Fibromyalgia and the Fear of Activity

Today we will be discussing what is termed fear avoidance syndrome or kinesophobia as it pertains to fibromyalgia. This is a well acknowledged condition that applies to patients with chronic pain conditions including but not limited to fibromyalgia. We will discuss  how we handle this issue in our fibro sufferers as well as what this means relative to prognosis.

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References:
1.Decrease of fear avoidance beliefs following person-centered progressive resistance exercise contributes to reduced pain disability in women with fibromyalgia: secondary exploratory analyses from a randomized controlled trial.
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2.Differences in pain-related fear acquisition and generalization: an experimental study comparing patients with fibromyalgia and healthy controls.
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3.Avoidance behavior towards physical activity in chronic fatigue syndrome and fibromyalgia: the fear for post-exertional malaise.
Nijs J, Lundberg M.
Clin Rheumatol. 2014 Jan;33(1):151-2. doi: 10.1007/s10067-013-2421-1. No abstract available.
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4.Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice.
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6.Why people with fibromyalgia persist in activity despite the increasing pain? A Delphi Study of the content of the Clinic Scale of Persistence in Activity in Fibromyalgia.
Torres X, Herrero MJ, Martí M, Conesa A, Valdés M, Arias A, Gómez E, Collado A.
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7.The relationship between the fear-avoidance model of pain and personality traits in fibromyalgia patients.
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8.Attention modification in persons with fibromyalgia: a double blind, randomized clinical trial.
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9.Norming of the Tampa Scale for Kinesiophobia across pain diagnoses and various countries.
Roelofs J, van Breukelen G, Sluiter J, Frings-Dresen MH, Goossens M, Thibault P, Boersma K, Vlaeyen JW.
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10.Risk factors for longer term psychological distress in well-functioning fibromyalgia patients: a prospective study into prognostic factors.
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