• Mariana Tedeschi Benatto, Débora Bevilaqua-Grossi, Gabriela Ferreira Carvalho, Marcela Mendes Bragatto, Carina Ferreira Pinheiro, Samuel Straceri Lodovichi, Fabíola Dach, César Fernández-de-Las-Peñas, and Lidiane Lima Florencio.
• Department of Health Sciences.
• Pain Med. 2019 Apr 1; 20 (4): 846-851.

ObjectiveThe aim of this study was to assess kinesiophobia in patients with migraine and to determine its association and correlation with cutaneous allodynia and clinical manifestations of migraine.DesignA cross-sectional study.SettingA headache clinic of a university-based hospital.SubjectsEighty-nine patients diagnosed with migraine by a neurologist specialized in headache.MethodsPatients completed the Tampa Scale for Kinesiophobia (TSK) and the 12-item Allodynia Symptom Checklist (ASC-12) and described the frequency, duration, and intensity of migraine attacks, as well as number of years with migraine.ResultsThe prevalence of kinesiophobia was 53%, and it was associated with the classification of severe cutaneous allodynia (X2= 9.96, P = 0.02) but not with its presence (X2= 3.11, P = 0.07). Kinesiophobia and clinical migraine features were not significantly associated (P > 0.05), nor were TSK score, ASC-12 score, or clinical migraine features (r < 0.21, P > 0.05). Subjects with migraine, with or without kinesiophobia, believed that physical activity could not help to control or relieve their pain, and those with kinesiophobia, furthermore, believed that exercise may be harmful.ConclusionsKinesiophobia is present in about half of migraineurs. It was associated with worsened cutaneous allodynia severity, but not with its presence, in patients with migraine. Education strategies should be implemented as negative beliefs related to exercise are present despite its evidence of benefit in migraine treatment.© 2018 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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