{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T22:04:33Z","timestamp":1790460273385,"version":"4.1.0"},"reference-count":41,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T00:00:00Z","timestamp":1769472000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Cukurova University"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Rheumatol Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    The aim of this study is to identify factors associated with kinesiophobia in patients with systemic sclerosis (SSc). A total of 72 adult patients diagnosed with SSc were included in this cross-sectional study. Clinical parameters reflecting disease severity, organ involvement, and inflammatory status were recorded. Kinesiophobia level was assessed using the Tampa Scale for Kinesiophobia (TSK). The Berg Balance Scale (BBS), Y Balance Test (YBT), Timed Up and Go Test (TUG), and 10-Meter Walk Test (10MWT) were used to evaluate balance and functional capacity. Factors associated with kinesiophobia was analyzed using multiple linear regression analysis. Kinesiophobia (TSK\u2009\u2265\u200937) was identified in 26 patients (36.1%). Disease related parameters, including disease duration, disease activity, comorbidity burden, skin and other organ involvement (lung, gastrointestinal) were higher in patients with kinesiophobia (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05, for all). Patients with kinesiophobia had significantly lower BBS score, slower walking speed, longer TUG duration, and were unable to perform the YBT, compared to those without kinesiophobia (all\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001). In the multivariable regression analysis, (\u03b2 = \u2212 1.26, CI \u2212 1.59 to \u2212 0.94,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001) and TUG (\u03b2\u2009=\u20091.24, CI 0.04\u20132.43,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.043) showed to be associated with kinesiophobia severity independently. The multivariable model accounted for 65% of the variance in kinesiophobia (adjusted R\u00b2 = 0.65). In patients with SSc, static imbalance and decreased mobilization capacity are closely associated with kinesiophobia. Monitoring these parameters should be prioritized for the management of kinesiophobia in patients with SSc.\n                  <\/jats:p>","DOI":"10.1007\/s00296-026-06072-w","type":"journal-article","created":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T10:25:22Z","timestamp":1769509522000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Close association of kinesiophobia with physical performance in patients with systemic sclerosis"],"prefix":"10.1007","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-4285-9698","authenticated-orcid":false,"given":"Atilla","family":"Ulu\u0131\u015f\u0131k","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5192-9045","authenticated-orcid":false,"given":"Ipek","family":"Turk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7070-3076","authenticated-orcid":false,"given":"Ay\u015feg\u00fcl","family":"Yeti\u015fir","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8835-4203","authenticated-orcid":false,"given":"Aylin","family":"Sariyildiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6517-5969","authenticated-orcid":false,"given":"Ilke","family":"Coskun Benlidayi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,1,27]]},"reference":[{"key":"6072_CR1","doi-asserted-by":"publisher","first-page":"239719832513625","DOI":"10.1177\/23971983251362595","volume":"8","author":"A Yeti\u015fir","year":"2025","unstructured":"Yeti\u015fir A, Deniz V, Varkal G, T\u00fcrk \u0130, Sariyildiz A (2025) Evaluation of the type D personality and its association with cardiovascular risk and disease-related parameters in patients with systemic sclerosis. J Scleroderma Relat Disord 8:23971983251362595. https:\/\/doi.org\/10.1177\/23971983251362595","journal-title":"J Scleroderma Relat