Pina Rodrigo, Cysneiros Helena, Cardoso Kerollen, de Oliveira Daniella Araújo
Department of Physical Therapy, Federal University of Pernambuco, Recife, Brazil.
Physiother Theory Pract. 2025 May;41(5):1059-1069. doi: 10.1080/09593985.2024.2383933. Epub 2024 Jul 30.
Headaches are the cause of disability worldwide, and among them, migraine stands out as one of the most prevalent. Psychosocial aspects have a relevant role in the prognosis of migraine, but their relationship with these variables is not completely clear.
To investigate the relationship between kinesiophobia and catastrophizing level, self-efficacy, hypervigilance, physical activity level, and disability in individuals with migraine.
Eighty-eight participants answered an online form containing validated questionnaires to evaluate kinesiophobia, catastrophizing, self-efficacy, hypervigilance, and disability. Based on the cutoff point of the Tampa scale, participants were categorized into two groups: migraine with kinesiophobia (KM, = 45), and migraine without kinesiophobia (NKM, = 43).
The prevalence of kinesiophobia was 51.1%. The KM group presented higher catastrophizing and disability scores and lower self-efficacy scores, vigorous physical activity time, and physical activity level compared to the NKM group ( < .05). Kinesiophobia was associated with higher catastrophizing levels ( = 0.546, < .001), hypervigilance ( = 0.302, = .004) and disability ( = 0.517, < .001) and lower self-efficacy levels ( = - 0.499, < .001). In addition, kinesiophobia is associated with the risk of being physically inactive (OR = 0.186, 95% CI: 0.068-0.505).
Kinesiophobia is prevalent in individuals with migraine and should be carefully considered in clinical practice, as it harms participation in physical activities and is associated with worse cognitive and behavioral outcomes.
头痛是全球致残的原因之一，其中偏头痛是最常见的类型之一。社会心理因素在偏头痛的预后中起着重要作用，但其与这些变量之间的关系尚不完全清楚。
探讨偏头痛患者的运动恐惧与灾难化水平、自我效能感、过度警觉、身体活动水平和残疾之间的关系。
88名参与者回答了一份包含经过验证的问卷的在线表格，以评估运动恐惧、灾难化、自我效能感、过度警觉和残疾情况。根据坦帕量表的临界值，参与者被分为两组：有运动恐惧的偏头痛患者（KM，n = 45）和无运动恐惧的偏头痛患者（NKM，n = 43）。
运动恐惧的患病率为51.1%。与NKM组相比，KM组的灾难化和残疾得分更高，自我效能感得分、剧烈身体活动时间和身体活动水平更低（P <.05）。运动恐惧与更高的灾难化水平（r = 0.546，P <.001）、过度警觉（r = 0.302，P =.004）和残疾（r = 0.517，P <.001）以及更低的自我效能感水平（r = - 0.499，P <.001）相关。此外，运动恐惧与身体不活动的风险相关（OR = 0.186，95% CI：0.068 - 0.505）。
运动恐惧在偏头痛患者中很普遍，在临床实践中应予以仔细考虑，因为它会妨碍参与体育活动，并与更差的认知和行为结果相关。
