The Relationship Between Fear of Falling, Kinesiophobia, and Dual-Task Performance in Chronic Stroke: A Study on Self-Reported and Performance-Based Measures

Abstract

Purpose: The aim of this study was to evaluate the relationship between Fear of Falling (FoF), kinesiophobia and both performance-based and self-reported dual task in patients with chronic stroke and compare their results with healthy individuals. Method: The study consisted of 37 patients diagnosed with chronic stroke and 30 healthy individuals as the control group. Self-reported dual-task was evaluated using the Dual-Task Questionnaire, whereas performance-based single- and dual-task assessments were conducted with the Timed Up and Go (TUG), TUG-Motor, and TUG-Cognitive tasks. FoF was measured with the Falls Efficacy Scale–International, and kinesiophobia was assessed using the Tampa Scale of Kinesiophobia. Results: Patients with chronic stroke showed higher levels of FoF and kinesiophobia, alongside lower self-reported dual-task performance compared with healthy controls (p≤0.001). They also showed poorer performance on all TUG-based assessments (TUG, TUG-Motor and TUG-Cognitive) (p<0.001). Moderate positive correlations were identified between FoF and both dual-task performance and kinesiophobia (r=0.477, p=0.003; r=0.532, p=0.001). Dual-task performance was similarly moderately correlated with kinesiophobia and TUG outcomes (r=0.403–0.465, p≤0.016). In contrast, no significant associations were found between fear of falling, kinesiophobia, and TUG measures (p>0.05). Discussion: In conclusion, it was determined that individuals with chronic stroke have significant deficits in fear of falling, kinesiophobia, and dual-task performance, and that these impairments correlate with each other. The findings highlight the importance of psychosocial and cognitive factors on physical performance in stroke patients.

Keywords

• Stroke
• Kinesiophobia
• Task Performance and Analysis
• Self-Report

Kronik İnmede Düşme Korkusu, Kinezyofobi ve İkili Görev Performansı Arasındaki İlişki: Öz-Bildirim ve Performansa Dayalı Ölçümler Üzerine Bir Çalışma

Abstract

Amaç: Bu çalışmanın amacı, kronik inme geçiren bireylerde düşme korkusu, kinesyofobi ile hem performansa dayalı hem de öz-bildirime dayalı çift görev arasındaki ilişkiyi değerlendirmek ve sağlıklı bireylerle karşılaştırmaktı. Yöntem: Çalışmaya 37 kronik inme hastası ve kontrol grubu olarak 30 sağlıklı birey dâhil edildi. Öz-bildirime dayalı çift görev değerlendirmesi Çift Görev Anketi ile; Tek Görev ve Çift Görev Performansı ise Zamanlı Kalk Yürü Testi (ZKYT), ZKYT-Motor ve ZKYT-Bilişsel testleri ile değerlendirildi. Düşme korkusu Uluslararası Düşme Etkililik Ölçeği ile, kinesyofobi ise Tampa Kinesyofobi Ölçeği ile ölçüldü. Bulgular: Kronik inme hastalarında sağlıklı kontrollere kıyasla düşme korkusu ve kinesyofobi daha yüksek, öz-bildirim çift görev performansı ise daha düşüktü (p≤0.001). İnme hastalarının TUG test skorları daha yüksekti (p<0.001). Düşme korkusu ile çift görev performansı ve kinesyofobi arasında orta düzeyde pozitif korelasyon saptandı (r=0.477, p=0.003; r=0.532, p=0.001). Çift görev performansı ile kinesyofobi ve TUG testleri arasında da orta düzeyde pozitif korelasyon vardı (r=0.403–0.465, p≤0.016). Düşme korkusu, kinesyofobi ve TUG testleri arasında ilişki gözlenmedi (p>0.05). Sonuç: Sonuç olarak, kronik inme geçirmiş bireylerde düşme korkusu, kinesyofobi ve çift görev performansında anlamlı bozulmalar olduğu belirlenmiştir. Bulgular, inme geçiren bireylerde fiziksel performans üzerinde psikososyal ve bilişsel faktörlerin önemini vurgulamaktadır.

Keywords

• inme
• düşme korkusu
• kinezyofobi
• öz bildirime dayalı çift görev
• performansa dayalı çift görev

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