Chronic fatigue syndrome: lack of association between pain-related fear of movement and exercise capacity and disability.


BACKGROUND AND PURPOSE:Patients who experience pain, a symptom of chronic fatigue syndrome (CFS), often exhibit kinesiophobia (irrational fear of movement). The purpose of this study was to examine whether pain-related fear of movement is associated with exercise capacity, activity limitations, or participation restrictions in patients with CFS who experience widespread pain. SUBJECTS AND METHODS:Sixty-four subjects met the inclusion criteria. All subjects fulfilled the 1994 Centers for Disease Control and Prevention case definition for CFS and experienced widespread myalgias or arthralgias. The subjects completed the Tampa Scale for Kinesiophobia-Dutch Version (TSK-DV) and the Dutch Chronic Fatigue Syndrome-Activities and Participation Questionnaire (CFS-APQ). They then performed a maximal exercise test on a bicycle ergometer. Heart rate was monitored continuously by use of an electrocardiograph. Ventilatory factors were measured through spirometry. Correlations between the TSK-DV scores and both the exercise capacity data and the CFS-APQ scores were assessed using the Spearman rank correlation coefficient. Using the Mann-Whitney U test, the TSK-DV scores were compared between subjects who performed a maximal exercise stress test and those who did not perform the test. RESULTS:Forty-seven subjects (73.4%) attained a total score of greater than 37 on the TSK-DV, indicating high fear of movement. Neither the exercise capacity data nor the CFS-APQ scores indicated a correlation with the TSK-DV scores (n=64). Subjects who did not perform a maximal exercise capacity test had more fear of movement (median TSK-DV score=43.0, interquartile range=10.3) compared with those who did perform a maximal exercise capacity test (median TSK-DV score=38.0, interquartile range=13.2; Mann-Whitney U-test score=322.5, z=-1.974, P=.048), but the correlation analysis was unable to reveal an association between exercise capacity and kinesiophobia in either subgroup. DISCUSSION AND CONCLUSION:These results indicate a lack of correlation between kinesiophobia and exercise capacity, activity limitations, or participation restrictions, at least in patients with CFS who are experiencing widespread muscle or joint pain.


Phys Ther


Physical therapy


Nijs J,Vanherberghen K,Duquet W,De Meirleir K


Has Abstract


2004-08-01 00:00:00












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    abstract:BACKGROUND AND PURPOSE:Diagnoses, to be useful, should be accurate. The purpose of this study using fictitious patients and student judges was to test the theory that diagnostic errors would occur when students saw simulated patients who were similar to previously seen simulated patients. SUBJECTS:Sixty physical thera...

    journal_title:Physical therapy

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Norton BJ,Strube MJ

    更新日期:1998-04-01 00:00:00

  • Adding Physical Impairment to Risk Stratification Improved Outcome Prediction in Low Back Pain.

    abstract:OBJECTIVE:Identifying subgroups of low back pain (LBP) has the potential to improve prediction of clinical outcomes. Risk stratification is one such strategy that identifies similar characteristics indicative of a common clinical outcome trajectory. The purpose of this study was to determine if an empirically derived s...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Beneciuk JM,George SZ

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    authors: Jones TM,Dear BF,Hush JM,Titov N,Dean CM

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    abstract:BACKGROUND AND PURPOSE:Exercise programs are more likely to be successful when they are based on research that predicts the outcomes of such training. This study determined the effect of submaximal rhythmic handgrip training on rhythmic handgrip endurance or work (RHW), isometric handgrip endurance time (IHE), and maxi...

    journal_title:Physical therapy

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    authors: Shields RK,Leo KC,Messaros AJ,Somers VK

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    abstract::The purpose of this study was to illustrate the adaptability and use of work sampling, an industrial engineering technique, as a dependable method for collecting personnel utilization data in the physical therapy department of a general hospital and to demonstrate the concept of work sampling to physical therapy super...

    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Domenech MA,Payton O,Hill J,Shukla RK

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    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Mauser WW

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    abstract::The purpose of this case report is to describe how taping designed to promote proximal scapular stability was used in conjunction with other physical therapy interventions to manage a patient with anterior shoulder impingement. The taping technique is described in detail. The evaluation and treatment of a patient with...

    journal_title:Physical therapy

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    authors: Host HH

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    journal_title:Physical therapy

    pub_type: 杂志文章


    authors: Foley MP,Prax B,Crowell R,Boone T

    更新日期:1996-12-01 00:00:00

  • Reproducibility and validity of the 10-meter shuttle ride test in wheelchair-using children and adolescents with cerebral palsy.

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    journal_title:Physical therapy

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    authors: Verschuren O,Zwinkels M,Ketelaar M,Reijnders-van Son F,Takken T

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    pub_type: 杂志文章


    authors: Rheault W,Derleth M,Casey M,Czarnik C,Kania D,Nagel G

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    更新日期:2020-05-18 00:00:00

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    更新日期:2003-08-01 00:00:00

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    journal_title:Physical therapy

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    authors: Mannheimer JS

    更新日期:1978-12-01 00:00:00

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    journal_title:Physical therapy

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    journal_title:Physical therapy

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    journal_title:Physical therapy

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