Does Kinesiophobia Associated with Poststroke Neuropathic Pain and Stroke Severity?

Koca, Tuba Tülay; Gulkesen, Arif; Nacitarhan, Vedat; Koca, Özlem

doi:10.31609/jpmrs.2019-66862

Cited by 5 publications

(8 citation statements)

References 36 publications

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“…This area of disease has so far been poorly researched, and reports are scarce. The presented results, as well as previous studies, indicate that the scale of this problem is large [ 22 , 46 , 47 , 48 , 49 ].…”

Section: Discussionsupporting

confidence: 82%

Kinesiophobia in People with Multiple Sclerosis and Its Relationship with Physical Activity, Pain and Acceptance of Disease

et al. 2022

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Background and Objectives: Multiple sclerosis (MS) is the most common chronic demyelinating disease. Factors that reduce the occurrence of symptoms include physical activity (PA). However, the data indicate that PA levels among people with MS are lower than those of healthy peers. The cause may be kinesiophobia. The aim of the study was to determine the level of kinesiophobia among people with MS and its relationship with age, disease duration, functional status, PA, and degree of acceptance of the disease. Materials and Methods: Eighty people aged 35–69 were examined: 60 women (75%) and 20 men (25%). The Expanded Disability Status Scale (EDSS) was used to determine the level of disability (median: 3.50; min–max: 1–6). The research questionnaire consisted of a metric section, Visual Analogue Scale (VAS) for pain, Tampa Scale of Kinesiophobia (TSK), Acceptance of Illness Scale (AIS), and Modified Baecke Questionnaire for Older Adults for physical activity. Results: Of the respondents, 52.50% were characterized by a high level of kinesiophobia (>37 points). Correlation analysis: TSK and PA showed the following: r = −0.363 (p = 0.001). Regression explains kinesiophobia in 44% (R2 = 0.4364; p < 0.0000). The predictors of TSK were as follows: disability level: p < 0.01, ß = 0.33; disease acceptance: p < 0.01, ß = −0.34; PA: p < 0.05, ß < −0.05. Conclusions: The problem of kinesiophobia is significant in MS patients, and its predictors are the functional status of the patients, low degree of acceptance of the disease, and low level of physical activity. The age and duration of the disease do not determine the problem of fear of movement.

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Section: Discussionsupporting

confidence: 82%

Kinesiophobia in People with Multiple Sclerosis and Its Relationship with Physical Activity, Pain and Acceptance of Disease

et al. 2022

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“…As in our study, other authors have also shown a high prevalence of kinesiophobia in elderly stroke patients. 11 , 12 According to Wasiuk-Zawada et al, the incidence of kinesiophobia varied depending on the degree of motor disability according to Rankin, including 83.3% of patients with mild disabilities and 73.1% of patients with moderate disabilities. 12 In the above studies 11 , 12 and in our study, kinesiophobia was defined on the basis of the TSK criterion, which allowed for a comparative analysis of the frequency of this phenomenon, which turned out to be high in the majority of stroke patients in studies from various centers.…”

Section: Discussionmentioning

confidence: 99%

“…In another study, an increased incidence of kinesiophobia in stroke patients was positively correlated with advanced age, disease duration and stroke severity. 11 Moreover, it was observed that post-stroke kinesiophobia was related to a fear of falling. 13 Our observations show that the intensity of kinesiophobia in patients with stroke showed correlation with a higher level of anxiety assessed with the use of HADS, higher TFI value for the frailty syndrome, and a low level of acceptance of their disease.…”

Section: Discussionmentioning

confidence: 99%

“…Kinesiophobia was found to be higher in stroke patients and was positively correlated with advanced age, disease duration and stroke severity. 11 It was shown that the occurrence of kinesiophobia in stroke patients was quite common and it concerned even more than 80% of patients. 12 In another study it was observed that patients with stroke had mild kinesiophobia, which was related to a fear of falling.…”

Section: Introductionmentioning

confidence: 99%

“…Not only were older post-stroke patients more susceptible to a frequent occurrence of kinesiophobia, 11 but also were they more likely to have frailty syndrome. 14 Frailty syndrome generally occurs in elderly people who have health problems and a progressive decline in physical function and resistance to stressogenic factors.…”

Section: Introductionmentioning

confidence: 99%

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Kinesiophobia in Elderly Polish Patients After Ischemic Stroke, Including Frailty Syndrome

Bąk¹,

Młynarska²,

Marcisz³

et al. 2022

NDT

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Introduction In patients after stroke, the relationship between the occurrence of kinesiophobia and the accompanying frailty syndrome, as well as the acceptance of the disease and the level of mood, has not been recognized so far. The aim of this study was to determine the prevalence of kinesiophobia in elderly Polish people after ischemic stroke, including the frailty syndrome and the associations between the prevalence of kinesiophobia and feelings of anxiety and degree of the illness acceptance. Methods A cross-sectional study was used to achieve the study objectives. The study involved 152 hospitalized patients aged of minimum 60 (mean age 63), qualified for post-stroke rehabilitation, including 76 women and 76 men. The patients were divided into two groups, with kinesiophobia (119 persons) and without kinesiophobia (33 persons). The Tampa Scale of Kinesiophobia (TSK), the Tilburg Frailty Indicator (TFI), the Hospital Anxiety Depression Scale (HADS) and the Acceptance of Illness Scale (AIS) were used. Study results were calculated using MedCalc Software. Results Kinesiophobia has been demonstrated in 78% of people after ischemic stroke. The values of TFI and HADS were higher in the patients with kinesiophobia (p<0.001). In patients with ischemic stroke, it was shown that the level of kinesiophobia increased with higher anxiety (p<0.001), higher total TFI score, (p<0.05), and a lower level of illness acceptance (p<0.001). Conclusion The occurrence of kinesiophobia in elderly Polish people after ischemic stroke is common and the determinants of its development are the coexistence of the frailty syndrome, anxiety and a low level of illness acceptance. In post-stroke patients, the presence of kinesiophobia should be considered, especially in the situation of comorbid frailty syndrome. The issue of kinesiophobia in patients after stroke requires further in-depth research, especially in the field of cognitive-behavioral prevention aimed at ways to reduce this phenomenon.

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The effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke

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2024

Topics in Stroke Rehabilitation

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Does Kinesiophobia Associated with Poststroke Neuropathic Pain and Stroke Severity?

Abstract: inesiophobia is defined as fear of acting due to belief of predisposition to injury. It causes physical activity limitation. In the continuation of chronic pain, pain-related fear significantly contributes the

Cited by 5 publications

References 36 publications

Kinesiophobia in People with Multiple Sclerosis and Its Relationship with Physical Activity, Pain and Acceptance of Disease

Kinesiophobia in People with Multiple Sclerosis and Its Relationship with Physical Activity, Pain and Acceptance of Disease

Kinesiophobia in Elderly Polish Patients After Ischemic Stroke, Including Frailty Syndrome

The effects of kinesiophobia, fatigue, and quality of life on physical activity in patients with stroke

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