The relationship between fear of movement, pain and fatigue severity, dyspnea level and comorbidities in patients with chronic obstructive pulmonary disease
Naciye Vardar-Yagli, Ebru Calik-Kutukcu, Melda Saglam, Deniz Inal-Ince, Hulya Arikan & Lutfi Coplu
Pages 2159-2163 | Received 13 Nov 2017, Accepted 27 Mar 2018, Published online: 10 Apr 2018
Download citation https://doi.org/10.1080/09638288.2018.1459886
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Abstract
Purpose: Dyspnea, sedentary lifestyle, and comorbid diseases may reduce the desire to engage in physical movement in chronic obstructive pulmonary disease (COPD). The aims of this study were to assess levels of kinesiophobia among stable COPD patients and evaluate the relationship between kinesiophobia and pain and fatigue severity, dyspnea level, and comorbidities in this patient group.
Material and Methods: Thirty-one patients with moderate/severe COPD and thirty-one age- and sex-matched healthy controls participated in the study. All participants were assessed using Visual Analog Scale for pain severity, Fatigue Severity Scale, modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia.
Results: Ninety-three percent of the patients with COPD had a high degree of kinesiophobia (Tampa Scale of Kinesiophobia score >37). The modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia scores of patients with COPD was significantly higher than those of healthy subjects (p < 0.001). Tampa Scale of Kinesiophobia score was significantly associated with modified Medical Research Council Dyspnea Scale score (r = 0.676, p < 0.001), Charlson Comorbidity Index score (r = 0.746, p < 0.001) and fatigue severity level (r = 0.524, p = 0.005).
Conclusion: Most moderate/severe COPD patients express fear of movement. Kinesiophobia is strongly associated with dyspnea perception, fatigue severity, multisystemic comorbidities in COPD. Further studies are needed to determine the effects of kinesiophobia on the success of pulmonary rehabilitation.
Implications for rehabilitation
Most of moderate-to-severe chronic obstructive pulmonary disease patients have fear of movement.
Increase fear of movement in moderate–severe chronic obstructive pulmonary disease is associated with increased dyspnea perception and fatigue severity and multisystemic comorbidities.
Keywords: Tampa scale, kinesiophobia, dyspnea, comorbidities, chronic obstructive pulmonary disease
Additional information
Acknowledgements
The authors thank Oznur Tunca Yılmaz from Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation in Ankara, Turkey for her permission to use the Turkish version of Tampa Scale of Kinesiophobia.
Disclosure statement
No potential conflict of interest was reported by the authors.
Naciye Vardar-Yagli, Ebru Calik-Kutukcu, Melda Saglam, Deniz Inal-Ince, Hulya Arikan & Lutfi Coplu
Pages 2159-2163 | Received 13 Nov 2017, Accepted 27 Mar 2018, Published online: 10 Apr 2018
Download citation https://doi.org/10.1080/09638288.2018.1459886
Select Language▼
Translator disclaimer
Abstract
Purpose: Dyspnea, sedentary lifestyle, and comorbid diseases may reduce the desire to engage in physical movement in chronic obstructive pulmonary disease (COPD). The aims of this study were to assess levels of kinesiophobia among stable COPD patients and evaluate the relationship between kinesiophobia and pain and fatigue severity, dyspnea level, and comorbidities in this patient group.
Material and Methods: Thirty-one patients with moderate/severe COPD and thirty-one age- and sex-matched healthy controls participated in the study. All participants were assessed using Visual Analog Scale for pain severity, Fatigue Severity Scale, modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia.
Results: Ninety-three percent of the patients with COPD had a high degree of kinesiophobia (Tampa Scale of Kinesiophobia score >37). The modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia scores of patients with COPD was significantly higher than those of healthy subjects (p < 0.001). Tampa Scale of Kinesiophobia score was significantly associated with modified Medical Research Council Dyspnea Scale score (r = 0.676, p < 0.001), Charlson Comorbidity Index score (r = 0.746, p < 0.001) and fatigue severity level (r = 0.524, p = 0.005).
Conclusion: Most moderate/severe COPD patients express fear of movement. Kinesiophobia is strongly associated with dyspnea perception, fatigue severity, multisystemic comorbidities in COPD. Further studies are needed to determine the effects of kinesiophobia on the success of pulmonary rehabilitation.
Implications for rehabilitation
Most of moderate-to-severe chronic obstructive pulmonary disease patients have fear of movement.
Increase fear of movement in moderate–severe chronic obstructive pulmonary disease is associated with increased dyspnea perception and fatigue severity and multisystemic comorbidities.
Keywords: Tampa scale, kinesiophobia, dyspnea, comorbidities, chronic obstructive pulmonary disease
Additional information
Acknowledgements
The authors thank Oznur Tunca Yılmaz from Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation in Ankara, Turkey for her permission to use the Turkish version of Tampa Scale of Kinesiophobia.
Disclosure statement
No potential conflict of interest was reported by the authors.
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