99%

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The relationship of kinesiophobia in patients with lymphedema: a case-control investigation

Monteiro,

de Labra,

Losa-Iglesias

et al. 2024

Front. Psychiatry

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IntroductionKinesiophobia and lymphedema appear to be related conditions, and it is important to understand this relationship, as many of the symptoms and comorbidities presented by individuals with lower limb lymphedema are prevented and treated through movement, thus constituting kinesiophobia as a barrier to intervention. The objective of this study is, therefore, to evaluate and analyze the kinesiophobic beliefs reported by individuals with and without lower limb lymphedema, regarding the agreement, severity and differences found, and to establish levels of kinesiophobia.MethodsA case-control study with a total sample of 80 participants (40 with lower limb lymphedema and 40 without) was performed. Both groups (with and without lymphedema) were characterized anthropologically, sociodemographically, and clinically. In the case group, lymphedema was evaluated. Participants in both groups completed the Tampa Scale for Kinesiophobia - 13 items (TSK-13).ResultsIndividuals with lower limb lymphedema had higher TSK-13 scores than their matched group without lymphedema. The items belonging to the activity avoidance subscale had the highest agreement and score in both groups. Differences between groups were mainly established for items belonging to the somatic focus subscale, showing that individuals with lower limb lymphedema have kinesiophobic beliefs related to the perceived severity of their lymphedema. The prevalence of kinesiophobia was increased in both groups, but the severity was mild.ConclusionsConsidering the apparent tendency of people with lower limb lymphedema to present kinesiophobia and movement-limiting beliefs regarding the condition, greater attention should be paid to its assessment, prevention and treatment from a multidisciplinary and multimodal perspective, which takes into account the multiplicity of factors inherent to kinesiophobia and lymphedema and thus reduce their impact on the management of lymphedema.

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Fear of Falling Does Not Influence Dual-Task Gait Costs in People with Parkinson’s Disease: A Cross-Sectional Study

Prell

Uhlig

Derlien

et al. 2022

Sensors

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Cognitive deficits and fear of falling (FOF) can both influence gait patterns in Parkinson’s disease (PD). While cognitive deficits contribute to gait changes under dual-task (DT) conditions, it is unclear if FOF also influences changes to gait while performing a cognitive task. Here, we aimed to explore the association between FOF and DT costs in PD, we additionally describe associations between FOF, cognition, and gait parameters under single-task and DT. In 40 PD patients, motor symptoms (MDS-revised version of the Unified Parkinson’s Disease Rating Scale, Hoehn and Yahr), FOF (Falls Efficacy Scale International), and Montreal Cognitive Assessment (MoCA) were assessed. Spatiotemporal gait parameters were recorded with a validated mobile gait analysis system with inertial measurement units at each foot while patients walked in a 50 m hallway at their preferred speed under single-task and DT conditions. Under single-task conditions, stride length (β = 0.798) and spatial variability (β = 0.202) were associated with FOF (adjusted R2 = 0.19, p < 0.001) while the MoCA was only weakly associated with temporal variability (adjusted R2 = 0.05, p < 0.001). Under DT conditions, speed, stride length, and cadence decreased, while spatial variability, temporal variability, and stride duration increased with the largest effect size for speed. DT costs of stride length (β = 0.42) and age (β = 0.58) explained 18% of the MoCA variance. However, FOF was not associated with the DT costs of gait parameters. Gait difficulties in PD may exacerbate when cognitive tasks are added during walking. However, FOF does not appear to have a relevant effect on dual-task costs of gait.

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The effect of kinesiophobia on physical activity, balance, and fear of falling in patients with Parkinson’s disease

Cited by 4 publications

References 35 publications

Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults

Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults

The relationship of kinesiophobia in patients with lymphedema: a case-control investigation

Fear of Falling Does Not Influence Dual-Task Gait Costs in People with Parkinson’s Disease: A Cross-Sectional Study

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