The relationship between kinesiophobia, physical performance and balance in lower extremity lymphedema patients

Yıl 2022, Cilt: 33 Sayı: 1, 39 - 47, 20.04.2022

Büşra Pehlivan , Yıldız Erdoganolu , Nur Selin Of Şansın Tüzün

https://doi.org/10.21653/tjpr.936822

Cited By: 2

Öz

Purpose: Lymphedema is an important situation that causes physical and psychological life-threatening problems. This study researches kinesiophobia in lower extremity patients and scrutinizes the relationship between kinesiophobia, physical performance and balance.
Methods: This cross-sectional controlled study included 40 individuals diagnosed with lower extremity lymphedema with a mean age of 42.58±10.30 years and 31 healthy individuals with a mean age of 40.65 ± 9.53 years. The evaluation of patients with unilateral lymphedema without cognitive and visual problems and those without orthopedic and neurological disorders that would prevent walking and those without heart disease and hypertension was carried out between November 2018 and March 2019. Static balance was evaluated with standing on One leg Balance Test, fear of movement was evaluated with Tampa Scale Kinesiophobia and functional levels were evaluated with Timed Up and Go test.
Results: Static balance and physical performance of lower extremity lymphedema patients were found to be statistically different than healthy individuals (p<0.05). Patients with lower extremity lymphedema had a severe fear of movement (37 and above). There was a significant moderate correlation between kinesiophobia and balance (r= -0.536 p= 0.001) kinesiophobia and physical performance (r= 0.522 p= 0.001) in lower extremity lymphedema patients. And this correlation was more in healthy individuals.
Conclusions: High fear of movement and decreased physical performance and balance were found in patients with lower extremity lymphedema. Early diagnosis and treatment of complications due to lymphedema is important for the clinical results of this patient group.

Anahtar Kelimeler

lymphedema, kinesiophobia, static balance, physical performance

Alt Ekstremite Lenfödem Hastalarında Kinezyofobi, Fiziksel Performans ve Denge Arasındaki İlişki

Öz

Amaç: Lenfödem, fiziksel ve psikolojik hayatı tehdit eden sorunlara neden olan önemli bir durumdur. Bu çalışmada alt ekstremite hastalarında kinezyofobi araştırılmakta ve kinezyofobi, fiziksel performans ve denge arasındaki ilişki incelenmektedir.
Yöntemler: Bu kesitsel kontrollü çalışma, alt ekstremite lenfödem tanısı almış, yaş ortalaması 42.58 ± 10.30 yıl olan 40 birey ve yaş ortalaması 40.65 ± 9.53 yıl olan 31 sağlıklı bireyi içermektedir. Kognitif ve görsel problemi olmayan tek taraflı lenfödem hastaları ile yürümeyi engelleyecek ortopedik ve nörolojik bozukluğu olmayanlar ile kalp hastalığı ve hipertansiyonu olmayanların değerlendirilmesi Kasım 2018-Mart 2019 tarihleri arasında yapıldı. Test, hareket etme korkusu Tampa Ölçeği Kinezyofobi ile, fonksiyonel düzeyler ise Zamanlı Yukarı ve Git testi ile değerlendirildi.
Bulgular: Alt ekstremite lenfödem hastalarının statik denge ve fiziksel performansları sağlıklı bireylerden istatistiksel olarak farklı bulundu (p <0.05). Alt ekstremite lenfödemi olan hastalarda şiddetli hareket korkusu vardı (37 ve üzeri). Alt ekstremite lenfödem hastalarında kinezyofobi ile denge (r = -0.536 p = 0.001) kinezyofobi ve fiziksel performans (r = 0.522 p = 0.001) arasında orta derecede anlamlı bir korelasyon vardı. Ve bu ilişki sağlıklı bireylerde daha fazlaydı.
Sonuç: Alt ekstremite lenfödemi olan hastalarda yüksek hareket korkusu ve düşük fiziksel performans ve denge saptandı. Lenfödeme bağlı komplikasyonların erken teşhisi ve tedavisi bu hasta grubunun klinik sonuçları açısından önemlidir.

