The effects of post-mastectomy lymphedema on balance, Kinesiophobia and fear of falling

Altaş, Elif Umay; Demirdal, Ümit Seçil

doi:10.1080/07370016.2021.1887564

Cited by 11 publications

(8 citation statements)

References 24 publications

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“…The results show that patients in the BCS group who underwent mastectomy have a high positive correlation with fear (r = 0.904; p < 0.001). Even though our study did not perform a correlation only with women with mastectomy, the result found by Altas and Dermidal (43) corroborates the present study, as both found a positive correlation between kinesiophobia and a breast symptom (r = 0.215; p = 0.019), since fear is also considered one of the cancer-related breast symptoms, which shows us that type-independent surgery may show an increase in kinesiophobia levels…”

Section: Discussionsupporting

confidence: 90%

Functional Performance indicators and kinesiophobia and their relationship with muscle strength, quality of life and fatigue in women breast cancer survivors

Marques

Santos

Silva

et al. 2022

Preprint

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Purpose To relate functional performance and kinesiophobia to muscle strength, fatigue and quality of life in women who survivors breast cancer. Methods Participated the study 62 women separate into control group (CNT) (age: 52,16 ± 7,59) and breast cancer survivors group (BCS) (age: 52,93 ± 8,95). The functional performance was evaluated by the DASH, the kinesiophobia it was evaluated by the Tampa Scale, quality of life was evaluated EORTC BR-23, fatigue was evaluated FACT B + 4, the muscle strength was evaluated isometric test bilateral and test 1RM. The normality of the data was evaluated by the Komogorov-Smirnov test. Pearson's correlation was used to evaluate the relationship between the variables that presented normal distribution and the Sperman correlation to evaluate the relationship between the variables that did not present normal distribution. The significance level was considered when the p ≤ 0.05 Results. The BCS group showed worse levels of functional performance (p < 0,001), bilateral isometric strenght (p < 0,001), test 1RM (p = 0,011) and higher levels kinesiophobia than the CNT group (p = 0,005). Bilateral isometric strenght showed a negative correlation with kinesiophobia (r = 0,295; p = 0,019) and functional performance (r= -0,351; p = 0,005). Functional performance showed negative correlaton with fatigue (r= -0,435; p = 0,0004) and quality of life ( -0,296; p = 0,019). Conclusion. BCS women have low levels of functional performance, isometric test bilateral, test 1RM and higher levels of kinesiophobia. The functional performance showed negative correlation with bilateral isometric strenght, fatigue and quality of life. The kinesiophobia showed negative correlation with bilateral isometric strenght.

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Section: Discussionsupporting

confidence: 90%

Functional Performance indicators and kinesiophobia and their relationship with muscle strength, quality of life and fatigue in women breast cancer survivors

Marques

Santos

Silva

et al. 2022

Preprint

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“…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%

“…Individuals with primary and secondary lymphedema may present different causes of fear of movement, with a higher report of psychosocial causes in individuals with primary lymphedema ( 18 ). Differences in limb volume related to asymmetry caused by the uni- and bilateral nature of the condition or the severity of the edema (staging) can also produce symptoms or affect balance ( 19 , 27 ), which can trigger kinesiophobic behaviors. The duration of the condition/symptoms can also be a major factor, as it can limit physical activity and reduce the biological ability to act ( 18 ).…”

Section: Methodsmentioning

confidence: 99%

“…The relationship between lymphedema and kinesiophobia can be found in the literature for the upper ( 26 , 27 ) and lower limbs ( 17 – 19 , 28 ). People with lymphedema can believe that movement of the affected extremity can worsen their clinical condition, decrease the range of motion ( 19 ), and increase the severity of the edema ( 18 , 19 ), so they often avoid its use and exercise.…”

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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Investigation of physical activity, fear of falling, and functionality in individuals with lower extremity lymphedema

PİRİNÇÇİ

Cihan

Ünüvar

et al. 2023

Support Care Cancer

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The effects of post-mastectomy lymphedema on balance, Kinesiophobia and fear of falling

Cited by 11 publications

References 24 publications

Functional Performance indicators and kinesiophobia and their relationship with muscle strength, quality of life and fatigue in women breast cancer survivors

Functional Performance indicators and kinesiophobia and their relationship with muscle strength, quality of life and fatigue in women breast cancer survivors

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

Investigation of physical activity, fear of falling, and functionality in individuals with lower extremity lymphedema

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