Indian Journal of Respiratory Care

IJRC Email      Register      Login

VOLUME 11 , ISSUE 1 ( January-March, 2022 ) > List of Articles

Original Article

Correlation between Dyspnea-Related Kinesiophobia and Activity Limitation in Patients with Chronic Respiratory Diseases

Shruti Vijay Mankar, Rucha Vinay Rayas, K. Shyam Ashok, K. Sancheti Parag

Keywords : Activity limitation, breathlessness, dyspnea, kinesiophobia

Citation Information : Mankar SV, Rayas RV, Ashok KS, Parag KS. Correlation between Dyspnea-Related Kinesiophobia and Activity Limitation in Patients with Chronic Respiratory Diseases. Indian J Respir Care 2022; 11 (1):20-23.

DOI: 10.4103/ijrc.ijrc_77_21

License: CC BY-NC-SA 4.0

Published Online: 06-12-2022

Copyright Statement:  Copyright © 2022; Indian Journal of Respiratory Care.


Introduction: Dyspnea or shortness of breath is one of the cardinal features of chronic respiratory diseases (CRDs). It is a subjective symptom, frequently influenced by the state of mind of the patient. Kinesiophobia, excessive, irrational fear of physical movement due to dyspnea, often prevents patients from performing activities of daily living leading to physical deconditioning. The identification of relationship of dyspnea-related kinesiophobia and activity limitation can help guide patient management to improve quality of life, physical independence, and prevent physical deconditioning. Patients and Methods: The study was conducted using convenience sampling at a tertiary care hospital on 18-60-year-old patients with CRDs with dyspnea. Breathlessness Belief Questionnaire (BBQ) was used to evaluate dyspnea-related kinesiophobia. Activity limitation was assessed using Dyspnea Barthel Index (DBI). The scores of both scales were calculated, and the correlation between dyspnea related kinesiophobia and activity limitations was obtained using the Spearman's correlation. Results: Sixty subjects, 23 females and 37 males, were recruited. The mean (± standard deviation [SD]) age of the patients was 48.9 ± 12.5 years. Mean ± SD scores of BBQ were 58.4 ± 4.5. The mean score for DBI was 21.5 ± 2.12, and the average duration of the disease was 2 ± 0.707 years. Spearman's rank correlation coefficient between BBQ and DBI obtained was p = 0.712 with a P < 0.001. Conclusion: There is a strong correlation between dyspnea-related kinesiophobia and activity limitation in patients with CRDs.

  1. NCD Alliance Chronic Respiratory Diseases, The NCD Alliance; 2017. Available from: -diseases. [Last accessed on 2021 May 28].
  2. Soriano JB, Kendrick PJ, Paulson KR, Gupta V, Abrams EM. Prevalence and attributable health burden of chronic respiratory disease, 1990-2017: A systemic analysis for the Global Burden of Disease Study
  3. Lancet Respir Med 2020;8:585-96.
  4. Shukla SD, Swaroop Vanka K, Chavelier A, Shastri MD, Tambuwala MM, Bakshi HA, et al. Chronic respiratory diseases: An introduction and need for novel drug delivery approaches. Targeting Chronic Inflammatory Lung Diseases Using Advanced Drug Delivery Systems. 2020:1-31.
  5. Gürses HN, Saka S, Uçgun H, Zeren M, Bayram M. Obstacle of physical activity and activities of daily living in patients with COPD: Dyspnea related kinesiophobia. Eur Respir J 2019;54.
  6. Parshall MB, Schwartzstein RM, Adams L, Banzett RB, Manning HL, Bourbeau J, et al. An official American Thoracic Society statement: Update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med 2012;185:435-52.
  7. Nishimura K, Izumi T, Tsukino M, Oga T. Dyspnea is a better predictor of 5-year survival than airway obstruction in patients with COPD. Chest 2002;121:1434-40.
  8. Hayton C, Clark A, Olive S, Browne P, Galey P, Knights E, et al. Barriers to pulmonary rehabilitation: Characteristics that predict patient attendance and adherence. Respir Med 2013;107:401-7.
  9. Laviolette L, Laveneziana P; ERS Research Seminar Faculty. Dyspnoea: A multidimensional and multidisciplinary approach. Eur Respir J 2014;43:1750-62.
  10. Gregg CD, McIntosh G, Hall H, Watson H, Williams D, Hoffman CW. The relationship between the Tampa Scale of Kinesiophobia and low back pain rehabilitation outcomes. Spine J 2015;15:2466-71.
  11. Ozel A, Yümin ET, Tu T, Konuk S. Evaluation of physical activity, kinesiophobia, daily life activities and quality of life in individuals with chronic obstructive pulmonary disease in different phenotypes. Arch Physiother Rehabil 2019;2:007-17.
  12. Troosters T, van der Molen T, Kulich K. Improving physical activity in COPD: Towards a new paradigm. Respir Res 2013;14:115.
  13. De Peuter S, Janssens T, Van Diest I, Stans L, Troosters T, Decramer M, et al. Dyspnea-related anxiety: The dutch version of the breathlessness beliefs questionnaire. Chron Respir Dis 2011;8:11-9.
  14. Vitacca M, Paneroni M, Baiardi P, De Carolis V, Zampogna E, Belli S, et al. Development of a Barthel Index based on dyspnea for patients with respiratory diseases. Int J Chron Obstruct Pulmon Dis 2016;11:1199-206.
  15. Kahraman BO, Ozsoy I, Tanriverdi A, Acar S, Alpaydin AO, Sevinc C, et al. The relationship between Kinesiophobia, dyspnea level, functional exercise capacity and quality of life in patients with chronic obstructive disease. Eur Respir J 2020;56:2463.
  16. Calverley PM. Exercise and dyspnoea in COPD. Eur Respir Rev 2006;15:72-9.
  17. Barreiro E, Gea J. Respiratory and limb muscle dysfunction in COPD. COPD 2015;12:413-26.
  18. Rovner GS, Sunnerhagen KS, Björkdahl A, Gerdle B, Börsbo B, Johansson F, et al. Chronic pain and sex-differences; women accept and move, while men feel blue. PLoS ONE 2017;12:e0175737.
  19. Tselebis A, Pachi A, Ilias I, Kosmas E, Bratis D, Moussas G, et al. Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatr Dis Treat 2016;12:297-328.
  20. Yelvar GD, Cirak Y, Dalkilinc M. Is physiotherapy intergrated virtual walking effective on pain, function, and kinesiophobia in patients with non- specific low- back pain? Randomised controlled trial. Eur Spine J 2017;26:538-45.
  21. Brunner E, De Herdt A. Can cognitve behavioural therapy based strategies be integrated into physiotherapy for the prevention of chronic low back pain? A systemic review. Disabil Rehabil 2013;35:1-10.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.