Bewegungsbezogene Angst messbar machen

Zusammenfassung

Physiotherapeut*innen werden vermehrt mit komplexen Beschwerdebildern konfrontiert, bei denen u. a. durch Konditionierungsprozesse Schmerzen oder Bewegung mit Angst assoziiert werden können. Zur Erfassung bewegungsbezogener Angst im physiotherapeutischen Kontext sind validierte Messinstrumente erforderlich.

Das Ziel der Arbeit war, ein Scoping Review zu Messinstrumenten für die Erhebung bewegungsbezogener Angst zu erstellen.

In den Datenbanken COSMIN, Cochrane und PubMed wurde eine systematische Literaturrecherche durchgeführt. Dabei wurden die Suchbegriffe „fear of movement“, „kinesiophobia“, „fear-avoidance“ und „pain-related fear” verwendet, die mit „assessment“ kombiniert wurden. 258 Studien in englischer und deutscher Sprache wurden inkludiert, in denen die bewegungsbezogene Angst quantifiziert wurde. Verschiedene Studienarten wie CTs, RCTs und Reviews wurden berücksichtigt.

Zwölf „Patient Reported Outcome Measurements“ (PROMs) konnten identifiziert werden, von denen 10 in Form von Fragebögen und 2 in Form von bildgestützten Befragungen die Daten erheben. Am häufigsten werden die Fragebögen TSK (145 Studien) und FABQ (103 Studien) eingesetzt. Diese sind in viele weitere Sprachen übersetzt worden und liegen in unterschiedlichen Versionen vor. Die identifizierten PROMs erfassen 3 Dimensionen der bewegungsbezogenen Angst: Angstvermeidungs-Überzeugungen, Kinesiophobie und Angst vor Bewegung. Das Scoping Review bietet einen Überblick der PROMs, um deren Umsetzung in die Praxis zu erleichtern. Die Güte der Messinstrumente wurde dabei nicht berücksichtigt.

Abstract

Physiotherapists are increasingly confronted with complex health problems in which, among other things, pain or movement can be associated with fear due to conditioning processes. Validated measuring instruments are required to assess movement related fear in a physiotherapeutic context.

The purpose of this work was to conduct a scoping review about measurement tools that quantify movement-related fear.

A systematic literature search was performed in the databases COSMIN, Cochrane and PubMed. The search terms "fear of movement", "kinesiophobia", "fear-avoidance" and "pain-related fear" were used, which were combined with "assessment". 258 studies in English and German were included, in which movement-related fear was quantified. Different study types were considered, such as CTs, RCTs and reviews.

Twelve “Patient Reported Outcome Measurements” (PROMs) could be identified, 10 of them collect data in the form of questionnaires and 2 in the form of image-guided surveys. The most commonly used questionnaires are TSK (145 studies) and FABQ (103 studies). These have been translated into many other languages and are available in different versions. The identified PROMs can be classified in 3 dimensions of movement-related fear, analogous to the existing literature: fear-avoidance beliefs, kinesiophobia and fear of movement. The scoping review provides an overview of the PROMs to facilitate their implementation in practice. The psychometric properties of the measuring instruments were not considered.

