Öz
Amaç: Bel ağrısı klinikte en sık karşılaşılan ve yaşam kalitesini olumsuz etkileyen muskuloskeletal bir problemdir. Kinezyofobi varlığı bel ağrısı tedavisini olumsuz yöne etkileyebilir ve kişinin özür oranını arttırabilir. Çalışmamızda bel ağrısı olan kişilerde ağrı, yaşam kalitesi ve kinezyofobi arasındaki ilişkiyi karşılaştırmayı amaçladık. Gereç ve Yöntem: Çalışmaya İzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi Fizik Tedavi ve Rehabilitasyon Kliniğine başvuran 80 bel ağrılı hasta (Yaş ortalamaları 45.29±14.97 yıl) dâhil edildi. Ağrı “Görsel Anolog Skalası (GAS) ile, Kinezyofobi “Tampa Kinezyofobi Ölçeği (TKÖ)” ile ve SF-36 Yasam Kalitesi Anketi ile değerlendirilmiştir. Bulgular: İstirahat GAS değeri ortalaması 3.10± 2.75, aktivite GAS değeri ortalaması 6.66± 2.38 olup ortalama kinezyofobi skoru 43.15± 6.16, ortalama SF-36 fiziksel komponent skoru 56.25± 24.42 ve ortalama SF-36 mental komponent skoru 62.95±20.56 puandır. Bireylerin kinezyofobi değerleri ile yaşları (r=0.237/p=0.034), istirahat ve aktivite sırasındaki GAS değerleri (r=0.242/p=0.032 - r=0.293/p=0.008), eğitim durumları (r=-0.279/p=0.002), yaşam kalitesinin fiziksel (r=-0.236/p=0.035) ve mental komponenet (r=-0.323/p=0.003) parametreleri arasında anlamlı bir ilişki bulunmuştur. Sonuç: Bel ağrılı hastalarda kinezyofobi yaş, istirahat ve aktivite ağrısıyla ile pozitif yönde zayıf bir ilişki gösterirken, eğitim durumu, yaşam kalitesinin fiziksel ve mental komponentleri ile negatif yönde zayıf bir ilişki göstermiştir.
Anahtar Kelimeler
Kaynakça
- Uluğ N, Yakut Y, Alemdaroğlu İ, et.al. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci 2016;28(2):665-70.
- Antunes RS, Macedo BGD, Amaral TDS, et al. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras 2013;21(1):27-9.
- Mayalı FT, Oz B, Gulpek D, et al. The effect of depressive emotional state on the Efficacy of Physical Therapy in Patients with Low Back Pain. MBSJHS 2016; 2(2), 6-13.
- Monticone M, Ambrosini E, Rocca B, et al. A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: Results of a randomised controlled pilot study. Eur Spine J 2014;23(10):2105-13.
- Monticone M, Ferrante S, Rocca B, et al. Effect of a long-lasting multidisciplinary program on disability and fear-avoidance behaviors in patients with chronic low back pain: Results of a randomized controlled trial. Clin J Pain 2013;29(11):929-38.
- Andersson GB. Epidemiological features of chronic low-back pain. The lancet 1999;354(9178);581-5.
- Roditi D, Robinson ME. The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag 2011;4(1):41-9.
- Picavet HSJ, Vlaeyen JW, Schouten JS. Pain catastrophizing and kinesiophobia: Predictors of chronic low back pain. Am J Epidemiol 2002;156(11):1028-34.
- Neblett R, Hartzell MM, Mayer TG, et.al. Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK‐13). Eur J Pain 2016;20(5):701-10.
- Vincent HK, Omli MR, Day T, et al. Fear of movement, quality of life, and self‐reported disability in obese patients with chronic lumbar pain. Pain Med 2011;12(1):154-64.
- Veehof MM, Oskam MJ, Schreurs KM, et al. Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain 2011;152(3):533-42.
