eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution:China Association for Science and Technology
Sponsor:Chinese Nursing Association
Review

A scoping review of kinesiophobia research in stroke patients

  • ZHANG Xiaping ,
  • LUO Songna
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Received date: 2024-06-27

  Online published: 2025-04-28

Abstract

Objective To conduct a scoping review of the research on kinesiophobia in stroke patients,and sort out the status quo,influencing factors,assessment tools and intervention methods of kinesiophobia,so as to provide reference for promoting active rehabilitation of stroke patients. Methods Guided by the scoping review methodology,the databases of CNKI,Wanfang Database,Chinese Biomedical Literature database,web of Science,PubMed,CINAHL and Cochrane Library were searched by computer. The retrial limit was from the establishment of the databases until May 17,2024. The included literature was screened,summarized and analyzed. Results Fifteen literatures were included. The incidence of kinesiophobia in stroke patients ranged from 24.17% to 78.3%. Tampa Scale for Kinesiophobia and the Tampa Scale for Kinesiophobia Heart were used to evaluate kinesiophobia. The influencing factors of kinesiophobia in stroke patients included demographic factors,social psychological factors,physical health factors and disease history. Intervention methods included stimulating care,pain neuroscience education,and cognitive behavioral therapy. Conclusion The research on kinesiophobia in stroke patients is still in the development stage. The incidence of kinesiophobia is high and affected by multiple factors. It is necessary to strengthen the research on localized assessment tools in stroke patients,increase the study sample size,timely identify kinesiophobia in stroke patients and conduct intervention,and develop and improve it at the level of family,community and Internet technology in the future.

Cite this article

ZHANG Xiaping , LUO Songna . A scoping review of kinesiophobia research in stroke patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(5) : 624 -630 . DOI: 10.3761/j.issn.2096-7446.2025.05.021

