title: Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice.
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.
authors: Pain in Motion research group, Department of Human Physiology and Rehabilitation Sciences, Faculty of Physical Education and Physiotherapy, Vrije Universiteit Brussel, Building L-Mfys, Pleinlaan 2, 1050 Brussels, Belgium. Jo.Nijs@vub.ac.be
authors: Jo
authors: J
authors: Nijs
authors: Nathalie
authors: N
authors: Roussel
authors: Jessica
authors: J
authors: Van Oosterwijck
authors: Margot
authors: M
authors: De Kooning
authors: Kelly
authors: K
authors: Ickmans
authors: Filip
authors: F
authors: Struyf
authors: Mira
authors: M
authors: Meeus
authors: Mari
authors: M
authors: Lundberg
mesh_terms: D001362:Avoidance Learning; D015928:Cognitive Behavioral Therapy / Q000379:methods; D006233:Persons with Disabilities; D015444:Exercise / Q000502:physiology; D005081:Exercise Therapy / Q000379:methods; D015673:Fatigue Syndrome, Chronic / Q000150:complications* / Q000473:pathology / Q000523:psychology*; D005239:Fear; D005260:Female; D005356:Fibromyalgia / Q000150:complications* / Q000473:pathology / Q000523:psychology*; D006801:Humans; D008297:Male; D009068:Movement; D015995:Prevalence; D011379:Prognosis; D012107:Research Design; D011795:Surveys and Questionnaires
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