Abstract

Background: Kinesiophobia can be an obstacle to physical and motor activity in patients with Parkinson’s disease (PD). PD affects patients’ independence in carrying out daily activities. It also impacts a patient’s biopsychosocial well-being. The objective of this study was to analyze the levels and scores of kinesiophobia in PD patients and compare them with healthy volunteers. Methods: We deployed a case-control study and recruited 124 subjects (mean age 69.18 ± 9.12). PD patients were recruited from a center of excellence for Parkinson’s disease (cases n = 62). Control subjects were recruited from the same hospital (control n = 62). Kinesiophobia total scores and categories were self-reported using the Spanish version of the Tampa Scale of Kinesiophobia (TSK-11). Results: Differences between cases and control groups were analyzed using the Mann–Whitney U test. Statistically significant differences (p < 0.05) were shown between groups when comparing kinesiophobia categories (or levels) and total scores, revealing higher kinesiophobia symptoms and levels in PD patients. All of the PD patients reported some degree of kinesiophobia (TSK-11 ≥ 18), while the majority of PD patients (77.3%) had kinesiophobia scores rated as moderate to severe (TSK-11 ≥ 25). On the other hand, ~45.1% of controls reported no or slight kinesiophobia and 53.2% reported moderate kinesiophobia. Conclusions: Total kinesiophobia scores were significantly higher in PD patients compared with healthy controls, with moderate to severe kinesiophobia levels prevailing in PD patients. Therefore, individuals living with PD should be evaluated and controlled in order to detect initial kinesiophobia symptoms.

Highlights

  • Cases and controls were matched for age, sex, and body mass index (BMI)

  • Our hypothesis was that kinesiophobia scores between people with Parkinson’s disease (PD) would align with neurologically healthy controls

  • The results found that the majority of the subjects with PD suffered from kinesiophobia on one of its four levels

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Summary

Introduction

Kinesiophobia is a psychological factor that manifests as an excessive fear of movement or physical activity. Kinesiophobia patients believe that movement can cause re-injury and additional pain [1]. A characteristic behavior of kinesiophobia is avoiding actions that cause fear, with motor passivity as a symptom of this problem [2,3]. Kinesiophobia prevalence data varies according to what population group is being assessed. Kinesiophobia can be an obstacle to physical and motor activity in patients with Parkinson’s disease (PD). PD affects patients’ independence in carrying out daily activities. The objective of this study was to analyze the levels and scores of kinesiophobia in PD patients and compare them with healthy volunteers

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