Disord"},{"key":"6072_CR2","doi-asserted-by":"publisher","first-page":"507","DOI":"10.1016\/j.rdc.2015.04.011","volume":"41","author":"KB Morrisroe","year":"2015","unstructured":"Morrisroe KB, Nikpour M, Proudman SM (2015) Musculoskeletal manifestations of systemic sclerosis. Rheum Dis Clin N Am 41:507\u2013518. https:\/\/doi.org\/10.1016\/j.rdc.2015.04.011","journal-title":"Rheum Dis Clin N Am"},{"key":"6072_CR3","doi-asserted-by":"publisher","first-page":"e315","DOI":"10.1016\/j.lpm.2014.03.027","volume":"43","author":"V L\u00f3r\u00e1nd","year":"2014","unstructured":"L\u00f3r\u00e1nd V, Czirj\u00e1k L, Minier T (2014) Musculoskeletal involvement in systemic sclerosis. Presse Med 43:e315\u2013e328. https:\/\/doi.org\/10.1016\/j.lpm.2014.03.027","journal-title":"Presse Med"},{"key":"6072_CR4","doi-asserted-by":"publisher","first-page":"167","DOI":"10.46497\/ArchRheumatol.2021.8259","volume":"36","author":"H Yakut","year":"2021","unstructured":"Yakut H, \u00d6zalevli S, Birlik AM (2021) Postural balance and fall risk in patients with systemic sclerosis: a cross-sectional study. Arch Rheumatol 36:167\u2013175. https:\/\/doi.org\/10.46497\/ArchRheumatol.2021.8259","journal-title":"Arch Rheumatol"},{"key":"6072_CR5","doi-asserted-by":"publisher","first-page":"554","DOI":"10.1136\/bjsports-2017-098673","volume":"53","author":"A Luque-Suarez","year":"2019","unstructured":"Luque-Suarez A, Martinez-Calderon J, Falla D (2019) Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med 53:554\u2013559. https:\/\/doi.org\/10.1136\/bjsports-2017-098673","journal-title":"Br J Sports Med"},{"key":"6072_CR6","doi-asserted-by":"publisher","first-page":"18956","DOI":"10.1038\/s41598-024-69929-9","volume":"14","author":"L Liu","year":"2024","unstructured":"Liu L, Yang Q, Li T, Xie H, Zeng B, Zha L, Zhang W, Su S (2024) Prevalence and influencing factors of kinesiophobia in patients with heart disease: a meta-analysis and systematic review. Sci Rep 14:18956. https:\/\/doi.org\/10.1038\/s41598-024-69929-9","journal-title":"Sci Rep"},{"key":"6072_CR7","doi-asserted-by":"publisher","first-page":"11","DOI":"10.33438\/ijdshs.690280","volume":"3","author":"V Deniz","year":"2020","unstructured":"Deniz V, G\u00fczel NA (2020) Do therapeutic exercises improve kinesiophobia and health-related quality of life in adult hemophilia patients? A randomized controlled trial. Int J Disabil Sports Health Sci 3:11\u201319. https:\/\/doi.org\/10.33438\/ijdshs.690280","journal-title":"Int J Disabil Sports Health Sci"},{"issue":"3","key":"6072_CR8","doi-asserted-by":"publisher","first-page":"385","DOI":"10.5152\/ArchRheumatol.2025.11155","volume":"40","author":"CZ Y\u0131ld\u0131r","year":"2025","unstructured":"Y\u0131ld\u0131r CZ, Berk E, Nacitarhan V, Ko\u00e7yi\u011fit BF, Koca TT, Demirel A (2025) Balance abilities and kinesiophobia in women with fibromyalgia syndrome: a cross-sectional comparative study. Arch Rheumatol 40(3):385\u2013394. https:\/\/doi.org\/10.5152\/ArchRheumatol.2025.11155","journal-title":"Arch Rheumatol"},{"issue":"23","key":"6072_CR9","doi-asserted-by":"publisher","first-page":"11508","DOI":"10.26355\/eurrev_202312_34589","volume":"27","author":"N Yildirim","year":"2023","unstructured":"Yildirim N (2023) Comparison of kinesiophobia in patients with rheumatoid arthritis and systemic lupus erythematosus. Eur Rev Med Pharmacol Sci 27(23):11508\u201311516. https:\/\/doi.org\/10.26355\/eurrev_202312_34589","journal-title":"Eur Rev Med Pharmacol Sci"},{"issue":"5","key":"6072_CR10","doi-asserted-by":"publisher","first-page":"933","DOI":"10.1007\/s00296-024-05557","volume":"44","author":"PC Rouse","year":"2024","unstructured":"Rouse PC, Ingram T, Standage M, Sengupta R (2024) Fear of movement and competence frustration mediate the relationship between pain catastrophising and physical function in people living with axspa: an online cross-sectional survey. Rheumatol Int 44(5):933\u2013941. https:\/\/doi.org\/10.1007\/s00296-024-05557","journal-title":"Rheumatol