Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice
Severe exacerbation of symptoms in patients with chronic-fatigue syndrome (CFS) and fibromyalgia (FM) are common following physical activity. This can result in developing fear of movement (FOM) and avoidance behaviour (AB) towards physical activity. The aim of this study was 1) to review the available measures for determine FOM and AB, 2) to review the prevalence of FOM and AB and 3) to describe the best therapeutic options in patients with CFS and FM.
Pain related fear of movement can be assessed with the Tampa Scale for Kinesiophobia (TSK). The TSK-CFS (chronic fatigue syndrome) is a modified version in which “pain” is replace by “my symptoms” and can be used in CFS.
About 40% of the FM patients show high levels of FOM and AB towards physical activity. The available literature is not consistent in prevalence numbers of FOM and AB in the CFS population. Summarizing the literature, for a successful treatment it is important to identify CFS and FM patients with FOM and AB. The best available treatment for addressing FOM and AB is specific behaviour therapy plus exercise therapy. > From: Nijs et al., Clin Rheumatol 32 (2013) 1121 – 1129. All rights reserved to Springer.
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