Schlüsselwörter

bewegungsbezogene Angst - Kinesiophobie - Angstvermeidungsüberzeugung - PROM

Key words

fear of movement - kinesiophobia - fear-avoidance beliefs - PROM

Publication History

Received: 06 July 2023

Accepted: 06 August 2023

Article published online:
14 December 2023

• Literatur

• 1 Pfingsten M. Angstvermeidungsüberzeugungen bei Rückenschmerzen. Der Schmerz 2004; 18: 17-27
• 2 Wössmer B, Loosli P, Hochstrasser J. Multimodale Behandlung bei chronischen Schmerzen – Chance und Herausforderung für die Zusammenarbeit von Psychosomatik und Physiotherapie. Ther Umsch 2007; 64: 595-599
• 3 Lundberg M, Grimby-Ekman A, Verbunt J. et al. Pain-Related Fear: A Critical Review of the Related Measures. Pain Res Treat 2011; 2011: 494196
• 4 Vlaeyen JWS, Linton SJ. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain 2012; 153: 1144-1147
• 5 Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain 2000; 85: 317-332
• 6 Kori SH, Miller RP, Todd DD. Kinesiophobia: a new view of chronic pain behaviour. Pain Manag 1990; 3: 35-43
• 7 Feleus A, van Dalen T, Bierma-Zeinstra SM. et al. Kinesiophobia in patients with non-traumatic arm, neck and shoulder complaints: a prospective cohort study in general practice. BMC Musculoskelet Disord 2007; 8: 117
• 8 Pfingsten M, Leibing E, Harter W. et al. Fear-Avoidance Behavior and Anticipation of Pain in Patients With Chronic Low Back Pain: A Randomized Controlled Study. Pain Med 2001; 2: 259-266
• 9 Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB. et al. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995; 62: 363-372
• 10 Crombez G, Vervaet L, Lysens R. et al. Avoidance and Confrontation of Painful, Back-Straining Movements in Chronic Back Pain Patients. Behav Modif 1998; 22: 62-77
• 11 Jayakumar P, Williams M, Ring D. et al. A Systematic Review of Outcome Measures Assessing Disability Following Upper Extremity Trauma. JAAOS Glob Res Rev 2017; 1: e021
• 12 Tricco AC, Lillie E, Zarin W. et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med 2018; 169: 467-473
• 13 Miller R, Kori S, Todd D. The Tampa Scale: a measure of kinisophobia. The Clinical Journal of Pain 1991; 7: 51
• 14 Waddell G, Newton M, Henderson I. et al. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain 1993; 52: 157-168
• 15 Carleton RN, Asmundson GJG, Taylor S. Fear of Physical Harm: Factor Structure and Psychometric Properties of the Injury/Illness Sensitivity Index. J Psychopathol Behav Assess 2005; 27: 235-241
• 16 Simons LE, Sieberg CB, Carpino E. et al. The Fear of Pain Questionnaire (FOPQ): Assessment of Pain-Related Fear Among Children and Adolescents With Chronic Pain. J Pain 2011; 12: 677-686
• 17 den Hollander M, Goossens M, de Jong J. et al. Expose or protect? A randomized controlled trial of exposure in vivo vs pain-contingent treatment as usual in patients with complex regional pain syndrome type 1. Pain 2016; 157: 2318-2329
• 18 Shelby RA, Somers TJ, Keefe FJ. et al. Brief fear of movement scale for osteoarthritis. Arthritis Care Res (Hoboken) 2012; 64: 862-871
• 19 Dover G, Amar V. Development and Validation of the Athlete Fear Avoidance Questionnaire. J Athl Train 2015; 50: 634-642
• 20 Neblett R, Mayer TG, Hartzell MM. et al. The Fear-avoidance Components Scale (FACS): Development and Psychometric Evaluation of a New Measure of Pain-related Fear Avoidance. Pain Pract 2016; 16: 435-450
• 21 Webster KE, Feller JA, Lambros C. Development and preliminary validation of a scale to measure the psychological impact of returning to sport following anterior cruciate ligament reconstruction surgery. Phys Ther Sport 2008; 9: 9-15
• 22 Turk DC, Robinson JP, Sherman JJ. et al. Assessing fear in patients with cervical pain: Development and validation of the Pictorial Fear of Activity Scale-Cervical (PFActS-C). Pain 2008; 139: 55-62
• 23 Knapik A, Saulicz E, Gnat R. Kinesiophobia - Introducing a New Diagnostic Tool. J Hum Kinet 2011; 28: 25-31
• 24 Verwoerd AJH, Luijsterburg PAJ, Timman R. et al. A single question was as predictive of outcome as the Tampa Scale for Kinesiophobia in people with sciatica: an observational study. J Physiother 2012; 58: 249-254
• 26 Ansanello W, Dos Reis FJJ, Tozzo MC et al. Development of the Avoidance Daily Activities Photo Scale for Patients With Shoulder Pain. Phys Ther 2022;102 :pzab268. DOI: 10.1093/ptj/pzab268
• 26 Martinez-Calderon J, Struyf F, Meeus M. et al. Influence of psychological factors on the prognosis of chronic shoulder pain: protocol for a prospective cohort study. BMJ Open 2017; 7: e012822