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Kinesiophobia is associated with pain intensity but not pain sensitivity before and after exercise: an explorative analysis.
Vaegter, H B; Madsen, A B; Handberg, G; Graven-Nielsen, T.
Afiliación
  • Vaegter HB; Pain Research Group, Pain Centre South, Odense University Hospital, Odense, Denmark; Department of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark. Electronic address: henrik.bjarke.vaegter@rsyd.dk.
  • Madsen AB; School of Physiotherapy, University College Lillebaelt, Odense, Denmark.
  • Handberg G; Pain Research Group, Pain Centre South, Odense University Hospital, Odense, Denmark.
  • Graven-Nielsen T; Centre for Neuroplasticity and Pain, SMI, Department of Health Science and Technology, Faculty of Medicine, Aalborg University, Aalborg, Denmark.
Physiotherapy ; 104(2): 187-193, 2018 06.
Article en En | MEDLINE | ID: mdl-29290378
OBJECTIVE: To compare clinical pain intensity, exercise performance, pain sensitivity and the effect of aerobic and isometric exercise on local and remote pressure pain thresholds (PPTs) in patients with chronic musculoskeletal pain with high and low levels of kinesiophobia. DESIGN: An experimental pre-post within-subject study. SETTING: An exercise laboratory in a multidisciplinary pain clinic. PARTICIPANTS: Fifty-four patients with chronic musculoskeletal pain. INTERVENTIONS: Acute aerobic and isometric leg exercises. MAIN OUTCOME MEASURES: Clinical pain intensity (numerical rating scale, range 0 to 10), Tampa Scale of Kinesiophobia, aerobic and isometric exercise performances (intensity and maximal voluntary contraction), and PPTs at local and remote body areas before and after exercise conditions. RESULTS: Patients with a high degree of kinesiophobia demonstrated increased pain intensity compared with patients with a low degree of kinesiophobia [high degree of kinesiophobia: 7.3 (1.6) on NRS; low degree of kinesiophobia: 6.3 (1.6) on NRS; mean difference 1.0 (95% confidence interval 0.08 to 1.9) on NRS]. Aerobic and isometric exercises increased PPTs, but no significant group differences were found in PPTs before and after exercise. CONCLUSIONS: Clinical pain intensity was significantly higher in patients with a high degree of kinesiophobia compared with patients with a low degree of kinesiophobia. Despite a difference in isometric exercise performance, the hypoalgesic responses after cycling and isometric knee exercise were comparable between patients with high and low degrees of kinesiophobia. If replicated in larger studies, these findings indicate that although kinesiophobic beliefs influence pain intensity, they do not significantly influence PPTs and exercise-induced hypoalgesia in patients with chronic musculoskeletal pain.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Umbral del Dolor / Terapia por Ejercicio / Dolor Musculoesquelético Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Physiotherapy Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ejercicio Físico / Umbral del Dolor / Terapia por Ejercicio / Dolor Musculoesquelético Tipo de estudio: Diagnostic_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Physiotherapy Año: 2018 Tipo del documento: Article Pais de publicación: Reino Unido