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Association of Kinesiophobia with Core Muscle Endurance, Functional Mobility, Physical Activity Level, Fatigue and Pain in Patients with Fibromyalgia Syndrome: a cross-sectional study

YASEMİN MİRZA,Adem Küçük

  • YASEMİN MİRZA: Necmettin Erbakan Üniversitesi
  •  Year : 2024
  •  Vol : 4
  •  Issue : 2
  •  Page : 85-91
Aim: Present study analyzes kinesiophobia level in FMS patients and investigates the possible relationship between kinesiophobia and pain, disease activity, fatique, physical activity level, functional mobility and core muscle endurance (CME) times.
Materials and Methods: Forty-one female patients were participated in present study. Patients were assessed performing Tampa Scale for Kinesiophobia for kinesiophobia, a visual analog scale for pain level, the Fibromyalgia Impact Questionnaire for disease activity, the International Physical Activity Questionnaire- Short Form for physical activity (PA) level and Fatigue Severity Scale for fatigue. Core muscle endurance and physical fitness tests were applied. For statistical analysis were performed Spearman correlation coefficients and Mann-Whitney U test.
Results: Of the patients, disease duration was 3 (2/10) years and 25 (60.9%) had a high level of kinesiophobia. Significant relationships were detected between kinesiophobia and pain level (p<0.001), PA level, fatique, physical fitness tests and trunk flexor endurance time (p<0.05). However, kinesiophobia were not related to disease activity and other CME tests (p>0.05). Pain (p<0.001), fatique amd PA level, physical fitness tests, CME tests except trunk extensor test differed between high- kinesiophobia and low-kinesiophobia groups (p<0.05). However, disease activity was similar between high- kinesiophobia and low- kinesiophobia groups (>0.05).
Conclusions: Kinesiophobia seems to be associated with pain, PA level, fatigue, trunk flexor endurance and functional mobility. Evaluating kinesiophobia and associated factors in FMS patients may help in creating rehabilitation program.
Cite this Article As : Mirza y, Kucuk A. Association of Kinesiophobia with Core Muscle Endurance, Functional Mobility, Physical Activity Level, Fatigue and Pain in Patients with Fibromyalgia Syndrome: A Cross-Sectional Study. Mev Med Sci. 2024; 4(2): 85-91

Conflict of interest : The authors declare that they have no conflict of interest.

This article is published under the CC BY-NC 4.0 license.
Mevlana Tıp Bilimleri
2024, Vol4, Issue2
E-ISSN: 2757-976X
Received : , Accepted : , Published Online :

