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Convergence Study on the Relationship between Kinesiophobia and Fear of Falling in Patients with Stroke

뇌졸중 환자의 운동공포증과 낙상공포 사이의 관계에 대한 융합 연구

  • Jo, Sungbae (Dept. of Physical Therapy, Graduate School of Sahmyook University) ;
  • Choi, Wonjae (Institute of SMART Rehabilitation, Sahmyook University) ;
  • Jung, Jihye (Dept. of Physical Therapy, Graduate School of Sahmyook University) ;
  • Park, Jiyu (Dept. of Physical Therapy, Graduate School of Sahmyook University) ;
  • Lee, Seungwon (Institute of SMART Rehabilitation, Sahmyook University)
  • 조성배 (삼육대학교 대학원 물리치료학과) ;
  • 최원재 (삼육대학교 SMART 재활연구소) ;
  • 정지혜 (삼육대학교 대학원 물리치료학과) ;
  • 박지유 (삼육대학교 대학원 물리치료학과) ;
  • 이승원 (삼육대학교 SMART 재활연구소)
  • Received : 2019.08.06
  • Accepted : 2019.10.20
  • Published : 2019.10.28

Abstract

This study aimed to investigate the convergence relationship between kinesiophobia and fear of falling in patients with stroke. A total of 113 patients with stroke participated in this study. Participants underwent inpatient rehabilitation and completed surveys with three different questionnaires including the fall efficacy scale (FES), translated Tampa Scale for Kinesiophobia 13 (TSK-13), and activity-specific balance confidence scale (ABC). TSK-13 and FES showed weak negative correlation (r=-0.226), and TSK-13 and ABC showed moderate negative correlation (r=-0.300). FES had a very strong positive relationship compared with ABC (r=0.838). Faller showed significantly low FES and ABC scores compared with non-faller (p<0.05). These results present that patients with stroke had mild kinesiophobia, and kinesiophobia is related to fear of falling. It is necessary to evaluate kinesiophobia in stroke rehabilitation.

본 연구의 목적은 뇌졸중 환자의 운동공포증과 낙상공포 사이에 융합적 관계를 조사하는 것이다. 총 113명의 뇌졸중 환자가 본 연구에 참여하였다. 참여자는 재활병원 입원환자로 낙상 효능감 척도(FES), 운동공포증을 위한 번역된 탐파 척도(TSK-13), 및 활동-특이성 균형 자신감 척도(ABC)를 포함한 3가지 다른 설문지를 작성하도록 요청하였다. TSK-13과 FES는 약한 음의 상관관계를 보였고(r=-0.226), TSK-13과 ABC는 중등도 음의 상관관계가 나타났다(r=0.838). FES는 ABC와 비교했을 때 매우 강한 양의 상관관계가 나타났다(r=0.838). 낙상을 경험한 환자는 낙상을 경험하지 않은 환자보다 유의하게 낮은 FES와 ABC 점수를 보였다(p<0.05). 이 결과는 뇌졸중 환자가 경증 운동공포증을 가지고 있으며, 운동공포증은 낙상공포와 관련이 있음을 제시하고 있습니다. 앞으로 뇌졸중 재활에 있어 운동공포증의 평가가 필요할 것으로 사료된다.

Keywords

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