Is kinesiophobia related to fear of falling, dizziness disability, and migraine disability in patients with migraine?

• Published in: Physiotherapy theory and practice Vol. 38; no. 13; pp. 2727 - 2735
• Main Authors: Pinheiro, Carina F., Bevilaqua-Grossi, Debora, Florencio, Lidiane L., Bragatto, Marcela M., Benatto, Mariana T., Dach, Fabiola, Bigal, Marcelo E., Carvalho, Gabriela F.
• Format: Journal Article
• Language: English
• Published: England Taylor & Francis Ltd 18.11.2022
• Subjects: Clinical medicine; Disability; Dizziness; Falls; Fear & phobias; Migraine; Questionnaires; Fear-avoidance; dizziness; falls; headache; disability
• ISSN: 0959-3985; 1532-5040; 1532-5040
• DOI: 10.1080/09593985.2021.1996496

Kinesiophobia is a common symptom associated with high disability, and has been observed in patients with migraine. However, the association between kinesiophobia and clinical factors in this population is unknown. To assess the fear of falling, dizziness disability, and migraine disability in patients with migraine, considering the presence of kinesiophobia. Eighty patients with migraine completed the Tampa Scale for Kinesiophobia and were divided into two groups according to the questionnaire cutoff point: migraine without kinesiophobia (MoK, n = 39) and migraine with kinesiophobia (MK, n = 41). Fear of falling, dizziness disability, and migraine disability were assessed in both groups using validated questionnaires. The MK group presented higher scores on dizziness disability, fear of falling, and migraine disability compared to the MoK ( < .05). Kinesiophobia can explain 29% of the variance in dizziness disability and 18% of migraine disability. Both kinesiophobia and the presence of dizziness can explain 14% of fear of falling variability. Also, kinesiophobia is associated with the risk of presenting fear of falling (Prevalence Ratio = 2.4, = .012), and migraine disability (Prevalence Ratio = 2.6, = .01). The presence of kinesiophobia should be considered in clinical practice when evaluating migraine, as it is associated with increased levels of fear of falling, dizziness disability, and migraine disability.