Miray Baser, İsmail Uysal, Fatih Özden, Mehmet Özkeskin, Zehra Benzer, Funda Alparslan
{"title":"运动恐惧症对帕金森病患者运动症状的影响","authors":"Miray Baser, İsmail Uysal, Fatih Özden, Mehmet Özkeskin, Zehra Benzer, Funda Alparslan","doi":"10.1007/s11845-025-04103-2","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":14507,"journal":{"name":"Irish Journal of Medical Science","volume":" ","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effect of kinesiophobia on motor symptoms in individuals with Parkinson's Disease.\",\"authors\":\"Miray Baser, İsmail Uysal, Fatih Özden, Mehmet Özkeskin, Zehra Benzer, Funda Alparslan\",\"doi\":\"10.1007/s11845-025-04103-2\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>\",\"PeriodicalId\":14507,\"journal\":{\"name\":\"Irish Journal of Medical Science\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2025-09-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Irish Journal of Medical Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s11845-025-04103-2\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish Journal of Medical Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s11845-025-04103-2","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
The effect of kinesiophobia on motor symptoms in individuals with Parkinson's Disease.
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.
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.