Department of Physiotherapy, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-754 Katowice, Poland.
Department of Neurology, Faculty of Health Sciences in Katowice, Medical University of Silesia, 40-754 Katowice, Poland.
Medicina (Kaunas). 2022 Mar 10;58(3):414. doi: 10.3390/medicina58030414.
Background and Objectives: Multiple sclerosis (MS) is the most common chronic demyelinating disease. Factors that reduce the occurrence of symptoms include physical activity (PA). However, the data indicate that PA levels among people with MS are lower than those of healthy peers. The cause may be kinesiophobia. The aim of the study was to determine the level of kinesiophobia among people with MS and its relationship with age, disease duration, functional status, PA, and degree of acceptance of the disease. Materials and Methods: Eighty people aged 35−69 were examined: 60 women (75%) and 20 men (25%). The Expanded Disability Status Scale (EDSS) was used to determine the level of disability (median: 3.50; min−max: 1−6). The research questionnaire consisted of a metric section, Visual Analogue Scale (VAS) for pain, Tampa Scale of Kinesiophobia (TSK), Acceptance of Illness Scale (AIS), and Modified Baecke Questionnaire for Older Adults for physical activity. Results: Of the respondents, 52.50% were characterized by a high level of kinesiophobia (>37 points). Correlation analysis: TSK and PA showed the following: r = −0.363 (p = 0.001). Regression explains kinesiophobia in 44% (R2 = 0.4364; p < 0.0000). The predictors of TSK were as follows: disability level: p < 0.01, ß = 0.33; disease acceptance: p < 0.01, ß = −0.34; PA: p < 0.05, ß < −0.05. Conclusions: The problem of kinesiophobia is significant in MS patients, and its predictors are the functional status of the patients, low degree of acceptance of the disease, and low level of physical activity. The age and duration of the disease do not determine the problem of fear of movement.
多发性硬化症（MS）是最常见的慢性脱髓鞘疾病。减少症状发生的因素包括身体活动（PA）。然而，数据表明 MS 患者的 PA 水平低于健康同龄人。其原因可能是运动恐惧。本研究的目的是确定 MS 患者的运动恐惧水平及其与年龄、疾病持续时间、功能状态、PA 和对疾病的接受程度的关系。
共检查了 80 名年龄在 35-69 岁的患者：60 名女性（75%）和 20 名男性（25%）。使用扩展残疾状况量表（EDSS）确定残疾程度（中位数：3.50；最小-最大：1-6）。研究问卷包括计量部分、疼痛视觉模拟量表（VAS）、坦帕运动恐惧量表（TSK）、疾病接受量表（AIS）和老年人改良 Baecke 问卷（用于身体活动）。
在受访者中，52.50%的人表现出高度的运动恐惧（>37 分）。相关性分析：TSK 和 PA 之间的关系为：r = -0.363（p = 0.001）。回归解释了 44%的运动恐惧（R2 = 0.4364；p < 0.0000）。TSK 的预测因子如下：残疾程度：p < 0.01，ß = 0.33；疾病接受度：p < 0.01，ß = -0.34；PA：p < 0.05，ß < -0.05。
运动恐惧是 MS 患者的一个重要问题，其预测因子是患者的功能状态、对疾病的低接受程度和低水平的身体活动。年龄和疾病持续时间并不能决定运动恐惧问题。