Int"},{"issue":"5","key":"6072_CR11","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1007\/s00296-025-05847-x","volume":"45","author":"SS Zengin Acemoglu","year":"2025","unstructured":"Zengin Acemoglu SS, Bircan A\u00d6, T\u00fcrk \u0130, Coskun Benlidayi I, Aylin S, \u00dcnal \u0130 (2025) Increased fear of falling in primary sjogren\u2019s syndrome: kinesiophobia, impaired balance and poor sleep quality as triggering factors. Rheumatol Int 45(5):97. https:\/\/doi.org\/10.1007\/s00296-025-05847-x","journal-title":"Rheumatol Int"},{"key":"6072_CR12","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-025-07862-6","author":"K Tuncer","year":"2025","unstructured":"Tuncer K, Kozano\u011flu E, Sariyildiz A, Yeti\u015fir A (2025) Evaluation of kinesiophobia, central sensitization, and related factors in patients with gout: a cross-sectional study. Clin Rheumatol. https:\/\/doi.org\/10.1007\/s10067-025-07862-6","journal-title":"Clin Rheumatol"},{"key":"6072_CR13","doi-asserted-by":"publisher","first-page":"256","DOI":"10.14740\/jocmr6202","volume":"17","author":"CB Pehlivan","year":"2025","unstructured":"Pehlivan CB, Sariyildiz MA, Cevik R, Erbatur S, Batmaz I (2025) Kinesiophobia in systemic sclerosis: relationship with functional status, pulmonary fibrosis, depression, and other clinical parameters. J Clin Med Res 17:256\u2013261. https:\/\/doi.org\/10.14740\/jocmr6202","journal-title":"J Clin Med Res"},{"key":"6072_CR14","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1016\/j.gerinurse.2024.10.013","volume":"60","author":"J Lozano-Meca","year":"2024","unstructured":"Lozano-Meca J, Gacto-S\u00e1nchez M, Montilla-Herrador J (2024) Association of kinesiophobia with pain, disability and functional limitation in adults with knee osteoarthritis: a systematic review and meta-analysis. Geriatr Nurs 60:481\u2013490. https:\/\/doi.org\/10.1016\/j.gerinurse.2024.10.013","journal-title":"Geriatr Nurs"},{"issue":"1","key":"6072_CR15","doi-asserted-by":"publisher","first-page":"38","DOI":"10.2174\/1573397110666140404001756","volume":"10","author":"G Valentini","year":"2014","unstructured":"Valentini G, Marcoccia A, Cuomo G, Iudici M, Vettori S (2014) The concept of early systemic sclerosis following 2013 ACR\/EULAR criteria for the classification of systemic sclerosis. Curr Rheumatol Rev 10(1):38\u201344. https:\/\/doi.org\/10.2174\/1573397110666140404001756","journal-title":"Curr Rheumatol Rev"},{"issue":"7","key":"6072_CR16","doi-asserted-by":"publisher","first-page":"883","DOI":"10.1111\/apt.13963","volume":"45","author":"S Kumar","year":"2017","unstructured":"Kumar S, Singh J, Rattan S, DiMarino AJ, Cohen S, Jimenez SA (2017) Pathogenesis and clinical manifestations of gastrointestinal involvement in systemic sclerosis. Aliment Pharmacol Ther 45(7):883\u2013898. https:\/\/doi.org\/10.1111\/apt.13963","journal-title":"Aliment Pharmacol Ther"},{"issue":"2","key":"6072_CR17","doi-asserted-by":"publisher","first-page":"196","DOI":"10.46497\/ArchRheumatol.2020.7434","volume":"35","author":"\u0130 T\u00fcrk","year":"2020","unstructured":"T\u00fcrk \u0130, C\u00fczdan N, \u00c7ift\u00e7i V, Arslan D, \u00dcnal \u0130 (2020) Correlations between clinical features and mouth opening in patients with systemic sclerosis. Arch Rheumatol 35(2):196\u2013204. https:\/\/doi.org\/10.46497\/ArchRheumatol.2020.7434","journal-title":"Arch Rheumatol"},{"issue":"2","key":"6072_CR18","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/j.semarthrit.2017.03.019","volume":"47","author":"V Hax","year":"2017","unstructured":"Hax V, Bredemeier M, Didonet Moro AL, Pavan TR, Vieira MV, Pitrez EH, da Silva Chakr RM, Xavier RM (2017) Clinical algorithms for the diagnosis and prognosis of interstitial lung disease in systemic sclerosis. Semin Arthritis Rheum 47(2):228\u2013234. https:\/\/doi.org\/10.1016\/j.semarthrit.2017.03.019","journal-title":"Semin Arthritis