Relationship between Kinesiophobia and Mobility, Impact of the Disease, and Fear of Falling in Women with and without Fibromyalgia: A Cross-Sectional Study.

BACKGROUND: Kinesiophobia is defined as fear of movement due to the painful experience of it. The main symptom of fibromyalgia is persistent and widespread pain associated with other symptoms. This study analyzes the kinesiophobia between women with fibromyalgia and apparently healthy women and investigates the relationship between kinesiophobia and physical fitness tests, fear of falling, and the impact of the fibromyalgia. METHODS: Fifty-one women participated in this study were divided into two groups: (1) women with fibromyalgia and (2) apparently healthy women. Participants completed questionnaires to assess kinesiophobia, fear of falling, and the impact of fibromyalgia. Subsequently, participants completed the physical tests Timed Up and Go, 10-step stair ascent, and handgrip strength. RESULTS: Women with fibromyalgia had significant differences in kinesiophobia and fear of falling compared to apparently healthy women. Similarly, performance in the physical tests was lower, except for the handgrip strength, which maintained similar values to the apparently healthy women. Significant relationships were found only in the fibromyalgia group between kinesiophobia, the impact of the disease, fear of falling, and the Timed Up and Go and 10-step stair ascent tests. CONCLUSIONS: Women with fibromyalgia showed higher kinesiophobia scores, worse performance in mobility tests, and higher fear of falling than apparently healthy women. Kinesiophobia score is related to Timed Up and Go performance, the 10-step stair ascent, the fear of falling, and the impact of the disease in women with fibromyalgia.

Influence of On-Sight and Flash Climbing Styles on Advanced Climbers' Route Completion for Bouldering.

Route previewing has been established as a critical parameter in indoor climbing performance, as it could determine the success or failure in ascending the route. We addressed the effect of different types of previews on output climbing performance. Twenty-one advanced climbers (7b and 7c+ climbing grade) were required to complete 18 routes, rated at 6c, according to the French Rating Scale of Difficulty. Each climber previewed the route under three conditions: "No-previewing", "video-model previewing", and "real-model previewing". Output climbing performance was assessed in terms of route completion. The results showed differences on output climbing performance between types of preview. Specifically, the climbers achieved more successful attempts at climbing to the "Top" of the wall when inspecting the route with the "real-model previewing" condition, compared to the other conditions of preview. On the contrary, the climbers displayed more failed attempts in climbing the route with the "on-sight" condition, compared to the "flash" styles ("video-model" and "real-model"). The preview of the route, including performance of a real/video-projected model manipulating climbing holds, seems to increase the opportunities to climb the boulder successfully, attuning climbers to information specifying ascending actions. Climbing coaches should reinforce the design of representative training, using flash styles, to promote movement solutions for route completion.