Clinical Rheumatology

, Volume 32, Issue 8, pp 1121–1129

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

Authors

    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Department of Physical Medicine and PhysiotherapyUniversity Hospital Brussels
  • Nathalie Roussel
    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Chronic Pain and Chronic Fatigue Research Group (CHROPIVER), Division of Musculoskeletal Physiotherapy, Department of Health Care SciencesArtesis University College Antwerp
    • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health SciencesUniversity of Antwerp
  • Jessica Van Oosterwijck
    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Chronic Pain and Chronic Fatigue Research Group (CHROPIVER), Division of Musculoskeletal Physiotherapy, Department of Health Care SciencesArtesis University College Antwerp
    • Rehabilitation Sciences and PhysiotherapyGhent University
  • Margot De Kooning
    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Department of Physical Medicine and PhysiotherapyUniversity Hospital Brussels
  • Kelly Ickmans
    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Department of Physical Medicine and PhysiotherapyUniversity Hospital Brussels
  • Filip Struyf
    • Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and PhysiotherapyVrije Universiteit Brussel
    • Chronic Pain and Chronic Fatigue Research Group (CHROPIVER), Division of Musculoskeletal Physiotherapy, Department of Health Care SciencesArtesis University College Antwerp
    • Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health SciencesUniversity of Antwerp
  • Mira Meeus
    • Chronic Pain and Chronic Fatigue Research Group (CHROPIVER), Division of Musculoskeletal Physiotherapy, Department of Health Care SciencesArtesis University College Antwerp
    • Rehabilitation Sciences and PhysiotherapyGhent University
  • Mari Lundberg
    • University of Gothenburg
Review Article

DOI: 10.1007/s10067-013-2277-4

Cite this article as:
Nijs, J., Roussel, N., Van Oosterwijck, J. et al. Clin Rheumatol (2013) 32: 1121. doi:10.1007/s10067-013-2277-4

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

Chronic-fatigue syndromeChronic painFear avoidanceFear of movementFibromyalgiaKinesiophobia

Abbreviations

FM

Fibromyalgia

CFS

Chronic-fatigue syndrome

TSK

Tampa scale of kinesiophobia

Copyright information

© Clinical Rheumatology 2013