Department of Neurological Rehabilitation, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Int J Rehabil Res. 2021 Mar 1;44(1):65-68. doi: 10.1097/MRR.0000000000000449.
The aim of this study was to investigate the effects of fatigue and fatigue-related kinesiophobia on functional capacity, physical activity and quality of life in patients with Parkinson's disease. Twenty patients with Parkinson's disease were included in the study. The fatigue severity was assessed by the Fatigue Severity Scale, kinesiophobia by the Tampa Kinesiophobia Scale, functional capacity with the Six-Minute Walk Test, and quality of life was evaluated by the Parkinson's Disease Questionnaire. In addition, the physical activity level of each patient, such as the number of steps, active energy expenditure and total energy expenditure, were recorded for one week with an activity monitor mounted on the patients' arms. The mean age of the patients (10 female/10 male) was 69.85 ± 9.38. According to the multiple regression analysis, a significant correlation was found between fatigue with 6-min walking test score (P = 0.039) and number of steps (P = 0.030). Also, a significant correlation was found between kinesiophobia with total energy expenditure (P = 0.013) and quality of life (P = 0.042). While fatigue was a significant determinant for functional capacity and number of steps, kinesiophobia was a significant determinant for total energy expenditure and quality of life. Fatigue and kinesiophobia are emphasized less compared to other findings in Parkinson's disease. However, fatigue and kinesiophobia symptoms negatively affect the functional capacity, physical activity and quality of life of patients. The results of this study revealed the need to evaluate fatigue and kinesiophobia, and the need to use physiotherapy and rehabilitation interventions to reduce these symptoms.
本研究旨在探讨疲劳和与疲劳相关的运动恐惧症对帕金森病患者的功能能力、身体活动和生活质量的影响。研究纳入了 20 名帕金森病患者。疲劳严重程度采用疲劳严重程度量表评估，运动恐惧症采用坦帕运动恐惧症量表评估，功能能力采用 6 分钟步行试验评估，生活质量采用帕金森病问卷评估。此外，通过在患者手臂上佩戴活动监测器，记录每位患者一周的身体活动水平，如步数、活跃能量消耗和总能量消耗。患者的平均年龄为 69.85 ± 9.38 岁（10 名女性/10 名男性）。根据多元回归分析，疲劳与 6 分钟步行试验评分（P=0.039）和步数（P=0.030）呈显著相关。此外，运动恐惧症与总能量消耗（P=0.013）和生活质量（P=0.042）呈显著相关。虽然疲劳是功能能力和步数的重要决定因素，但运动恐惧症是总能量消耗和生活质量的重要决定因素。与帕金森病的其他发现相比，疲劳和运动恐惧症被强调得较少。然而，疲劳和运动恐惧症症状会对患者的功能能力、身体活动和生活质量产生负面影响。本研究结果表明，需要评估疲劳和运动恐惧症，并需要使用物理治疗和康复干预措施来减轻这些症状。
