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Chronic Pain Patients’ Kinesiophobia and Catastrophizing are Associated with Activity Intensity at Different Times of the Day

Authors Miller MB, Roumanis MJ, Kakinami L, Dover GC

Received 6 September 2019

Accepted for publication 24 December 2019

Published 31 January 2020 Volume 2020:13 Pages 273—284


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Michael A Überall

Matthew B Miller,1 Melissa J Roumanis,1 Lisa Kakinami,2,3 Geoffrey C Dover1,3,4

1Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada; 2Department of Mathematics & Statistics, Concordia University, Montreal, Canada; 3PERFORM Centre, Concordia University, Montreal, Canada; 4Centre de Recherché Interdisciplinaire en Réadaptation du Montréal Metropolitain, Montreal, Canada

Correspondence: Matthew B Miller
Department of Health, Kinesiology, and Applied Physiology, Concordia University, L - SP 165.28, Richard J. Renaud Science Complex, 7141 Sherbrooke W, Montreal, Canada
Tel +1 514-848-2424 ext. 3304
Fax +1 514-848-8681

Purpose: To examine the relationship between baseline kinesiophobia and baseline pain catastrophizing with the 4-day average activity intensity at different times of the day while accounting for different wake and sleep-onset times in chronic pain patients.
Methods: Twenty-one participants suffering from idiopathic chronic pain completed baseline questionnaires about kinesiophobia, catastrophizing, disability, depression, and pain. We measured the participants’ activity using accelerometers and calculated activity intensity in the morning, afternoon, and evening. We performed a 2-way repeated measures ANOVA to compare activity levels at different times of the day, and multiple linear regressions.
Results: Baseline kinesiophobia was significantly associated with 4-day average evening light activity and sedentary activity at all time periods while baseline catastrophizing was significantly associated with increased 4-day average light activity in the evening and more moderate to vigorous activity in the morning. Our participants engaged in more light activity on average than sedentary activity, and very little moderate-vigorous activity. Participants were most active in the afternoon.
Conclusion: Baseline kinesiophobia and baseline catastrophizing were not associated with the 4-day average total daily activity; however, they were associated with 4-day average activity intensities at different times throughout the day. Segmenting daily activity into morning, afternoon, evening may influence the relationship between daily activity, and kinesiophobia and pain catastrophizing. Individuals with chronic pain are less sedentary than previously thought which may affect future interventions.

Keywords: accelerometer, physical activity, pain, Tampa Scale, sedentary, daily activity

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