Article Text

AB1442-HPR Fear of movement in ankylosing spondilitis patients: A pilot study
  1. D. Oskay1,
  2. I. Düzgün1,
  3. Z. Tuna1,
  4. B. Elbasan1,
  5. Y. Yakut2,
  6. A. Tufan3
  1. 1Physiotherapy and Rehabilitation, Gazi University Faculty of Health Science
  2. 2Physiotherapy and Rehabilitation, Hacettepe University Faculty of Health Science
  3. 3Rheumatology Department, Gazi University Faculty of Medicine, Ankara, Turkey


Background Ankylosing spondilitis (AS) is a chronic, inflammatory disorder characterized by pain and stiffness especially on back and sacroiliac joint. Pain, reduced spine mobility, and decreased physical functioning are the major manifestations of AS. In the literature, the role of fear of movement (kinesiophobia) in musculoskeletal pain disorders has been examined in studies of acute and chronic back pain, and fibromyalgia. The results of these studies tend to support the important contribution of fear of movement in the evaluation of pain, disability, function and QoL and treatment of musculoskeletal disorders.

Objectives The primary objective of this pilot study was to investigate if AS patients have kinesiophobia or not. The secondary objective of the study was to investigate the effects of kinesiophobia on functional status, quality of life (QoL) of AS patients.

Methods 36 Participants (18 men, 18 women) who were under a regular follow-up protocol in Gazi Universty Rheumatology Clinic with the diagnosis of AS. Primary outcome measure was kinesiophobia. Evaluation was done using the The Tampa Scale of Kinesiophobia (TSK). Exploratory measures were Bath Ankylosing Spondilitis Disease Activity Index (BASDAI), Bath Ankylosing Spondilitis Functional Index (BASFI), and ankylosing spondilitis quality of life questionnaire (ASQOL).

Results The mean TSK score of patients was 43.94±6.31 (min-max: 31-59). The most remarkable result was the correlation between TSK score and BASDAI (r: 0.384; p: 0.025), BASFI (r: 0.506; p: 0.002) and ASQOL (r: 0.518; p: 0.002) scores.

Conclusions Our study is the first clinical study designed to investigate kinesiophobia in AS patients. We conclude that kinesiophobia affect their functional status and quality of life. It also affected by the severity of illness.

  1. Kori SH, Miller RP, Todd D. Kinesiophobia: a new view of chronic pain behavior. Pain Management. 1990, 3: 35-43.

  2. Vlaeyen JW, Kole-Snijders AM, Boeren RG, et al. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995; 62: 363-372.

  3. Dagfinrud H, Kvien TK, Hagen KB, Nghien FT, Donohue JT. Physiotherapy interventions for ankylosing spondylitis. Dochrana Databased System Reviews. 2008; 23(1): CD002822.

  4. La Touche R, Escalante K, Linares MT. Treating non-specific low back pain through to pilates method. J Bodyw Mov Ther. 2008; 12: 364-374

  5. Donzelli S, Di Domencia E, Cova AM, Galetti R, Giınta N. Two different technique in the rehabilitation treatment of low back pain: a randomized clinical trail. Eura Medicophys. 2005; 42: 205-210.

  6. Altan L, Korkmaz N, Bingol U, Gunay B. Effect of pilates training on people with ankylozing spondilitis. Arch Phys Med Rehabil 2009 Dec;90(12):1983-8

Disclosure of Interest None Declared

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.