- Mason VL, Mathias B, Skevington SM. Accepting low back pain: Is it related to a good quality of life? Clin J Pain 2008;24(1):22-9.
- Henrotin YE, Cedraschi C, Duplan B, et al. Information and low back pain management: A systematic review. Spine 2006;31(11):326-34.
- Chung S, Lee J, Yoon J. Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain. J Sports Sci Med 2013;12(3):533-41.
- Ohnhaus EE, Adler R. Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. Pain 1975;1(4);379-84.
- Swinkels-Meewisse EJCM, Swinkels RAHM, Verbeek ALM, et al. Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Manual Ther 2003;8(1):29-36.
- Yilmaz ÖT, Yakut Y, Uygur F, et al. Tampa kinezyofobi ölçeğinin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon 2011;22(1):44-9.
- Ware JE. SF-36 health survey update. Spine 2000;25(24):3130-9.
- Kocyigit H, Aydemir O, Olmez N, et al. Reliability and validity of the Turkish version of short-form-36 (SF-36). Turkish J Drugs Therap 1999;12(2):102-6.
- McHorney CA, Ware Jr JE, Lu JR, et al. The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care 1994;32(1):40-66.
- Kori SH, Miller RP, Todd DD. Kinesiophobia: A new view of chronic pain behavior. Pain Manag 1990;3(1):35-43.
- Lüning Bergsten C, Lundberg M, Lindberg P, et al. Change in kinesiophobia and its relation to activity limitation after multidisciplinary rehabilitation in patients with chronic back pain. Disabil Rehabil 2012;34(10):852-8.
- Trocoli TO, Botelho RV. Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain. Rev Bras Reumatol 2016;56(4):330-6.
- Thomas EN, Pers YM, Mercier G, et al. The importance of fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain rehabilitation. Ann Phys Rehabil Med 2010;53(1):3-14.
- Altuğ F, Ünal A, Kilavuz G, Kavlak E, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain. J Back Musculoskelet Rehabil 2016;29(3):527-31.
Öz
Aim: Low back pain is a musculoskeletal problem most commonly encountered in the clinic and adversely affecting quality of life. Kinesophobia can negatively affect the treatment of low back pain and may increase the rate of disability. The purpose of this study was to compare of pain, kinesiophobia and quality of life in patients with low back pain.
Materials and Methods: Eighty low back pain patient (average age 45.29±14.97) who was applied İzmir Kâtip Çelebi University Atatürk Training and Research Hospital, Clinic of Physical Therapy and Rehabilitation were included. Kinesiophobia by the Tampa Scale for Kinesiophobia, pain severity was evaluated by using Visual Analogue Scale, and quality of life by SF-36 quality of life index.
Results: Rest pain was 3.10± 2.75 and activity pain 6.66± 2.38. Average Kinesiophobia score was 43.15± 6.16 and average SF-36 Physical and mental components score was 56.25± 24.42and 62.95±20.56, respectively. Kinesiophobia score showed a significant correlation with age (r=0.285/p=0.011), rest and activity pain (r=0.242/p=0.032 and r=0.293/p=0.008), educational level (r=-0.279/p=0.002), SF-36 physical component (r=-0.236/p=0.035) and mental score(r=-0.323/p=0.003).
Conclusion: While kinesophobia correlated positively with age, rest and activity pain in patients with low back pain, it showed negative correlation with education status, physical and mental components of quality of life.
Anahtar Kelimeler
Kaynakça
- Uluğ N, Yakut Y, Alemdaroğlu İ, et.al. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci 2016;28(2):665-70.
- Antunes RS, Macedo BGD, Amaral TDS, et al. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras 2013;21(1):27-9.
- Mayalı FT, Oz B, Gulpek D, et al. The effect of depressive emotional state on the Efficacy of Physical Therapy in Patients with Low Back Pain. MBSJHS 2016; 2(2), 6-13.
