单侧前庭病变中恐惧回避信念与身体活动之间的相关性

The Correlation Between Fear Avoidance Beliefs and Physical Activity in Unilateral Vestibulopathies.

作者信息

Van Laer Lien, Koppelaar-van Eijsden Hanna M, Hallemans Ann, Van Rompaey Vincent, Schermer Tjard R, Bruintjes Tjasse D, Vereeck Luc

机构信息

Department of Rehabilitation Sciences and Physiotherapy/Movant, Faculty of Medicine and Health Science, University of Antwerp, Antwerp, Belgium (L.V.L., A.H., and L.V.); Multidisciplinary Motor Centre Antwerp Department (M2OCEAN), University of Antwerp, Antwerp, Belgium (L.V.L., A.H., and L.V.); Apeldoorn Dizziness Centre Department, Gelre Hospitals, Apeldoorn, Gelderland, the Netherlands (H.M.K.E., T.R.S., and T.D.B); Department of Otorhinolaryngology, Leiden University Medical Center, Leiden, the Netherlands (H.M.K.E. and T.D.B.); Department of Otorhinolaryngology and Head & Neck Surgery, and Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp University Hospital, Antwerp, Belgium (V.V.R.); and Department of Primary and Community Care, Radboud Institute for Health Sciences, Radboud University Medical Center, Nijmegen, the Netherlands (T.R.S.).

出版信息

J Neurol Phys Ther. 2025 Jan 1;49(1):24-32. doi: 10.1097/NPT.0000000000000499. Epub 2024 Oct 17.

DOI:10.1097/NPT.0000000000000499

PMID:39656161

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11594542/

Abstract

BACKGROUND AND PURPOSE

In individuals with unilateral vestibulopathy (UVP), physical activity (PA) is recommended to stimulate central vestibular compensation. However, the presence of fear avoidance beliefs might negatively influence PA. The objectives of this study were to investigate the relationship between fear avoidance beliefs and PA and to compare PA levels between individuals with UVP in an acute/subacute vs chronic phase.

METHODS

In this cross-sectional study, PA was measured using a triaxial accelerometer. Fear avoidance beliefs were quantified using the Vestibular Activities Avoidance Instrument. The correlation between fear avoidance beliefs and PA was evaluated using regression analyses, with other potential influencing factors also considered.

RESULTS

A total of 102 participants were included. The average age was 56.1 (SD 15.2) years, and 57.8% were male. Participants with chronic UVP presented with shorter sedentary time (4,591 vs 5129 min/wk; P = 0.004), longer standing time (1443 vs 1165 min/wk; P = 0.025), higher vigorous PA (187 vs 107 min/wk; P = 0.005), and higher total PA (773 vs 623 min/wk; P = 0.003) compared to participants with acute/subacute UVP. In participants with acute/subacute UVP, variability in total PA was explained up to 54.7% by fear avoidance beliefs, etiology of the UVP, and gender (R2 = 0.547, F4,45 = 13.6, P < 0.001). In participants with chronic UVP, fear avoidance beliefs explained 4.1% of the variability in total PA (R2 = 0.041, F1,49 = 2.086, P = 0.155).

DISCUSSION AND CONCLUSIONS

In acute/subacute UVP, assessing fear avoidance beliefs helps to understand physical inactivity. In chronic UVP, no significant association between fear avoidance beliefs and PA was observed.

VIDEO ABSTRACT AVAILABLE

for more insights from the authors (see the video, Supplemental Digital Content, available at: http://links.lww.com/JNPT/A488).

摘要

背景与目的

对于单侧前庭病变（UVP）患者，建议进行体育活动（PA）以刺激中枢前庭代偿。然而，恐惧回避信念的存在可能会对体育活动产生负面影响。本研究的目的是调查恐惧回避信念与体育活动之间的关系，并比较急性/亚急性期与慢性期UVP患者的体育活动水平。

方法

在这项横断面研究中，使用三轴加速度计测量体育活动。使用前庭活动回避量表对恐惧回避信念进行量化。采用回归分析评估恐惧回避信念与体育活动之间的相关性，并考虑其他潜在影响因素。

结果

共纳入102名参与者。平均年龄为56.1（标准差15.2）岁，男性占57.8%。与急性/亚急性期UVP患者相比，慢性UVP患者的久坐时间更短（4591 vs 5129分钟/周；P = 0.004），站立时间更长（1443 vs 1165分钟/周；P = 0.025），剧烈体育活动更多（187 vs 107分钟/周；P = 0.005），总体育活动量更高（773 vs 623分钟/周；P = 0.003）。在急性/亚急性期UVP患者中，恐惧回避信念、UVP病因和性别可解释总体育活动量变异的54.7%（R2 = 0.547，F4,45 = 13.6，P < 0.001）。在慢性UVP患者中，恐惧回避信念可解释总体育活动量变异的4.1%（R2 = 0.041，F1,49 = 2.086，P = 0.155）。