Background Promoting physical activity is one of the major goals in the management of systemic lupus eryhthematosus (SLE) given negative impact of sedentary life style on longterm prognosis. Less is known about SLE patients' willingness to participate in physical activity. Kinesiophobia is an excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury.
Objectives To investigate relationship between kinesiophobia and physical activity level, disease activity, depression, fatique, pain and quality of life in women with SLE.
Methods 69 pre-menopausal women (mean age 37.50±9.56; range from 18 to 55 years old) were included in this study. Patient demographics and clinical manifestations were recorded. Kinesiophobia was assessed with Tampa Scale for Kinesiophobia (TSK, a score of >37 was considered as high kinesiophobia level), physical activity was assessed with International Physical Activity Questionnare (IPAQ), disease activity was assessed with Systemic Lupus Erythematosus Disease Activity Index (SLEDAI), fatique was assessed with Fatique Severity Scale, depression was assessed with Beck Depression Inventory (BDI), pain was assessed with McGill Pain Scale (MPS) and quality of life was assessed with Nottingham Health Profile (NHP). Correlations between these measures were analyzed.
Results Kinesiophobia was found to be very common in SLE affecting 66.6% of patients. There was a positive correlation between TSK score and depression (r=0,335, p=0,005) and some subscales of NHP [social isolation (r=0,350, p=0,003), emotional reactions (r=0,435, p<0.001)]. However there was no correlation between TSK score and physical activity level, fatique, sleep, disease activity, pain and the rest of subscales of NHP (pain, physical activity and fatique) (p>0.05).
Conclusions According to our study, the reason of activity avoidance and fear of movement of the patients with SLE is more associated with the psychological problems than the pain aggravated with activity. In the treatment of SLE, patients need psychological support to promote physical activity level which improves survival and quality of life.
Costenbader KH, Wright E, Liang MH, Karlson EW. Cardiac risk factor awareness and management in patients with systemic lupus erythematosus. Arthritis Care Res 2004; 51: 983–988
CA Mancuso, M Perna, AB Sergant, JE Salmon: Perception and measurements of physical activity in patients with systemic lupus erythematosus. Lupus 2011 20:231
Disclosure of Interest None declared
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