References

  1. 1. Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016;46(3):319-29.
  2. 2. Stisi S, Cazzola M, Buskila D, et al. Etiopathogenetic mechanisms of fibromyalgia syndrome. Reumatismo 2008;60(1):25-35.
  3. 3. Yilmaz H, Erkin G, Kucuksen S, et al. Correlation Between Body Mass Index and Clinical Parameters in Fibromiyalgia Syndrome. Selcuk Med J 2013;29(1):12-5.
  4. 4. Jones J, Rutledge DN, Jones KD, et al. Self-assessed physical function levels of women with fibromyalgia: a national survey. Women's Health Issues 2008;18(5):406-12.
  5. 5. Costa IDS, Gamundí A, Miranda JGV, et al. Altered functional performance in patients with fibromyalgia. Front Hum Neurosci 2017;11:14.
  6. 6. Denison E, ÅsenlöF P, Lindberg P. Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain 2004;111(3):245-52.
  7. 7. Bargi G, Koku M. Kinesiophobia, Physical Activity, Fear of COVID-19, and Fatigue in Adult Individuals: A Cross-Sectional Study. Selcuk Med J 2022;38(3): 106-13.
  8. 8. Lundberg M, Grimby-Ekman A, Verbunt J, et al. Pain-related fear: a critical review of the related measures. Pain Res Treat 2011;2011:494196.
  9. 9. Kocyigit BF, Akaltun MS. Kinesiophobia levels in fibromyalgia syndrome and the relationship between pain, disease activity, depression. Arch Rheumatol 2020;35(2):214-9.
  10. 10. Russek L, Gardner S, Maguire K, et al. A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome. Clin Rheumatol 2015;34(6):1109-19.
  11. 11. Varallo G, Suso-Ribera C, Ghiggia A, et al. Catastrophizing, kinesiophobia, and acceptance as mediators of the relationship between perceived pain severity, self-reported and performance-based physical function in women with fibromyalgia and obesity. J Pain Res 2022;15:3017-29.
  12. 12. Karsdorp PA, Vlaeyen JW. Active avoidance but not activity pacing is associated with disability in fibromyalgia. Pain 2009;147(1-3):29-35.
  13. 13. Crombez G, Vlaeyen JW, Heuts PH, et al. Pain-related fear is more disabling than pain itself: evidence on the role of pain-related fear in chronic back pain disability. Pain 1999;80(1-2):329-39.
  14. 14. Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep 2005;4(3):179–83.
  15. 15. McGill SM, Childs A, Liebenson C. Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehabil 1999;80(8):941-4.
  16. 16. Cholewicki J, McGill SM. Mechanical stability of the in vivo lumbar spine: implications for injury and chronic low back pain. Clin Biomech (Bristol, Avon) 1996;11(1):1-15.
  17. 17. Toprak Çelenay Ş, Külünkoğlu B, Küçükşahin O. Fibromiyalji Sendromu Olan Kadınlarda Denge, Endurans Ve Esnekliğin Değerlendirilmesi. Turk J Physiother Rehabil 2017; 28(3):125-31.
  18. 18. Góes SM, Leite N, Shay BL, et al. Functional capacity, muscle strength and falls in women with fibromyalgia. Clin Biomech (Bristol, Avon) 2012;27(6):578-83.
  19. 19. Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010;62(5):600-10.
  20. 20. Begum MR, Hossain MA. Validity and reliability of visual analogue scale (VAS) for pain measurement. JMCRR 2019;2(11):394-402.
  21. 21. Collado-Mateo D, Domínguez-Muñoz FJ, Adsuar JC, et al. Reliability of the timed up and go test in fibromyalgia. Rehabil Nurs J 2018;43(1):35-9.
  22. 22. Álvarez‐Gallardo IC, Carbonell‐Baeza A, Segura‐Jiménez V, et al. Physical fitness reference standards in fibromyalgia: The al‐Ándalus project. Scand J Med Sci Sports 2017;27(11):1477-88.
  23. 23. Yilmaz O, Yakut Y, Uygur F, et al. Turkish version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turkish Journal Of Physiotherapy Rehabilitation-Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
  24. 24. Saglam M, Arikan H, Savci S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills 2010;111(1):278-84.
  25. 25. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int 2000;20(1):9-12.
  26. 26. Armutlu K, Korkmaz NC, Keser I, et al. The validity and reliability of the Fatigue Severity Scale in Turkish multiple sclerosis patients. Int J Rehabil Res 2007;30(1):81-5.
  27. 27. Leon-Llamas JL, Murillo-Garcia A, Villafaina S, et al. Relationship between kinesiophobia and mobility, impact of the disease, and fear of falling in women with and without fibromyalgia: a cross-sectional study. Int J Environ Res Public Health 2022;19(14):8257.
