Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain.

IF 1.3 4区医学 Q4 NEUROSCIENCES

Somatosensory and Motor Research Pub Date : 2021-09-01 Epub Date: 2021-08-02 DOI:10.1080/08990220.2021.1958774

Meral Sertel, Saniye Aydoğan Arslan, Eylem Tütün Yümin, Cevher Savcun Demirci, Tülay Tarsuslu Şimşek

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引用次数: 10

Abstract

Aims: This study aims to investigate the relationship between physical activity, fear of movement and fear of falling in older adults with chronic pain.

Materials and methods: The study includes 163 older adults aged 65 years and over, who live in a private nursing home. The cognitive functions of the individuals who participated in the study were evaluated with the mini-mental examination scale (MMES), fears of movement with the Tampa Scale of Kinesiophobia (TSK), fear-avoidance behaviour with the Fear-avoidance Beliefs Questionnaire (FABQ), physical activity levels with the Physical Activity Scale for Older (PASE), and the fears of falling were assessed with Tinetti's Falls Efficacy Scale (FES).

Results: In the correlation analysis, there was a weak correlation between age and fall risk (r = 0.349, p < 0.001), and PASE_Total score (r = -0.020, p = 0.011). There was a weak positive correlation between Tinetti FES and FABQ scores (r = 0.349, p < 0.001), and kinesiophobia value (r = 0.259, p < 0.001), there was a weak negative correlation between Tinetti FES and PASE_Total (r = -0.241, p = 0.002). A positive mid correlation was determined between kinesiophobia and the FABQ scores (r = 0.41, p < 0.001). The established regression model was found to be significant (F = 12.175; p < 0.001). Among the independent variables included in the model, FABQ_Total (t = 3.589; p < 0.0001) and PASE_Total (t = -3.325; p < 0.0001) significantly affected the fear of falling.

Conclusion: The presence of chronic pain in older adults who have problems related to physical activity, fear of falling, and kinesiophobia due to advancing age may affect social participation, functional level, and quality of life significantly. Therefore, pain should be addressed in older adults and should be considered as an important issue in rehabilitation programs.

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老年慢性疼痛患者体力活动、运动恐惧症和跌倒恐惧之间关系的调查。

目的:本研究旨在探讨慢性疼痛老年人身体活动、运动恐惧和跌倒恐惧之间的关系。材料和方法:研究对象为163名65岁及以上的老年人，他们住在一家私人养老院。采用迷你心理检查量表(MMES)、坦帕运动恐惧量表(TSK)、恐惧回避行为量表(FABQ)、老年人身体活动量表(PASE)和Tinetti跌倒效能量表(FES)评估受试者的认知功能。结果:在相关分析中，年龄与跌倒风险呈弱相关(r = 0.349, p)。总分(r = -0.020, p = 0.011)。Tinetti FES与FABQ评分呈弱正相关(r = 0.349, p r = 0.259, p Total (r = -0.241, p = 0.002)。运动恐惧症与FABQ评分呈正相关(r = 0.41, p F = 12.175;p Total (t = 3.589;p Total (t = -3.325;p结论:老年人慢性疼痛的存在与身体活动相关的问题，由于年龄的增长，害怕跌倒和运动恐惧症可能会显著影响社会参与，功能水平和生活质量。因此，疼痛应该在老年人中得到解决，并应被视为康复计划中的一个重要问题。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Somatosensory and Motor Research 医学-神经科学

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Somatosensory & Motor Research publishes original, high-quality papers that encompass the entire range of investigations related to the neural bases for somatic sensation, somatic motor function, somatic motor integration, and modeling thereof. Comprising anatomical, physiological, biochemical, pharmacological, behavioural, and psychophysical studies, Somatosensory & Motor Research covers all facets of the peripheral and central processes underlying cutaneous sensation, and includes studies relating to afferent and efferent mechanisms of deep structures (e.g., viscera, muscle). Studies of motor systems at all levels of the neuraxis are covered, but reports restricted to non-neural aspects of muscle generally would belong in other journals.