Rheum"},{"issue":"1","key":"6072_CR19","doi-asserted-by":"publisher","first-page":"46","DOI":"10.1016\/j.acvd.2009.06.009","volume":"103","author":"C Meune","year":"2010","unstructured":"Meune C, Vignaux O, Kahan A, Allanore Y (2010) Heart involvement in systemic sclerosis: evolving concept and diagnostic methodologies. Arch Cardiovasc Dis 103(1):46\u201352. https:\/\/doi.org\/10.1016\/j.acvd.2009.06.009","journal-title":"Arch Cardiovasc Dis"},{"issue":"3","key":"6072_CR20","doi-asserted-by":"publisher","first-page":"378","DOI":"10.1007\/s12016-022-08945-x","volume":"64","author":"A Cole","year":"2023","unstructured":"Cole A, Ong VH, Denton CP (2023) Renal disease and systemic sclerosis: an update on scleroderma renal crisis. Clin Rev Allergy Immunol 64(3):378\u2013391. https:\/\/doi.org\/10.1007\/s12016-022-08945-x","journal-title":"Clin Rev Allergy Immunol"},{"issue":"5","key":"6072_CR21","doi-asserted-by":"publisher","first-page":"v53","DOI":"10.1093\/rheumatology\/kex202","volume":"56","author":"G Kum\u00e1novics","year":"2017","unstructured":"Kum\u00e1novics G, P\u00e9ntek M, Bae S, Opris D, Khanna D, Furst DE, Czirj\u00e1k L (2017) Assessment of skin involvement in systemic sclerosis. Rheumatology 56(5):v53\u2013v66. https:\/\/doi.org\/10.1093\/rheumatology\/kex202","journal-title":"Rheumatology"},{"issue":"1","key":"6072_CR22","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1136\/annrheumdis-2016-209768","volume":"76","author":"G Valentini","year":"2017","unstructured":"Valentini G, Iudici M, Walker UA et al (2017) The European scleroderma trials and research group (EUSTAR) task force for the development of revised activity criteria for systemic sclerosis: derivation and validation of a preliminarily revised EUSTAR activity index. Ann Rheum Dis 76(1):270\u2013276. https:\/\/doi.org\/10.1136\/annrheumdis-2016-209768","journal-title":"Ann Rheum Dis"},{"issue":"5","key":"6072_CR23","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1097\/AJP.0000000000001104","volume":"39","author":"F Dupuis","year":"2023","unstructured":"Dupuis F, Cherif A, Batcho C, Mass\u00e9-Alarie H, Roy J-S (2023) The Tampa scale of kinesiophobia: a systematic review of its psychometric properties in people with musculoskeletal pain. Clin J Pain 39(5):236\u2013247. https:\/\/doi.org\/10.1097\/AJP.0000000000001104","journal-title":"Clin J Pain"},{"key":"6072_CR24","first-page":"44","volume":"22","author":"\u00d6T Y\u0131lmaz","year":"2011","unstructured":"Y\u0131lmaz \u00d6T, Yakut Y, Uygur F et al (2011) Turkish version of the Tampa scale for kinesiophobia and its test\u2013retest reliability. Fizyoter Rehabil 22:44\u201349","journal-title":"Fizyoter Rehabil"},{"issue":"9","key":"6072_CR25","doi-asserted-by":"publisher","first-page":"1155","DOI":"10.2522\/ptj.20060343","volume":"87","author":"M Conradsson","year":"2007","unstructured":"Conradsson M, Lundin-Olsson L, Lindel\u00f6f N, Littbrand H, Malmqvist L, Gustafson Y, Rosendahl E (2007) Berg balance scale: intrarater test\u2013retest reliability among older people dependent in activities of daily living and living in residential care facilities. Phys Ther 87(9):1155\u20131163. https:\/\/doi.org\/10.2522\/ptj.20060343","journal-title":"Phys Ther"},{"issue":"Suppl 2","key":"6072_CR26","first-page":"S7","volume":"83","author":"KO Berg","year":"1992","unstructured":"Berg KO, Wood-Dauphinee SL, Williams JI, Maki B (1992) Measuring balance in the elderly: validation of an instrument. Can J Public Health 83(Suppl 2):S7\u2013S11 PMID: 1468055","journal-title":"Can J Public Health"},{"issue":"5","key":"6072_CR27","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1123\/japa.2018-0330","volume":"27","author":"CL Sipe","year":"2019","unstructured":"Sipe CL, Ramey KD, Plisky PP, Taylor JD (2019) Y-Balance test: a valid and reliable assessment in older adults. J Aging Phys Act 27(5):663\u2013669. https:\/\/doi.org\/10.1123\/japa.2018-0330","journal-title":"J Aging Phys