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Association of fear of movement and leisure-time physical activity among patients with chronic pain

KOHO P; ORENIUS T; KAUTIAINEN H; HAANPAA M; POHJOLAINEN T; HURRI H
J REHABIL MED , 2011, vol. 43, n° 9, p. 794-799
Doc n°: 152817
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.2340/16501977-0850
Descripteurs : AD8 - DOULEUR

The aim of this study was to clarify the association of fear of
movement and physical activity among patients with chronic musculoskeletal pain.
METHODS: The sample comprised 93 patients participating in a multidisciplinary
pain management programme. The purpose of the programme was to regain overall
functioning by means of physical and functional exercises, education and personal
pain management training. Tampa Scale of Kinesio-phobia and Leisure Time Physical
Activity questionnaires were completed at baseline, and at 6-month and 12-month
follow-ups. RESULTS: At baseline, low and medium kinesiophobia groups showed more
leisure-time physical activity than did the high kinesiophobia group (p = 0.024).
At a 6-month follow-up the high kinesiophobia group had increased their physical
activity index to the level of the low and medium kinesiophobia groups and
maintained that change to 12-month follow-up. The effect sizes of the change in
the physical activity index and pain intensity at the 12-month follow-up were
both moderate (0.56) in the high kinesiophobia group. CONCLUSION: The change in
physical activity and kinesiophobia was associated with the level of baseline
kinesiophobia. Multidisciplinary rehabilitation seems to produce favourable
effects in terms of physical activity and pain among the high kinesiophobia
patients.

Langue : ANGLAIS

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