a Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation , Hacettepe University , Ankara , Turkey.
b Faculty of Medicine, Department of Chest Diseases , Hacettepe University , Ankara , Turkey.
Disabil Rehabil. 2019 Sep;41(18):2159-2163. doi: 10.1080/09638288.2018.1459886. Epub 2018 Apr 10.
Dyspnea, sedentary lifestyle, and comorbid diseases may reduce the desire to engage in physical movement in chronic obstructive pulmonary disease (COPD). The aims of this study were to assess levels of kinesiophobia among stable COPD patients and evaluate the relationship between kinesiophobia and pain and fatigue severity, dyspnea level, and comorbidities in this patient group. Thirty-one patients with moderate/severe COPD and thirty-one age- and sex-matched healthy controls participated in the study. All participants were assessed using Visual Analog Scale for pain severity, Fatigue Severity Scale, modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia. Ninety-three percent of the patients with COPD had a high degree of kinesiophobia (Tampa Scale of Kinesiophobia score >37). The modified Medical Research Council Dyspnea Scale, Charlson Comorbidity Index, and Tampa Scale of Kinesiophobia scores of patients with COPD was significantly higher than those of healthy subjects ( < 0.001). Tampa Scale of Kinesiophobia score was significantly associated with modified Medical Research Council Dyspnea Scale score ( = 0.676, < 0.001), Charlson Comorbidity Index score ( = 0.746, < 0.001) and fatigue severity level ( = 0.524, = 0.005). Most moderate/severe COPD patients express fear of movement. Kinesiophobia is strongly associated with dyspnea perception, fatigue severity, multisystemic comorbidities in COPD. Further studies are needed to determine the effects of kinesiophobia on the success of pulmonary rehabilitation. Implications for rehabilitation Most of moderate-to-severe chronic obstructive pulmonary disease patients have fear of movement. Increase fear of movement in moderate-severe chronic obstructive pulmonary disease is associated with increased dyspnea perception and fatigue severity and multisystemic comorbidities.
呼吸困难、久坐的生活方式和合并症可能会降低慢性阻塞性肺疾病 (COPD) 患者参与身体活动的意愿。本研究的目的是评估稳定期 COPD 患者的运动恐惧程度，并评估运动恐惧与疼痛和疲劳严重程度、呼吸困难程度以及该患者群体合并症之间的关系。31 名中重度 COPD 患者和 31 名年龄和性别匹配的健康对照者参加了这项研究。所有参与者均采用视觉模拟量表评估疼痛严重程度、疲劳严重程度量表、改良医学研究理事会呼吸困难量表、Charlson 合并症指数和 Tampa 运动恐惧量表进行评估。93%的 COPD 患者存在高度运动恐惧（Tampa 运动恐惧量表评分>37）。COPD 患者的改良医学研究理事会呼吸困难量表、Charlson 合并症指数和 Tampa 运动恐惧量表评分明显高于健康受试者（ < 0.001）。Tampa 运动恐惧量表评分与改良医学研究理事会呼吸困难量表评分显著相关（ = 0.676， < 0.001），Charlson 合并症指数评分（ = 0.746， < 0.001）和疲劳严重程度水平（ = 0.524， = 0.005）。大多数中重度 COPD 患者表达对运动的恐惧。运动恐惧与呼吸困难感知、疲劳严重程度、COPD 多系统合并症密切相关。需要进一步研究以确定运动恐惧对肺康复成功的影响。康复意义 大多数中重度慢性阻塞性肺疾病患者存在运动恐惧。中重度慢性阻塞性肺疾病患者运动恐惧增加与呼吸困难感知增加、疲劳严重程度增加和多系统合并症有关。
