Ağrılı Omuz Patolojilerinde Görülen Kinezyofobinin Yaşam Kalitesi Ve Omuz Fonksiyonelliğine Olan Etkisi

Yıl 2021, Cilt: 26 Sayı: 1, 11 - 16, 30.01.2021

Cansu Şahbaz Pirinççi , Emine Cihan , Muhammed Arca , Elif Dilara Durmaz , Necmiye Ün Yıldırım

https://doi.org/10.21673/anadoluklin.755320

Cited By: 2

Öz

Amaç: Bu çalışmada ağrılı omuz patolojileri bulunan hastalardaki kinezyofobinin yaşam kalitesi ve omuz fonksiyonelliği ile ilişkisini incelemek amaçlanmıştır.

Gereç ve Yöntemler: Çalışmaya katılan hastaların fiziksel ve sosyo-demografik verileri kaydedildi. Hastalık ile ilişkili istirahat ve aktivite ağrısı Görsel Analog Skalası (GAS) ile değerlendirildi. Omuz aktif eklem hareket açıklığı üniversal gonyometre ile değerlendirildi. Kinezyofobi düzeyi Tampa Kinezyofobi Ölçeği (TKÖ), yaşam kalitesi Nottingham Sağlık Profili (NSP), omuz fonksiyonları Basit Omuz Testi (BOT) ile değerlendirildi.

Bulgular: Çalışma 120 hasta (yaş: 48,65±14,11 yıl; VKİ: 26,58±5,44 kg/m2) ile tamamlandı. 42 donuk omuz (%35), 34 rotator manşet yırtığı (%28,3), 16 impingement sendromu (%13,3), 11 humerus kırığı (%9,2), 4 dislokasyon (%3,3), 2 bankart lezyonu (%1,7), 1 akromiyoklavikular seperasyon (%0,8) tanılı hasta çalışmaya katıldı. İstirahat ağrısı 4,56±3,14, aktivite ağrısı 7,71±2,49 idi. Kinezyofobi skoru ile NSP ağrı (p=0,000, r=0,414), NSP duyusal (p=0,000, r=0,535), ve NSP toplam skor (p=0,000, r=0,511) arasında orta seviye, kinezyofobi ile diğer NSP alt parametreleri (uyku, sosyal izolasyon, aktivite, enerji), BOT alt parametreleri (ağrı, günlük yaşam aktivitesi, kuvvet) ve BOT toplam skoru, aktivite ağrısı, eksternal rotasyon arasında zayıf korelasyon bulundu. İstirahat ağrısı, omuz fleksiyonu, ekstansiyonu, abdüksiyonu, internal rotasyonu ile kinezyofobi arasında bir ilişki bulunamadı (p>0,05).

Sonuç: Omuz patolojilerinde ağrılı harekete bağlı olarak ortaya çıkan kinezyofobi, hastaların günlük yaşam aktivitelerinde kısıtlılık yaşamalarına neden olurken bu durumun beraberinde getirdiği düşük yaşam kalitesi de hastaların hem fiziksel hem de psikolojik faktörlerle savaşmasına neden olmaktadır.

Anahtar Kelimeler

Omuz, kinezyofobi, yaşam kalitesi, fonksiyon, günlük yaşam aktivitesi

The Effect of Kinesiophobia on Quality of Life and Shoulder Functionality in Painful Shoulder Pathologies

Öz

Aim: The aim of this study was to investigate the relationship between kinesiophobia and quality of life and shoulder functionality in patients with painful shoulder pathologies.

Materials and Methods: Physical and sociodemographic data of the patients participating in the study were recorded. The resting and activity pain associated with the disease was evaluated with the Visual Analogue Scale (VAS). Shoulder active joint range of motion was evaluated with a universal goniometer. Kinesiophobia level was evaluated by Tampa Kinesiophobia Scale (TKÖ), Turkish version of life quality Nottingham Health Profile (NSP), shoulder functions were evaluated by Simple Shoulder Test (SST). Spearman's correlation analysis was used for statistical analysis and p <0.05 was accepted.

Results: The study was completed with 120 participants (age: 48.65 ± 14.11 years; BMI: 26.58 ± 5.44 kg / m2).42 frozen shoulders (35%), 34 rotator cuffs (28.3%), 16 impingments (13.3%), 11 humerus fractures (9.2%), 4 dislocations (3.3%), 2 bankart lesions ( 1.7%), 1 patient with acromioclavicular separation (0.8%) participated in the study.Rest pain was 4.56 ± 3.14 and activity pain was 7.71 ± 2.49.A moderate correlation was found between the kinesiophobia score and NSP pain (p = 0,000, r = 0.414), NSP sensory (p = 0,000, r = 0.535), and NSP total score (p = 0,000, r = 0.511).There was a weak correlation between kinesiophobia and other NSP subparameters (sleep, socialisolation, activity, energy), SST subparameters (pain, dailyactivity, strength) and SST total score, activity pain, external rotation.No relation was found between resting pain, shoulder flexion, extension, adduction, abduction, internal rotation and kinesiophobia (p> 0.05).

Conclusion: Kinesiophobia, which occurs due to painful movement in shoulder pathologies, causes patients to become inadequate in their daily life activities, and the low quality of life brought by this situation causes patients to fight both physical and psychological factors.

Anahtar Kelimeler

shoulder, kinesiophobia, life quality, function, daily living activities

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