The effect of kinesiophobia on motor symptoms in individuals with Parkinson's Disease.

IF 1.6 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Miray Baser, İsmail Uysal, Fatih Özden, Mehmet Özkeskin, Zehra Benzer, Funda Alparslan
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Abstract

Background: Parkinson's Disease (PD) is characterized by motor and non-motor symptoms that impair balance, mobility, and overall physical function. Kinesiophobia, defined as the fear of movement due to pain or injury concerns, may further exacerbate these impairments by promoting activity avoidance. This study aimed to investigate the impact of kinesiophobia on motor symptoms in individuals with PD.

Methods: A total of 51 individuals diagnosed with PD were included in the study. Participants were divided into two groups-low and high kinesiophobia-based on their scores on the Tampa Scale for Kinesiophobia (TSK). Motor assessments included the Unified Parkinson's Disease Rating Scale (UPDRS), Berg Balance Scale (BBS), Timed Up and Go (TUG) test, Activities-specific Balance Confidence (ABC) scale, and Six-Minute Walk Test (6MWT).

Results: High kinesiophobia was significantly associated with older age and longer disease duration. MANCOVA revealed significant group differences in balance (BBS) and walking endurance (6MWT), with the high kinesiophobia group performing worse (p < 0.05). Partial correlations showed a strong negative association between kinesiophobia and walking capacity (r = -0.608, p < 0.001). Hierarchical regression analyses revealed that kinesiophobia was a significant independent predictor of poorer motor function, reduced walking endurance, and decreased balance confidence (p < 0.05).

Conclusions: Kinesiophobia negatively impacts motor symptoms and functional mobility in PD, beyond demographic and disease-related factors. Addressing the fear of movement in rehabilitation may improve physical function and reduce the risk of falls in this population.

运动恐惧症对帕金森病患者运动症状的影响
背景:帕金森病(PD)的特征是运动和非运动症状,损害平衡、活动能力和整体身体功能。运动恐惧症,定义为由于疼痛或受伤而害怕运动,可能会通过促进活动逃避进一步加剧这些损伤。本研究旨在探讨运动恐惧症对PD患者运动症状的影响。方法:共纳入51例诊断为PD的个体。根据参与者在运动恐惧症坦帕量表(TSK)上的得分,他们被分为两组——低运动恐惧症和高运动恐惧症。运动评估包括统一帕金森病评定量表(UPDRS)、伯格平衡量表(BBS)、计时起身(TUG)测试、特定活动平衡信心量表(ABC)和六分钟步行测试(6MWT)。结果:高运动恐惧症患者年龄越大,病程越长。MANCOVA显示,平衡性(BBS)和步行耐力(6MWT)组间存在显著差异,运动恐惧症高组表现更差(p)。结论:运动恐惧症对PD患者的运动症状和功能活动能力产生负面影响,超出人口统计学和疾病相关因素。在康复中解决对运动的恐惧可以改善这一人群的身体功能并降低跌倒的风险。
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来源期刊
Irish Journal of Medical Science
Irish Journal of Medical Science 医学-医学:内科
CiteScore
3.70
自引率
4.80%
发文量
357
审稿时长
4-8 weeks
期刊介绍: The Irish Journal of Medical Science is the official organ of the Royal Academy of Medicine in Ireland. Established in 1832, this quarterly journal is a contribution to medical science and an ideal forum for the younger medical/scientific professional to enter world literature and an ideal launching platform now, as in the past, for many a young research worker. The primary role of both the Academy and IJMS is that of providing a forum for the exchange of scientific information and to promote academic discussion, so essential to scientific progress.
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