Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults

dc.contributor.authorNaugle, Kelly M.
dc.contributor.authorBlythe, Corinthian
dc.contributor.authorNaugle, Keith E.
dc.contributor.authorKeith, NiCole
dc.contributor.authorRiley, Zachary A.
dc.contributor.departmentKinesiology, School of Health and Human Sciencesen_US
dc.date.accessioned2023-06-20T11:18:38Z
dc.date.available2023-06-20T11:18:38Z
dc.date.issued2022-04-27
dc.description.abstractAdvanced aging is associated with a general decline in physical function and physical activity. The current evidence suggests that pain-related fear of movement (i.e., kinesiophobia) is increased in the general older adult population and impacts physical activity levels in patients with chronic pain. However, whether kinesiophobia could impact physical activity and function in relatively healthy, chronic pain-free older adults remain unclear. Thus, the purpose of this study was to examine whether fear of movement due to pain predicted self-reported and objective levels of physical function and physical activity in healthy older adults without chronic pain. Fifty-two older adults were enrolled in this study. The participants completed the International Physical Activity Questionnaire (IPAQ) and wore an accelerometer on the hip for 7 days to measure physical activity. Measures of sedentary time, light physical activity, and moderate to vigorous physical activity were obtained from the accelerometer. Measures of physical function included the Physical Functioning subscale of the Short Form-36, Short Physical Performance Battery (SPPB), the 30-s Chair Stand test, and a maximal isometric hand-grip. The Tampa Scale of Kinesiophobia (TSK) was used to measure fear of movement or re-injury associated with pain. Potential covariates included self-reported activity-related pain and demographics. Hierarchical linear regressions were conducted to determine the relationship of kinesiophobia with levels of physical activity and physical function while controlling for activity-related pain and demographics. TSK scores did not predict self-reported physical activity on the IPAQ. However, TSK scores predicted self-reported physical function (Beta = -0.291, p = 0.015), 30-s Chair Stand test scores (Beta = -0.447, p = 0.001), measures from the SPPB (Gait speed time: Beta = 0.486, p < 0.001; Chair stand time: Beta = 0.423, p = 0.003), percentage of time spent in sedentary time (Beta = 0.420, p = 0.002) and light physical activity (Beta = -0.350, p = 0.008), and moderate to vigorous physical activity (Beta = -0.271, p = 0.044), even after controlling for significant covariates. These results suggest that greater pain-related fear of movement/re-injury is associated with lower levels of light and moderate to vigorous physical activity, greater sedentary behavior, and worse physical function in healthy, chronic pain-free older adults. These findings elucidate the potential negative impact of kinesiophobia in older adults who don't report chronic pain.en_US
dc.eprint.versionFinal published versionen_US
dc.identifier.citationNaugle KM, Blythe C, Naugle KE, Keith N, Riley ZA. Kinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adults. Front Pain Res (Lausanne). 2022;3:874205. Published 2022 Apr 27. doi:10.3389/fpain.2022.874205en_US
dc.identifier.urihttps://hdl.handle.net/1805/33856
dc.language.isoen_USen_US
dc.publisherFrontiers Mediaen_US
dc.relation.isversionof10.3389/fpain.2022.874205en_US
dc.relation.journalFrontiers in Pain Researchen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.sourcePMCen_US
dc.subjectActivity-related painen_US
dc.subjectKinesiophobiaen_US
dc.subjectOlder adultsen_US
dc.subjectPhysical activityen_US
dc.subjectPhysical functionen_US
dc.titleKinesiophobia Predicts Physical Function and Physical Activity Levels in Chronic Pain-Free Older Adultsen_US
dc.typeArticleen_US
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