Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis

被引:53
作者
Vaegter, H. B. [1 ,2 ]
Madsen, A. B. [3 ]
Handberg, G. [1 ]
Graven-Nielsen, T. [4 ]
机构
[1] Odense Univ Hosp, Pain Ctr South, Pain Res Grp, Odense, Denmark
[2] Univ Southern Denmark, Fac Hlth Sci, Dept Clin Res, Odense, Denmark
[3] Univ Coll Lillebaelt, Sch Physiotherapy, Odense, Denmark
[4] Aalborg Univ, Fac Med, Ctr Neuroplast & Pain, SMI,Dept Hlth Sci & Technol, Aalborg, Denmark
基金
新加坡国家研究基金会;
关键词
Kinesiophobia; Fear of movement; Pain; Exercise; Physical activity; LOW-BACK-PAIN; FEAR-AVOIDANCE BELIEFS; COLD PRESSOR TEST; CHRONIC MUSCULOSKELETAL PAIN; INDUCED HYPOALGESIA; ISOMETRIC-EXERCISE; TEMPORAL SUMMATION; KNEE OSTEOARTHRITIS; AEROBIC EXERCISE; BLOOD-PRESSURE;
D O I
10.1016/j.physio.2017.10.001
中图分类号
R49 [康复医学];
学科分类号
100232 [康复医学];
摘要
Objective To compare clinical pain intensity, exercise performance, pain sensitivity and the effect of aerobic and isometric exercise on local and remote pressure pain thresholds (PPTs) in patients with chronic musculoskeletal pain with high and low levels of kinesiophobia. Design An experimental pre-post within-subject study. Setting An exercise laboratory in a multidisciplinary pain clinic. Participants Fifty-four patients with chronic musculoskeletal pain. Interventions Acute aerobic and isometric leg exercises. Main outcome measures Clinical pain intensity (numerical rating scale, range 0 to 10), Tampa Scale of Kinesiophobia, aerobic and isometric exercise performances (intensity and maximal voluntary contraction), and PPTs at local and remote body areas before and after exercise conditions. Results Patients with a high degree of kinesiophobia demonstrated increased pain intensity compared with patients with a low degree of kinesiophobia [high degree of kinesiophobia: 7.3 (1.6) on NRS; low degree of kinesiophobia: 6.3 (1.6) on NRS; mean difference 1.0 (95% confidence interval 0.08 to 1.9) on NRS]. Aerobic and isometric exercises increased PPTs, but no significant group differences were found in PPTs before and after exercise. Conclusions Clinical pain intensity was significantly higher in patients with a high degree of kinesiophobia compared with patients with a low degree of kinesiophobia. Despite a difference in isometric exercise performance, the hypoalgesic responses after cycling and isometric knee exercise were comparable between patients with high and low degrees of kinesiophobia. If replicated in larger studies, these findings indicate that although kinesiophobic beliefs influence pain intensity, they do not significantly influence PPTs and exercise-induced hypoalgesia inpatients with chronic musculoskeletal pain. (c) 2017 Chartered Society of Physiotherapy. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:187 / 193
页数:7
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