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Fear of movement and avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice

(2013) CLINICAL RHEUMATOLOGY. 32(8). p.1121-1129
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Abstract
Severe exacerbation of symptoms following physical activity is characteristic for chronic-fatigue syndrome (CFS) and fibromyalgia (FM). These exacerbations make it understandable for people with CFS and FM to develop fear of performing body movement or physical activity and consequently avoidance behaviour toward physical activity. The aims of this article were to review what measures are available for measuring fear of movement and avoidance behaviour, the prevalence fear of movement and avoidance behaviour toward physical activity and the therapeutic options with fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM. The review revealed that fear of movement and avoidance behaviour toward physical activity is highly prevalent in both the CFS and FM population, and it is related to various clinical characteristics of CFS and FM, including symptom severity and self-reported quality of life and disability. It appears to be crucial for treatment (success) to identify CFS and FM patients displaying fear of movement and avoidance behaviour toward physical activity. Individually tailored cognitive behavioural therapy plus exercise training, depending on the patient's classification as avoiding or persisting, appears to be the most promising strategy for treating fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM.
Keywords
Fibromyalgia, Fear of movement, Kinesiophobia, Fear avoidance, Chronic-fatigue syndrome, Chronic pain, PAIN-RELATED FEAR, LOW-BACK-PAIN, EXERCISE CAPACITY, SYMPTOM SEVERITY, MECHANISMS, DISABILITY, MANAGEMENT, STRESS, MODEL, KINESIOPHOBIA

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Chicago
Nijs, Jo, Nathalie Roussel, Jessica Van Oosterwijck, Margot De Kooning, Kelly Ickmans, Filip Struyf, Mira Meeus, and Mari Lundberg. 2013. “Fear of Movement and Avoidance Behavior Towards Physical Activity in Chronic Fatigue Syndrome and Fibromyalgia: State of the Art and Implications for Clinical Practice.” Clinical Rheumatology 32 (8): 1121–1129.
APA
Nijs, Jo, Roussel, N., Van Oosterwijck, J., De Kooning, M., Ickmans, K., Struyf, F., Meeus, M., et al. (2013). Fear of movement and avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. CLINICAL RHEUMATOLOGY, 32(8), 1121–1129.
Vancouver
1.
Nijs J, Roussel N, Van Oosterwijck J, De Kooning M, Ickmans K, Struyf F, et al. Fear of movement and avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. CLINICAL RHEUMATOLOGY. 2013;32(8):1121–9.
MLA
Nijs, Jo, Nathalie Roussel, Jessica Van Oosterwijck, et al. “Fear of Movement and Avoidance Behavior Towards Physical Activity in Chronic Fatigue Syndrome and Fibromyalgia: State of the Art and Implications for Clinical Practice.” CLINICAL RHEUMATOLOGY 32.8 (2013): 1121–1129. Print.
@article{4082546,
  abstract     = {Severe exacerbation of symptoms following physical activity is characteristic for chronic-fatigue syndrome (CFS) and fibromyalgia (FM). These exacerbations make it understandable for people with CFS and FM to develop fear of performing body movement or physical activity and consequently avoidance behaviour toward physical activity. The aims of this article were to review what measures are available for measuring fear of movement and avoidance behaviour, the prevalence fear of movement and avoidance behaviour toward physical activity and the therapeutic options with fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM. The review revealed that fear of movement and avoidance behaviour toward physical activity is highly prevalent in both the CFS and FM population, and it is related to various clinical characteristics of CFS and FM, including symptom severity and self-reported quality of life and disability. It appears to be crucial for treatment (success) to identify CFS and FM patients displaying fear of movement and avoidance behaviour toward physical activity. Individually tailored cognitive behavioural therapy plus exercise training, depending on the patient's classification as avoiding or persisting, appears to be the most promising strategy for treating fear of movement and avoidance behaviour toward physical activity in patients with CFS and FM.},
  author       = {Nijs, Jo and Roussel, Nathalie and Van Oosterwijck, Jessica and De Kooning, Margot and Ickmans, Kelly and Struyf, Filip and Meeus, Mira and Lundberg, Mari},
  issn         = {0770-3198},
  journal      = {CLINICAL RHEUMATOLOGY},
  keywords     = {Fibromyalgia,Fear of movement,Kinesiophobia,Fear avoidance,Chronic-fatigue syndrome,Chronic pain,PAIN-RELATED FEAR,LOW-BACK-PAIN,EXERCISE CAPACITY,SYMPTOM SEVERITY,MECHANISMS,DISABILITY,MANAGEMENT,STRESS,MODEL,KINESIOPHOBIA},
  language     = {eng},
  number       = {8},
  pages        = {1121--1129},
  title        = {Fear of movement and avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice},
  url          = {http://dx.doi.org/10.1007/s10067-013-2277-4},
  volume       = {32},
  year         = {2013},
}

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