Act"},{"issue":"5","key":"6072_CR28","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1007\/s00296-024-05550-3","volume":"44","author":"E Tirasci","year":"2024","unstructured":"Tirasci E, Sarpel T, Coskun Benlidayi I, Deniz V (2024) The effect of balance exercises on central sensitization in patients with knee osteoarthritis. Rheumatol Int 44(5):795\u2013804. https:\/\/doi.org\/10.1007\/s00296-024-05550-3","journal-title":"Rheumatol Int"},{"issue":"2","key":"6072_CR29","doi-asserted-by":"publisher","first-page":"94","DOI":"10.1002\/pri.394","volume":"13","author":"P Botolfsen","year":"2008","unstructured":"Botolfsen P, Helbostad JL, Moe-Nilssen R, Wall JC (2008) Reliability and concurrent validity of the expanded timed up-and-go test in older people with impaired mobility. Physiother Res Int 13(2):94\u2013106. https:\/\/doi.org\/10.1002\/pri.394","journal-title":"Physiother Res Int"},{"issue":"4","key":"6072_CR30","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1519\/JPT.0000000000000068","volume":"39","author":"JT Lang","year":"2016","unstructured":"Lang JT, Kassan TO, Devaney LL, Colon-Semenza C, Joseph MF (2016) Test\u2013retest reliability and minimal detectable change for the 10-Meter walk test in older adults with parkinson\u2019s disease. J Geriatr Phys Ther 39(4):165\u2013170. https:\/\/doi.org\/10.1519\/JPT.0000000000000068","journal-title":"J Geriatr Phys Ther"},{"issue":"24","key":"6072_CR31","doi-asserted-by":"publisher","first-page":"3186","DOI":"10.1097\/00007632-200012150-00014","volume":"25","author":"DE Beaton","year":"2000","unstructured":"Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976) 25(24):3186\u20133191. https:\/\/doi.org\/10.1097\/00007632-200012150-00014","journal-title":"Spine (Phila Pa 1976)"},{"issue":"8","key":"6072_CR32","doi-asserted-by":"publisher","first-page":"2135","DOI":"10.1007\/s10067-023-06626-4","volume":"42","author":"DC Sarac","year":"2023","unstructured":"Sarac DC, Bayraktar D, Tore NG, Kurut Aysin I, Otman E, Inanc I, Demirbas S, Coskun B, Erol K, Ustun O, Akatay EA, Oskay D, Gucenmez S, Ozmen M, Akar S (2023) Systemic sclerosis quality of life questionnaire (SScQoL): translation into Turkish and assessing its psychometric properties. Clin Rheumatol 42(8):2135\u20132143. https:\/\/doi.org\/10.1007\/s10067-023-06626-4","journal-title":"Clin Rheumatol"},{"issue":"11","key":"6072_CR33","doi-asserted-by":"publisher","first-page":"1984","DOI":"10.1002\/art.1780401110","volume":"40","author":"VD Steen","year":"1997","unstructured":"Steen VD, Medsger TA Jr (1997) The value of the health assessment questionnaire and special patient-generated scales to demonstrate change in systemic sclerosis patients over time. Arthritis Rheum 40(11):1984\u20131991. https:\/\/doi.org\/10.1002\/art.1780401110","journal-title":"Arthritis Rheum"},{"issue":"7","key":"6072_CR34","doi-asserted-by":"publisher","first-page":"1917","DOI":"10.1007\/s10067-019-04494-5","volume":"38","author":"D Temiz Karada\u011f","year":"2019","unstructured":"Temiz Karada\u011f D, Karaka\u015f F, Tekeo\u011flu S, Yaz\u0131c\u0131 A, I\u015f\u0131k OO, Cefle A (2019) Validation of the Turkish version of the scleroderma health assessment questionnaire. Clin Rheumatol 38(7):1917\u20131923. https:\/\/doi.org\/10.1007\/s10067-019-04494-5","journal-title":"Clin Rheumatol"},{"key":"6072_CR35","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1016\/j.ijcard.2011.12.107","volume":"167","author":"M B\u00e4ck","year":"2013","unstructured":"B\u00e4ck M, Cider \u00c5, Herlitz J, Lundberg M, Jansson B (2013) The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease. Int J Cardiol 167:391\u2013397. https:\/\/doi.org\/10.1016\/j.ijcard.2011.12.107","journal-title":"Int J Cardiol"},{"key":"6072_CR36","doi-asserted-by":"publisher","first-page":"214","DOI":"10.46497\/ArchRheumatol.2020.7432","volume":"35","author":"BF Ko\u00e7yi\u011fit","year":"2020","unstructured":"Ko\u00e7yi\u011fit BF, Akaltun MS (2020) Kinesiophobia levels in fibromyalgia