- Monticone M, Ambrosini E, Rocca B, et al. A multidisciplinary rehabilitation programme improves disability, kinesiophobia and walking ability in subjects with chronic low back pain: Results of a randomised controlled pilot study. Eur Spine J 2014;23(10):2105-13.
- Monticone M, Ferrante S, Rocca B, et al. Effect of a long-lasting multidisciplinary program on disability and fear-avoidance behaviors in patients with chronic low back pain: Results of a randomized controlled trial. Clin J Pain 2013;29(11):929-38.
- Andersson GB. Epidemiological features of chronic low-back pain. The lancet 1999;354(9178);581-5.
- Roditi D, Robinson ME. The role of psychological interventions in the management of patients with chronic pain. Psychol Res Behav Manag 2011;4(1):41-9.
- Picavet HSJ, Vlaeyen JW, Schouten JS. Pain catastrophizing and kinesiophobia: Predictors of chronic low back pain. Am J Epidemiol 2002;156(11):1028-34.
- Neblett R, Hartzell MM, Mayer TG, et.al. Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK‐13). Eur J Pain 2016;20(5):701-10.
- Vincent HK, Omli MR, Day T, et al. Fear of movement, quality of life, and self‐reported disability in obese patients with chronic lumbar pain. Pain Med 2011;12(1):154-64.
- Veehof MM, Oskam MJ, Schreurs KM, et al. Acceptance-based interventions for the treatment of chronic pain: A systematic review and meta-analysis. Pain 2011;152(3):533-42.
- Mason VL, Mathias B, Skevington SM. Accepting low back pain: Is it related to a good quality of life? Clin J Pain 2008;24(1):22-9.
- Henrotin YE, Cedraschi C, Duplan B, et al. Information and low back pain management: A systematic review. Spine 2006;31(11):326-34.
- Chung S, Lee J, Yoon J. Effects of stabilization exercise using a ball on mutifidus cross-sectional area in patients with chronic low back pain. J Sports Sci Med 2013;12(3):533-41.
- Ohnhaus EE, Adler R. Methodological problems in the measurement of pain: A comparison between the verbal rating scale and the visual analogue scale. Pain 1975;1(4);379-84.
- Swinkels-Meewisse EJCM, Swinkels RAHM, Verbeek ALM, et al. Psychometric properties of the Tampa Scale for kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Manual Ther 2003;8(1):29-36.
- Yilmaz ÖT, Yakut Y, Uygur F, et al. Tampa kinezyofobi ölçeğinin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon 2011;22(1):44-9.
- Ware JE. SF-36 health survey update. Spine 2000;25(24):3130-9.
- Kocyigit H, Aydemir O, Olmez N, et al. Reliability and validity of the Turkish version of short-form-36 (SF-36). Turkish J Drugs Therap 1999;12(2):102-6.
- McHorney CA, Ware Jr JE, Lu JR, et al. The MOS 36-item short-form health survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Medical Care 1994;32(1):40-66.
- Kori SH, Miller RP, Todd DD. Kinesiophobia: A new view of chronic pain behavior. Pain Manag 1990;3(1):35-43.
- Lüning Bergsten C, Lundberg M, Lindberg P, et al. Change in kinesiophobia and its relation to activity limitation after multidisciplinary rehabilitation in patients with chronic back pain. Disabil Rehabil 2012;34(10):852-8.
- Trocoli TO, Botelho RV. Prevalence of anxiety, depression and kinesiophobia in patients with low back pain and their association with the symptoms of low back spinal pain. Rev Bras Reumatol 2016;56(4):330-6.
- Thomas EN, Pers YM, Mercier G, et al. The importance of fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain rehabilitation. Ann Phys Rehabil Med 2010;53(1):3-14.
- Altuğ F, Ünal A, Kilavuz G, Kavlak E, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain. J Back Musculoskelet Rehabil 2016;29(3):527-31.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 14 Eylül 2018 |
| Gönderilme Tarihi | 31 Mart 2017 |
| Yayımlandığı Sayı | Yıl 2018 |
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