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Kinesiophobia in Crohn's disease: A matched case-control study
Juan Manuel Escudero-Prados1, Antonio Cortés-Rodríguez1, Marta Elena Losa-Iglesias2
1Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, Ferrol, 15403, Spain.
Patients with Crohn's disease (CD) experience significantly higher kinesiophobia, or fear of movement, compared to healthy individuals. This fear may hinder physical activity and requires consideration in managing CD.
Area of Science:
- Gastroenterology
- Psychology
- Clinical Research
Background:
- Crohn's disease (CD) is a chronic inflammatory disorder with significant patient burden.
- Kinesiophobia (fear of movement) has not been extensively studied in CD patients.
Purpose of the Study:
- To compare kinesiophobia levels in CD patients versus matched healthy controls.
- To utilize the Tampa Scale of Kinesiophobia Spanish Version (TSK-11SV) for assessment.
Main Methods:
- A matched case-control study involved 108 participants (54 CD patients, 54 controls).
- Demographic, anthropometric data, and TSK-11SV questionnaire responses were collected.
- Statistical analyses compared group differences and assessed effect sizes.
Main Results:
- CD patients showed significantly higher TSK-11SV scores (mean difference 3.96, p < 0.001).
- Moderate-to-extreme kinesiophobia affected 70.4% of CD patients vs. 40.7% of controls (p = 0.015).
- Extreme kinesiophobia was only reported in the CD group.
Conclusions:
- Individuals with CD demonstrate a significantly greater fear of movement than healthy controls.
- Kinesiophobia may be a psychological barrier to physical activity in CD management.
- Routine assessment and tailored exercise interventions are recommended for CD patients with elevated kinesiophobia.
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