Does Kinesiophobia Associated with Poststroke Neuropathic Pain and Stroke Severity?

inesiophobia is defined as fear of acting due to belief of predisposition to injury.It causes physical activity limitation.In the continuation of chronic pain, pain-related fear significantly contributes the Does Kinesiophobia Associated with Poststroke Neuropathic Pain and Stroke Severity?A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Kinesiophobia is defined as fear of acting due to belief of predisposition to injury.It causes physical activity limitation.There are many factors in the older age population that affect poor recovery after stroke.Central pain after stroke is a neuropathic pain disorder with unknown pathogenesis.Here, we aimed to evaluate association of kinesiophobia with poststroke central pain and the stroke severity in stroke patients at rehabilitation program.M Ma at te er ri ia al l a an nd d M Me et th h-o od ds s: : Seventy-five (n=75) stroke patients with the mean age range of 55.5±13.1 year were included in the study.The control group (n=78) consisted of healthy volunteers of similar age and gender.Age, gender, stroke duration, involved side, stroke type (ischemic, hemorrhagic, subarachnoid etc.) were recorded in all patients.The severity of stroke was assessed by the National Institute of Health Stroke Scale.Poststroke pain was assessed by the Self-Leeds Assessment of Neuropathic Symptoms and Sign pain scale.Kinesiophobia was assessed by the Tampa Scale for Kinesiophobia.R Re es su ul lt ts s: : Of the patients, 53.3% were in acute, 20% were in subacute and 20% were in chronic period.The mean duration of the stroke was 13.6±22.2years.The rate of right side involvement was 48% and 58% was ischemic type.The mean Tampa score was 44±7.7 and was statistically higher than control group.The mean National Institute of Health Stroke Scale score was 4.5±3.9;Self-Leeds Assessment of Neuropathic Symptoms and Sign pain score was 7.2±6.7; the prevelance of neuropathic pain was 21.3% (n=16) and was similar with control group.C Co on nc cl lu us si io on n: : Kinesiophobia was found to be higher in stroke patients and was positively correlated with advanced age, disease duration and stroke severity.We should consider kinesiophobia in stroke rehabilitation programs.K Ke ey yw wo or rd ds