Is kinesiophobia related to fear of falling, dizziness disability, and migraine disability in patients with migraine?. (18th November 2022)

• Record Type: Journal Article
• Authors: Pinheiro, Carina F.; Bevilaqua-Grossi, Debora; Florencio, Lidiane L.; Bragatto, Marcela M.; Benatto, Mariana T.; Dach, Fabiola; Bigal, Marcelo E.; Carvalho, Gabriela F.
• Is Part Of: Physiotherapy theory and practice. Volume 38:Number 13(2022)
• Page Start: 2727
• Page End: 2735
• Publication Date: 2022-11-18
• Subjects: Fear-avoidance -- dizziness -- disability -- falls -- headache; Physical therapy -- Periodicals; 615.82
• DOI: 10.1080/09593985.2021.1996496
• Languages: English
• ISSNs: 0959-3985

Abstract

ABSTRACT: Introduction: Kinesiophobia is a common symptom associated with high disability, and has been observed in patients with migraine. However, the association between kinesiophobia and clinical factors in this population is unknown. Objective: To assess the fear of falling, dizziness disability, and migraine disability in patients with migraine, considering the presence of kinesiophobia. Methods: Eighty patients with migraine completed the Tampa Scale for Kinesiophobia and were divided into two groups according to the questionnaire cutoff point: migraine without kinesiophobia (MoK, n = 39) and migraine with kinesiophobia (MK, n = 41). Fear of falling, dizziness disability, and migraine disability were assessed in both groups using validated questionnaires. Results: The MK group presented higher scores on dizziness disability, fear of falling, and migraine disability compared to the MoK ( p < .05). Kinesiophobia can explain 29% of the variance in dizziness disability and 18% of migraine disability. Both kinesiophobia and the presence of dizziness can explain 14% of fear of falling variability. Also, kinesiophobia is associated with the risk of presenting fear of falling (Prevalence Ratio = 2.4, p = .012), and migraine disability (Prevalence Ratio = 2.6, p = .01). Conclusion: The presence of kinesiophobia should be considered in clinical practice when evaluating migraine, as it is associated with increased levels of fear of falling, dizziness disability, and migraine disability.