The Relationship between Kinesiophobia and Disability, Pain and Anxiety in Patients with Chronic Shoulder Pain: A Case Control Study

Burhan Fatih Kocyigit,Ahmet Akyol

doi:10.23950/1812-2892-jcmk-00767

Burhan Fatih Kocyigit, Ahmet Akyol

Open Access

https://doi.org/10.23950/1812-2892-jcmk-00767

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Abstract

Objective: Physical and psychological factors affect disability in patients with chronic shoulder pain. Kinesiophobia which is described as fear of movement may induce disability. Therefore, we aimed to compare kinesiophobia levels between patients with chronic shoulder pain and healthy volunteers and to determine the correlations between kinesiophobia and disability, pain and anxiety. Material and methods: This is a case-control study. 54 patients with shoulder pain and 56 healthy volunteers similar to case group in terms of age, sex and body mass index were enrolled in this research. Patients were evaluated with visual analogue scale, active range of motion measurements, Tampa Scale for Kinesiophobia, Shoulder Pain and Disability Index and Beck Anxiety Inventory. Results: Tampa Scale for Kinesiophobia, Shoulder Pain and Disability Index-pain, Shoulder Pain and Disability Index-disability and Beck Anxiety Inventory scores were significantly higher in the patient group (p 0.05). Conclusion: Kinesiophobia is associated with disability, pain and anxiety in patients with chronic shoulder pain. Therefore, factors associated with kinesiophobia should be clearly identified and strategies should be created to improve kinesiophobia levels.

Highlights

Shoulder pain is one of the most common musculoskeletal problems in the population [1]
We believe that kinesiophobia is one of the key factors that can influence treatment responses in patients with chronic shoulder pain
Special physical therapy and exercise programs should be prepared for each patient, taking into account the kinesiophobia level, depression, anxiety, and pain

Summary

Introduction

Shoulder pain is one of the most common musculoskeletal problems in the population [1]. The lifetime prevalence of shoulder pain may rise up to 67% [2]. Shoulder pain does not ameliorate in half of all patients in the first six months. 40% of patients still perceive pain after 12 months [3]. High recurrence rates and chronicity are the main problems of patients with shoulder disorders. Pain in the shoulder region, joint stiffness, and decrement in range of motion (ROM) are the major symptoms and signs of patients, which affect daily life activities, quality of life, and working performance [4, 5]

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Conclusion