syndrome and the relationship between pain, disease activity, depression. Arch Rheumatol 35:214\u2013219. https:\/\/doi.org\/10.46497\/ArchRheumatol.2020.7432","journal-title":"Arch Rheumatol"},{"key":"6072_CR37","doi-asserted-by":"publisher","first-page":"2086","DOI":"10.3390\/app15042086","volume":"15","author":"M Wlaz\u0142o","year":"2025","unstructured":"Wlaz\u0142o M, Szlacheta P, Grajek M, Sta\u015bkiewicz-Bartecka W, Rozmiarek M, Malchrowicz-Mo\u015bko E, Korzonek-Szlacheta I (2025) The impact of kinesiophobia on physical activity and quality of life in patients with chronic diseases: a systematic literature review. Appl Sci 15:2086. https:\/\/doi.org\/10.3390\/app15042086","journal-title":"Appl Sci"},{"key":"6072_CR38","doi-asserted-by":"publisher","first-page":"106122","DOI":"10.1016\/j.clinbiomech.2023.106122","volume":"110","author":"E Kabul","year":"2023","unstructured":"Kabul E, Yenil S, Ulutas F, Bali M, Basakci Calik B, Cobankara V (2023) Evaluation of balance in patients with systemic sclerosis. Clin Biomech (Bristol) 110:106122. https:\/\/doi.org\/10.1016\/j.clinbiomech.2023.106122","journal-title":"Clin Biomech (Bristol)"},{"key":"6072_CR39","doi-asserted-by":"publisher","first-page":"427","DOI":"10.46497\/ArchRheumatol.2021.8535","volume":"36","author":"\u0130 Baysalhan \u00d6zt\u00fcrk","year":"2021","unstructured":"Baysalhan \u00d6zt\u00fcrk \u0130, Garip Y, Sivas F, Parlak \u00d6zden M, Bodur H (2021) Kinesiophobia in rheumatoid arthritis patients: relationship with quadriceps muscle strength, fear of falling, functional status, disease activity, and quality of life. Arch Rheumatol 36:427\u2013434. https:\/\/doi.org\/10.46497\/ArchRheumatol.2021.8535","journal-title":"Arch Rheumatol"},{"key":"6072_CR40","doi-asserted-by":"publisher","first-page":"501849","DOI":"10.1016\/j.reumae.2025.501849","volume":"21","author":"MA Sel\u00e7uk","year":"2025","unstructured":"Sel\u00e7uk MA, Karak\u0131l\u0131\u00e7 GD, Mert E, \u00c7ak\u0131t BD (2025) Evaluation of kinesiophobia and physical activity levels in patients with fibromyalgia syndrome and chronic neck pain. Reumatol Clin (Engl Ed) 21:501849. https:\/\/doi.org\/10.1016\/j.reumae.2025.501849","journal-title":"Reumatol Clin (Engl Ed)"},{"key":"6072_CR41","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1016\/j.berh.2008.01.008","volume":"22","author":"SB Randone","year":"2008","unstructured":"Randone SB, Guiducci S, Cerinic MM (2008) Musculoskeletal involvement in systemic sclerosis. Best Pract Res Clin Rheumatol 22:339\u2013350. https:\/\/doi.org\/10.1016\/j.berh.2008.01.008","journal-title":"Best Pract Res Clin Rheumatol"}],"container-title":["Rheumatology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-026-06072-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00296-026-06072-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00296-026-06072-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,21]],"date-time":"2026-02-21T03:58:07Z","timestamp":1771646287000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00296-026-06072-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,27]]},"references-count":41,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,2]]}},"alternative-id":["6072"],"URL":"https:\/\/doi.org\/10.1007\/s00296-026-06072-w","relation":{},"ISSN":["1437-160X"],"issn-type":[{"value":"1437-160X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,27]]},"assertion":[{"value":"25 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 January 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no conflicts of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The study protocol was approved by the Ethics Committee of the Medical Faculty (Approval No: 148, Date: October 4, 2024) and the study was performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Written informed consent was obtained from each study participant.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}}],"article-number":"36"}}