Kinesiophobia is associated with worse functionality after breast cancer surgery
DOI:
https://doi.org/10.29289/2594539420240011Keywords:
breast cancer, surgery, exercise, kinesiophobia, cooperation and adherence to treatmentAbstract
Introduction: Kinesiophobia has been reported as a determining factor for dysfunction associated with pain and daily living activity alterations in breast cancer patients. This study aimed to identify the frequency and factors associated with kinesiophobia concerning upper limb exercises during the first month after surgery for breast cancer treatment. Methods: Women aged 18 to 79 years with indication for curative breast cancer with an axillary surgery were instructed to perform shoulder exercises with either free or restricted range of motion at home. They returned 30 days after surgery, when kinesiophobia was assessed using the Tampa Scale for Kinesiophobia questionnaire. Results: The study included 298 women. Of these, 64 (21.5%) lost the follow-up, totaling 234 (78.3%) who were assessed for kinesiophobia. Participants with declining functionality and difficulty performing the prescribed exercises worsened 3.19 (95% confidence interval [CI] 0.93 to 5.45; p=0.006) and 2.95 (95%CI 0.30 to 5.41; p=0.019) kinesiophobia score points, respectively, while those who performed professional activities exhibited an improvement of -2.45 (95%CI -4.58 to -0.33) kinesiophobia score points. Conclusion: The breast cancer patients who exhibited poorer functionality and greater difficulty performing the prescribed exercises after surgical treatment exhibited higher kinesiophobia scores, while those who performed professional activities presented lower scores.
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Copyright (c) 2025 Clarice Gomes Chagas Teodózio, Liz de Oliveira Marchito, Suzana Sales de Aguiar, Luiz Claudio Santos Thuler, Anke Bergmann
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