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Kinesiophobia in older patients after stroke: a mixed-methods study using a life-course perspective.
Yujing Gu1, Honggan Wang2, Mengmeng Zhong2
1Department of Scientific Research, Affiliated Children's Hospital of Jiangnan University (Wuxi Children's Hospital), Wuxi, Jiangsu, China.
BMC Geriatrics
|June 16, 2026
Summary
Kinesiophobia (fear of movement) affects 64.8% of older stroke survivors, influenced by physical, psychological, and social factors. Integrating assessments into nursing care can improve rehabilitation and home strategies for safe exercise participation.
Area of Science:
- Gerontology
- Neurology
- Psychology
Background:
- Kinesiophobia, or the fear of movement, is a significant concern for older adults post-stroke.
- Understanding the multifaceted factors contributing to kinesiophobia is crucial for effective rehabilitation.
Purpose of the Study:
- To determine the prevalence of kinesiophobia in older stroke patients.
- To identify physical, psychological, social, and historical factors associated with kinesiophobia.
- To explore the lived experiences of kinesiophobia in this population.
Main Methods:
- A mixed-methods approach combining quantitative surveys (N=307) and qualitative interviews (N=18).
- Participants were older adults (≥60 years) in subacute or chronic phases post-stroke.
- Data collection included assessments of physical function, psychological status, and illness adaptation, followed by life-course perspective interviews.
Main Results:
- The prevalence of kinesiophobia was 64.8%.
- Muscle weakness, fear of falling, frailty, and anxiety were linked to higher kinesiophobia.
- Older age (≥81), exercise self-efficacy, and illness acceptance were associated with lower kinesiophobia.
Conclusions:
- Kinesiophobia in older stroke survivors is a complex issue influenced by physical, psychological, social, and experiential factors.
- Findings support integrating kinesiophobia assessment into routine nursing care.
- Individualized rehabilitation and home-care strategies are needed to promote safe exercise and engagement.