  28. 28. Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J 2012;24(3):69-71.
  29. 29. Bränström H, Fahlström M. Kinesiophobia in patients with chronic musculoskeletal pain: differences between men and women. J Rehabil Med 2008;40(5):375-80.
  30. 30. Turk DC, Robinson JP, Burwinkle T. Prevalence of fear of pain and activity in patients with fibromyalgia syndrome. J Pain 2004;5(9):483-90.
  31. 31. Van Koulil S, Kraaimaat F, van Lankveld W, et al. Screening for pain-persistence and pain-avoidance patterns in fibromyalgia. Int J Behav Med 2008;15(3):211-20.
  32. 32. Barati A, Safarcherati A, Aghayari A, et al. Evaluation of relationship between trunk muscle endurance and static balance in male students. Asian J Sports Med 2013;4(4):289-94.
  33. 33. Acar Y, Ilçin N, Gürpinar B,et al. Core stability and balance in patients with ankylosing spondylitis. Rheumatol Int 2019;39(8):1389-96.
  34. 34. Cigarán-Méndez M, Úbeda-D’Ocasar E, Arias-Buría JL,et al. The hand grip force test as a measure of physical function in women with fibromyalgia. Sci Rep 2022;12(1):3414.
  35. 35. Latorre Román PÁ, Santos e Campos MA, García-Pinillos F. Effects of functional training on pain, leg strength, and balance in women with fibromyalgia. Mod Rheumatol 2015;25(6):943-7.
  36. 36. Munguía-Izquierdo D, Legaz-Arrese A. Reliability and validity of a low load endurance strength test for upper and lower extremities in patients with fibromyalgia. Arch Phys Med Rehabil 2012;93(11):2035-41.
  37. 37. Hides JA, Oostenbroek T, Franettovich Smith MM ,et al. The effect of low back pain on trunk muscle size/function and hip strength in elite football (soccer) players. J Sports Sci 2016;34(24):2303-11.
  38. 38. Chung EJ, Kim JH, Lee BH. The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. J Phys Ther Sci 2013;25(7):803-6.
  39. 39. Ayhan C, Unal E, Yakut Y. Core stabilisation reduces compensatory movement patterns in patients with injury to the arm: a randomized controlled trial. Clin Rehabil 2014;28(1):36-47.
  40. 40. Huijnen IP, Verbunt JA, Meeus M, et al. Energy Expenditure during Functional Daily Life Performances in Patients with Fibromyalgia. Pain Pract 2015;15(8):748-56.
  41. 41. Gaudreault N, Boulay P. Cardiorespiratory fitness among adults with fibromyalgia. Breathe (Sheff) 2018;14(2):e25-e33.
  42. 42. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000;85(3):317-32.
  43. 43. Leeuw M, Goossens ME, Linton SJ, et al. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med 2007;30(1):77-94.
  44. 44. Borisovskaya A, Chmelik E, Karnik A. Exercise and Chronic Pain. Adv Exp Med Biol 2020;1228:233-53.
  45. 45. Sarzi-Puttini P, Giorgi V, Marotto D, et al. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol 2020;16(11):645-60.
  46. 46. Ericsson A, Mannerkorpi K. How to manage fatigue in fibromyalgia: nonpharmacological options. Pain Manag 2016;6(4):331-8.
  47. 47. Romano GF, Tomassi S, Russell A, et al. Fibromyalgia and chronic fatigue: the underlying biology and related theoretical issues. Adv Psychosom Med 2015;34:61-77.
  48. 48. McVeigh JG, Lucas A, Hurley DA, et al. Patients' perceptions of exercise therapy in the treatment of fibromyalgia syndrome: a survey. Musculoskeletal Care 2003;1(2):98-107.
  49. 49. Larsson C, Ekvall Hansson E, Sundquist K, et al. Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain. BMC Geriatr 2016;16:128.
  50. 50. Zale EL, Lange KL, Fields SA, et al. The relation between pain-related fear and disability: a meta-analysis. J Pain 2013;14(10):1019-30.
  51. 51. Zale EL, Ditre JW. Pain-Related Fear, Disability, and the Fear-Avoidance Model of Chronic Pain. Curr Opin Psychol 2015;5:24-30.
  52. 52. Mascarenhas RO, Souza MB, Oliveira MX, et al. Association of Therapies With Reduced Pain and Improved Quality of Life in Patients With Fibromyalgia: A Systematic Review and Meta-analysis. JAMA Intern Med 2021;181(1):104-12.
  53. 53. Ishak NA, Zahari Z, Justine M. Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain. Pain Res Treat 2017;2017:3489617.