Role of Fear of Movement in Cancer Survivors Participating in a Rehabilitation Program: A Longitudinal Cohort Study

• Published in: Archives of physical medicine and rehabilitation Vol. 93; no. 2; pp. 332 - 338
• Main Authors: Velthuis, Miranda J., PhD, Peeters, Petra H., PhD, Gijsen, Brigitte C., MSc, van den Berg, Jan-Paul, MD, Koppejan-Rensenbrink, Ria A., MSc, Vlaeyen, Johan W., PhD, May, Anne M., PhD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.02.2012; Elsevier
• Subjects: Biological and medical sciences; Cohort Studies; Diseases of the osteoarticular system; Exercise; Fatigue - psychology; Fear; Female; Health Status; Humans; Longitudinal Studies; Male; Medical sciences; Middle Aged; Miscellaneous; Movement; Neoplasms; Neoplasms - psychology; Neoplasms - rehabilitation; Physical Medicine and Rehabilitation; Quality of Life; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects); Recovery of Function; Rehabilitation; Resistance Training; Survivors - psychology; FACT-F; TSK-F; CI; TSK-F AA; Functional Assessment of Cancer Therapy-Fatigue; Neoplasms; ES; Quality of life; Modified Tampa Scale for Kinesiophobia-Fatigue somatic focus; Exercise; TSK-F SF; European Organisation Research and Treatment of Cancer Quality of Life Questionnaire C30; Modified Tampa Scale for Kinesiophobia-Fatigue activity avoidance; confidence interval; Rehabilitation; EORTC-QLQ-C30; effect size; Modified Tampa Scale for Kinesiophobia-Fatigue; Physical exercise; Fear; Reeducation; Survivor; Cohort study; Orthopedics; Malignant tumor; Cancer
• ISSN: 0003-9993; 1532-821X
• DOI: 10.1016/j.apmr.2011.08.014

Abstract Velthuis MJ, Peeters PH, Gijsen BC, van den Berg JP, Koppejan-Rensenbrink RA, Vlaeyen JW, May AM. Role of fear of movement in cancer survivors participating in a rehabilitation program: a longitudinal cohort study. Objective To study the relationship between fear of movement and perceived global health status and the role of rehabilitation with graded activity in cancer survivors. Design Longitudinal cohort study. Setting Rehabilitation centers. Participants Cancer survivors (N=1236). Intervention Twelve-week graded activity rehabilitation program. Main Outcome Measures Fear of movement (Modified Tampa Scale for Kinesiophobia-Fatigue), fatigue (Functional Assessment of Cancer Therapy-Fatigue), and perceived global health status (European Organisation Research and Treatment of Cancer Quality of Life Questionnaire C30) were measured at baseline and after rehabilitation. We performed multiple linear regression analyses to examine the association between fear of movement and perceived global health status at baseline. Differences between baseline and postintervention scores were assessed with a paired t test and effect sizes (ESs). Hierarchical multiple regression analyses were used to investigate whether changes in fear of movement were associated with perceived global health status. Results Fear of movement was associated with perceived global health status prior to rehabilitation ( P =.001). Only participants with high scores on baseline fear of movement showed a considerable decrease in fear of movement after rehabilitation (ES=–.69; 95% confidence interval [CI], −.80 to −.57); the reduction was largest for fears because of a somatic focus (ES=–.57; 95% CI, −.68 to −.45). Changes in fear of movement because of a somatic focus were related to perceived global health status postintervention ( P =.001). Conclusions Fear of movement is associated with the perceived global health status of cancer survivors. Fear of movement decreases after rehabilitation with graded activity in high scorers on baseline fear of movement.