Is There a Relationship Between Kinesiophobia and Physical Activity Level in Patients with Knee Osteoarthritis?

• Published in: Pain medicine (Malden, Mass.) Vol. 21; no. 12; pp. 3458 - 3469
• Main Authors: Aykut Selçuk, Melek, Karakoyun, Ahmet
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.12.2020
• Subjects: Activities of daily living; Arthritis; Cognitive ability; Cognitive behavioral therapy; Cross-Sectional Studies; Demographic aspects; Diagnosis; Distribution; Exercise; Fear; Fear & phobias; Health aspects; Health surveys; Humans; Knee; Ontario; Osteoarthritis; Osteoarthritis, Knee; Pain; Pain management; Patients; Physical activity; Psychological aspects; Quality of Life; Questionnaires; Ontario; Turkey; Disability; Kinesiophobia; Knee Osteoarthritis; Fear of Movement; Tampa
• ISSN: 1526-2375; 1526-4637; 1526-4637
• DOI: 10.1093/pm/pnaa180

Abstract Objective To investigate the levels of kinesiophobia, physical activity, depression, disability, and quality of life in patients with knee osteoarthritis. Design A cross-sectional study. Setting A tertiary health care center. Subjects Ninety-six patients with knee osteoarthritis. Methods Pain intensity was evaluated by the Visual Analog Scale, kinesiophobia by the Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale, depression by the Beck Depression Inventory, disability by the Western Ontario and McMaster Universities Arthritis Index, physical activity level by the International Physical Activity Questionnaire short form, and quality of life by the Short Form 12 Health Survey Questionnaire. Results Of the patients, 85.7% had high-level kinesiophobia, 70.6% had depression, and 64.4% had low, 27.8% moderate, and 7.8% high physical activity levels. Age, activity-related pain score of the Visual Analog Scale, Tampa Scale of Kinesiophobia and Brief Fear of Movement Scale scores, and Western Ontario and McMaster Universities Arthritis Index and Beck Depression Inventory scores were higher in the group with high-level kinesiophobia, whereas the mental, physical, and total scores obtained from the Short Form 12 Health Survey Questionnaire were higher in the group with low-level kinesiophobia (P < 0.05). Conclusions As the treatment of pain alone in patients with knee osteoarthritis is not sufficient to reduce fear of movement, we suggest that approaches to increase awareness of fear of movement and physical activity and cognitive behavioral therapy related to fear of movement should be included in the treatment program.