Bel ağrılı hastalarda ağrı, kinezyofobi ve yaşam kalitesi arasındaki ilişki

The relationship between pain, kinesiophobia and quality of life in patients with low back pain

Özet

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.

Abstract

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.