References

[1] 陈清, 张燕丹. 脑卒中康复期患者恐动症列线图模型的构建[J]. 医药高职教育与现代护理, 2024, 7(1):74-78.
  Chen Q, Zhang YD. Construction of kinetophobia diagram mo-del for stroke convalescent patients[J]. Med High Vocat Educ Mod Nurs, 2024, 7(1):74-78.
[2] Chen X, Yang XN, Li YQ, et al. Influencing factors of kinesio-phobia among stroke patients with hemiplegia:a mixed me-thods study[J]. Clin Neurol Neurosurg, 2024,240:108254.
[3] B?k E, M?ynarska A, Marcisz C, et al. Kinesiophobia in elderly Polish patients after ischemic stroke,including frailty syndrome[J]. Neuropsychiatr Dis Treat, 2022,18:707-715.
[4] 雷梦迪, 张倬萁, 潘兰霞, 等. 全膝关节置换术后病人恐动症列线图预测模型的构建[J]. 护理研究, 2023, 37(1):40-46.
  Lei MD, Zhang ZQ, Pan LX, et al. Construction of nomogram prediction model for kinesiophobia in patients underwent total knee arthroplasty[J]. Chin Nurs Res, 2023, 37(1):40-46.
[5] Kori S. Kinesiophobia:a new view of chmnic pain behavior[J]. Pain Manag, 1990, 5(3):35-43.
[6] Wasiuk-Zowada D, Knapik A, Szefler-Derela J, et al. Kinesiopho-bia in stroke patients,multiple sclerosis and Parkinson’s dise-sase[J]. Diagnostics, 2021, 11(5):796.
[7] Dudley L, Mamdoo P, Naidoo S, et al. Towards a harmonised fra-mework for developing quality of care indicators for global health:a scoping review of existing conceptual and methodo-logical practices[J]. BMJ Health Care Inform, 2022, 29(1):e100469.
[8] 李燕, 梅永霞, 张振香, 等. 老年脑卒中患者早期康复阶段运动恐惧现状及影响因素分析[J]. 中国药物滥用防治杂志, 2024, 30(4):658-663.
  Li Y, Mei YX, Zhang ZX, et al. Analysis of the status quo and influencing factors of exercise fear in the early rehabilitation stage of elderly stroke patients[J]. Chin J Drug Abuse Prev Treat, 2024, 30(4):658-663.
[9] Wasiuk-Zowada D, Knapik A, Szefler-Derela J, et al. Kinesiopho-bia in stroke patients,multiple sclerosis and Parkinson’s di-sesase[J]. Diagnostics, 2021, 11(5):796.
[10] 韩慧, 付苏, 樊朝凤, 等. 脑出血术后患者恐动症发生情况及影响因素分析[J]. 神经疾病与精神卫生, 2021, 21(9):652-657.
  Han H, Fu S, Fan CF, et al. Analysis of the incidence and influencing factors of dystonia in patients with cerebral he-morrhage after operation[J]. Neurol Dis Mental Health, 2021, 21(9):652-657.
[11] 叶旭阳, 梅永霞, 米元元, 等. 缺血性脑卒中支架置入术后患者运动恐惧影响因素的质性研究[J]. 中国临床护理, 2024, 16(4):207-212.
  Ye XY, Mei YX, Mi YY, et al. Qualitative study on in-fluencing factors of kinesiophobia among stroke survivors after stent implantation[J]. Chin Clin Nurs, 2024, 16(4):207-212.
[12] U?mak GS, K?l?n? M. The effects of kinesiophobia,fatigue,and quality of life on physical activity in patients with stroke[J]. Top Stroke Rehabil,2024:1-7.
[13] Tan MY, Li HY, Wang XL. Analysis of the current status of rehabilitation motivation and its influencing factors in older adults with stroke:a cross-sectional study[J]. Front Aging Neu-rosci, 2023,15:1186681.
[14] 张月, 许方蕾, 任鹏娜, 等. 急性缺血性脑卒中合并心房颤动患者运动恐惧现状及其影响因素分析[J]. 重庆医科大学学报, 2022, 47(7):821-827.
  Zhang Y, Xu FL, Ren PN, et al. Current status of exercise anxiety in patients with acute ischemic stroke and atrial fibrillation and its influencing factors analysis[J]. J Chongqing Med Univ, 2022, 47(7):821-827.
[15] Koca TT, Gülkesen A, Nac?tarhan V, et al. Does kinesiophobia associated with poststroke neuropathic pain and stroke severity?[J]. J PMR Sci, 2019, 22(2):60-65.
[16] Jo S, Choi W, Jung J, et al. Convergence study on the rela-tionship between kinesiophobia and fear of falling in patients with stroke[J]. J Korean Chem Soc, 2019,10:33-41.
[17] 邹艳贤, 雷波, 王嘉轩, 等. 首发脑卒中后偏瘫患者康复早期运动恐惧的影响因素及促动护理干预[J]. 临床护理杂志, 2022, 21(6):48-51.
  Zou YX, Lei B, Wang JX, et al. Influence factors of exercise fear in early rehabilitation of patients with hemiplegia after first stroke and stimulating nursing intervention[J]. J Clin Nurs, 2022, 21(6):48-51.
[18] Sethy D, Sahoo S. Kinesiophobia after complex regional pain syndrome type one in a case of stroke hemiplegia and effect of cognitive behavior therapy[J]. Indian J Psychiatry, 2018, 60(1):152-154.
[19] Anandkumar S, Manivasagam M. Multimodal physical therapy management of a 48-year-old female with post-stroke complex regional pain syndrome[J]. Physiother Theory Pract, 2014, 30(1):38-48.
[20] 胡文. 简体中文版TSK和FABQ量表的文化调适及其在退行性腰腿痛中的应用研究[D]. 上海: 第二军医大学, 2012.
  Hu W. Cultural adjustment of simplified Chinese TSK and FABQ scale and its application in degenerative lumbago and leg pain[D]. Shanghai: Second Military Medical University, 2012.
[21] Swinkels-Meewisse IE, Roelofs J, Schouten EG, et al. Fear of movement/(re)injury predicting chronic disabling low back pain:a prospective inception cohort study[J]. Spine, 2006, 31(6):658-664.
[22] Woby SR, Roach NK, Urmston M, et al. Psychometric proper-ties of the TSK-11:a shortened version of the Tampa Scale for Kinesiophobia[J]. Pain, 2005, 117(1/2):137-144.
[23] Cai LB, Liu YJ, Woby SR, et al. Cross-cultural adaptation,re-liability,and validity of the Chinese version of the Tampa scale for kinesiophobia-11 among patients who have under-gone total knee arthroplasty[J]. J Arthroplasty, 2019, 34(6):1116-1121.
[24] B?ck M, Jansson B, Cider A, et al. Validation of a question-naire to detect kinesiophobia (fear of movement) in patients with coronary artery disease[J]. J Rehabil Med, 2012, 44(4):363-369.
[25] 汤莉娅. 心脏疾病运动恐惧量表的汉化及其在冠心病患者中的应用研究[D]. 长春: 吉林大学, 2020.
  Tang LY. Sinicization of exercise fear scale for heart disease and its application in patients with coronary heart disease[D]. Changchun: Jilin University, 2020.
[26] 雷梦杰, 刘婷婷, 熊司琦, 等. 心脏病患者运动恐惧量表的汉化及信度效度检验[J]. 中国护理管理, 2019, 19(11):1637-1642.
  Lei MJ, Liu TT, Xiong SQ, et al. Reliability and validity test of Chinese version of the Tampa Scale for Kinesiophobia Heart[J]. Chin Nurs Manag, 2019, 19(11):1637-1642.
[27] Rozmiarek M, Grajek M, Malchrowicz-Mo?ko E, et al. Polish adaptation of the modified Tampa scale of kinesiophobia for fatigue(TSK-F) and the revision of the Tampa scale in terms of pain for cancer patients[J]. Int J Environ Res Public Health, 2022, 19(19):12730.
[28] Areeudomwong P, Buttagat V. Reliability and validity of the cross-culturally adapted Thai version of the Tampa scale for kinesiophobia in knee osteoarthritis patients[J]. Malays J Med Sci, 2017, 24(2):61-67.
[29] 蔡利亚, 褚佳, 于红英. 移动互联网技术在老年髋关节置换术后康复管理中的应用[J]. 中医药管理杂志, 2020, 28(23):46-49.
  Cai LY, Chu J, Yu HY. Application of mobile Internet technology in rehabilitation management of elderly patients after hip replacement[J]. J Tradit Chin Med Manag, 2020, 28(23):46-49.
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