Evaluation of pain, functional capacity and kinesiophobia in women in the chronic stage of chikungunya virus infection: A cross-sectional study in northeastern Brazil

• Published in: Acta tropica Vol. 199; p. 104853
• Main Authors: de Souza, Clécio Gabriel, da Costa, Jardson Faustino, de Sousa Dantas, Diego, de Abreu Freitas, Rodrigo Pegado, Lopes, Johnnatas Mikael, Okano, Alexandre Hideki
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier B.V 01.11.2019
• Subjects: Activities of Daily Living; Arboviral diseases; Brazil; Chikungunya; Chikungunya Fever - complications; Chikungunya Fever - physiopathology; Chikungunya Fever - psychology; Chronic Disease; Chronic pain; Cross-Sectional Studies; Disability; Female; Humans; Middle Aged; Pain - etiology; Phobic Disorders - etiology; Physical activity; Brazil; Disability; Chikungunya; Physical activity; Arboviral diseases; Chronic pain
• ISSN: 0001-706X; 1873-6254
• DOI: 10.1016/j.actatropica.2018.12.008

•The level of pain ranged from moderate to severe according to Visual Analogic Scale.•A moderate level of disability was found for functional capacity.•Patients with chikungunya have moderate fear of voluntary movements.•It was found a correlation between pain and reduced functional capacity to time of chikungunya. Arboviral diseases have been considered a global public health problem due to their growing territorial dispersion and impact on the population around the world. Individuals affected by the chikungunya virus go through an acute febrile illness associated with severe pain and long-lasting polyarthralgia. After the initial stage, infected individuals may progress to the chronic stage, which has an epidemic character and a high rate of disability and reduced mobility, impacting negatively on their quality of life. The aim of this study was to evaluate the relationship between pain, functional capacity, and kinesiophobia in individuals in the chronic stage of chikungunya virus infection. A cross-sectional study was conducted in the city of Natal, in Rio Grande do Norte, Brazil, between July and September 2018. The participants were 59 women in the chronic stage of chikungunya virus infection. Data were collected in at physical therapy outpatient clinic of the Federal University of Rio Grande do Norte (UFRN), using a socio-demographic questionnaire, the Visual Analogue Scale (VAS), the Nordic Musculoskeletal Questionnaire (NMQ), the Brief Pain Inventory (BPI), the Health Assessment Questionnaire (HAQ), and the Tampa Scale for Kinesiophobia (TSK). Descriptive statistics and bivariate analysis of the time data were conducted by simple regression. The participants’ mean age was just over 50 years and average duration of virus infection was 21.54 months. Most participants had moderate to severe pain intensity that more frequent in the ankle and wrist joints. Functional capacity was low, and there was moderate fear of performing exercises and activities of daily living. Duration of infection was associated with increased pain intensity and loss of functional capacity. We can conclude that women in the chronic stage of chikungunya infection have significant pain, reduced functional capacity, and fear of performing common movements of daily living.