Article

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.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS