The Effect of Kinesiophobia on Physical Activity, Balance and Falling in Parkinson's Disease Patients

The kinesiophobia; defined as irrational fear of movement, which may occur after painful injury and reduce physical activity. It develops the idea that movement in individuals will cause re-injury and cause additional pain to existing pain. Studies have shown that this situation leads to a decrease in physical fitness, avoidance of activity, decrease in quality of life and even depression in the long term. It is known that functional problems such as balance problems and decrease in physical activity level occur in patients with Parkinson's disease. However, in the literature, there is no study investigating the presence of kinesiophobia in patients with Parkinson's disease. Therefore, the aims of our study were to 1) determine the presence / absence of kinesiophobia in patients with Parkinson's disease 2) determine the relationship between kinesiophobia and falling, balance, physical activity level in the presence of kinesiophobia.

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Key information

Conditions

Parkinson Disease Anxiety Disorders Balance Basal Ganglia Diseases Behavior Brain Diseases Central Nervous System Diseases Falling Kinesiophobia Mental Disorders Motor Activity Movement Disorders Nervous System Diseases Neurodegenerative Diseases Parkinsonian Disorders Phobic Disorders Physical Activity Synucleinopathies

Age range

40 year–85 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Marmara University

Istanbul, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Being diagnosed with Parkinson's disease according to the criteria of United Kingdom Brain Bank and diagnosed as Parkinson's disease by neurologist
According to Hoehn-Yahr scale 1-3
Mini-Mental Test score 24 and above

Exclusion criteria

Another disease that will prevent walking
Visual impairment and vestibular dysfunction
Cognitive impairment

Treatment and study plan

Tampa Kinesiophobia Scale, Berg-Balance Test, International Physical Activity Questionnaire-Short Form, Falls Efficacy Scale

Other

Tampa Kinesiophobia Scale: The TSK is a 17-item self report checklist using a 4-point Likert scale that was developed as a measure of fear of movement or (re)injury.

Berg-Balance Test: 14-item scale designed to measure balance of the older adult in a clinical setting.

International Physical Activity Questionnaire-Short Form: This measure assesses the types of intensity of physical activity and sitting time that people do as part of their daily lives are considered to estimate total physical activity in MET-min/week and time spent sitting.

Falls Efficacy Scale: A 16- item self-administered questionnaire designed to assess fear of falling in mainly older population

Primary outcomes

Tampa Kinesiophobia Scale (TSK)

Time frame: 10 minutes

It is a 17-item self report checklist using a 4-point Likert scale
Berg-Balance Test

Time frame: 15-20 minutes

14-item scale designed to measure balance of the older adult in a clinical setting. Scoring: A five-point ordinal scale, ranging from 0-4. "0" indicates the lowest level of function and "4" the highest level of function. Total Score = 56 41-56 = low fall risk 21-40 = medium fall risk 0 -20 = high fall risk
Falls Efficacy Scale

Time frame: 5-7 minutes

It is a 10 item scale where each item is rated on a scale of 1-10. A score of 10 signifies no confidence in these activities; a score of 1 indicates confidence. Out of a total score of 100, a score of 70 or above indicates the individual has a fear of falling.
International Physical Activity Questionnaire - Short form

Time frame: 5-10 minutes
This measure assesses the types of intensity of physical activity and sitting time that people do as part of their daily lives are considered to estimate total physical activity in MET-min/week and time spent sitting. Walking = 3.3 METs Moderate Intensity = 4.0 METs Vigorous Intensity = 8.0 METs Total MET-minutes/week = Walk (METs*min*days) + Mod (METs*min*days) + Vig (METs*min*days)
- Low: • No activity is reported OR • Some activity is reported but not enough to meet Categories 2 or 3. 2. Moderate: • 3 or more days of vigorous activity of at least 20 minutes per day OR • 5 or more days of moderate-intensity activity and/or walking of at least 30 minutes per day OR • 5 or more days of any combination of walking, moderate-intensity or vigorousintensity activities achieving a minimum of at least 600 MET-minutes/week. 3. High: • Vigorous-intensity activity on at least 3 days and accumulating at least 1500 MET-minutes/week OR • 7 or more days of any combination of walki

Sponsors and collaborators

Lead sponsor

Istanbul Kültür University

Other

Collaborators

Istanbul University - Cerrahpasa
Marmara University

Registry information

Important dates

Study start: 2018
Primary completion: 2019
Study completion: 2019
First posted: Feb 1, 2019
Registry last updated: Feb 18, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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Completed