Anahtar Kelimeler

lenfödem, kinezyofobi, statik denge, fiziksel performans

Kaynakça

• Referans1. Kerchner K, Fleischer A, Yosipovitch G, 2008. Lower extremity lymphedema. J Am Acad Dermatol. 59: 324-31.
• Referans2. Stolldorf Dp, Dietrich Ms, Ridner Sh, 2016. A Comparison of the Quality of Life in Patients With Primary and Secondary Lower Limb Lymphedema: A Mixed- Methods Study. West J Nurs. Res. 38(10): 1313-1334.
• Referans3. Wang CM, Lee SY, Hsu KF, Lin CF, Ma MC, Hsu YY. Psychometric evaluation of a Chinese version of lymphoedema functioning, disability and health questionnaire for lower limb lymphoedema in women with gynaecological cancer surgery. Eur J Cancer Care. 2018;27(6):e12940.
• Referans4. Ergin G, Karadibak D, Sener HO, Gurpinar B. Effects of aqua-lymphatic therapy on lower extremity lymphedema: A Randomized Controlled Study. Lymphat Res Biol. 2017;15:284-91.
• Referans5. Ostby PL, Armer JM, Dale PS, Van Loo MJ, Wilbanks CL, Stewart BR. Surveillance recommendations in reducing risk o and ooptimally managing breast cancer-related lymphedema. J Pers Med. 2014;4(3):424-47. Referans6. Finnane A, Hayes SC, Obermair A, Janda M. Quality of life of women with lower-limb lymphedema following gynecological cancer. Expert Rev Pharmacoecon Outcomes Res. 2011;11(3):287-97.
• Referans7. Ghezeljeh TN, Ardebili FM, Rafii F. The effects of massage and music on pain, anxiety and relaxation in burn patients. Randomized controlled clinical trial. Burns. 2017;43: 1034 – 43.
• Referans8. Goldperg P, Zeppieri G, Bialosky J, Bocchino C, van den Booggard J, Tilman S, et al. Kinesiophobia and Its association with health-related quality of life across injury locations Arch Phys Med Rehabil. 2018;99(1):43-48.
• Referans9. Can AG, Can SS, Ekşioğlu E, Çakcı FA. Is kinesiophobia associated with lymphedema, upper extremity function, and psychological morbidity in breast cancer survivors? Turk J Phys Med Rehab. 2019;65(2): 139-146.
• Referans10. Karadibak D, Yavuzşen T, Saydam S. Prospective Trial of Intensive Decongestive Physiotherapy for Upper Extremity Lymphedema. Journal of Surgical Oncology. 2008; 97(7): 572–577.
• Referans11. Tuğral A, Bakar Y. Does Lower Extremity Lymphedema Affect Quality Of Life, Functionality and Kinesiophobia? European Journal of Lymphology and Related Problems. 2017;29(76): 49-54.
• Referans12. Katz E, Dugan NL, Cohn JC, Chu C, Smith RG, Schmitz KH. Weight lifting in patients with lower-extremity lymphedema secondary to cancer: a pilot and feasibility study. Arch Phys Med Rehabil. 2010;91(7):1070-6.
• Referans13. Soyuer F, Şenol V, Elmalı F. Huzurevinde Kalan 65 Yaş ve Üstündeki Bireylerin, Fiziksel Aktivite, Denge Ve Mobilite Fonksiyonları. Van Tıp Dergisi (Turkish Article). 2012;19(3):116-121.
• Referans14. Angin S, Karadibak D, Yavuzşen T, Demirbüken İ. Unilateral upper extremity lymphedema deteriorates the postural stability in breast cancer survivors. Contemporary Oncology (Pozn). 2014;18(4):279–84.
• Referans15. Cordero, FI, Langa MJ, Cordero AF, Jimeno JM. Predictive factors of response to decongestive therapy in patients with breast-cancer-related lymphedema. Annals of Surgical Oncology. 2010;17(3):744-51.
• Referans16. Winters-Stone KM, Torgrimson B, Horak F, Eisner A, Nail L, Leo MC, et al. Identifying Factors Associated With Falls in Postmenopausal Breast Cancer Survivors: A Multi Disciplinary Approach. Arch Phys Med Rehabil. 2011;92:646-52.
• Referans17. Kaulesar Sukul DM, den Hoed PT, Johannes EJ, van Dolder R, Benda E. Direct and indirect methods for the quantification of leg volume: comparison between water displacement volumetry, the disk model method and the frustum sign model method, using the correlation coefficient and the limits of agreement. J Biomed Eng. 1993;15:477-80.
• Referans18. Tunca Yılmaz Ö, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoter Rehabil (Turkish Article). 2011;22:44-9.
• Referans19. Swinkels-Meewisse EJCM, Swinkels RAHM, Verbeek AL, Vlaeyen JW, Oostendorp RA. Psychometric properties of the Tampa Scale for Kinesiophobia and the fear-avoidance beliefs questionnaire in acute low back pain. Manual Therapy. 2003;8(1):29-36.
• Referans20. Siggeirsdottir K, Jonsson BY, Jonsson H Jr, Iwarsson S. The timed ‘Up & Go’ is dependent on chair type. Clinical Rehabilitation. 2002;16:609–16.
• Referans21. Bohannon RW, Larkin PA, Cook AC, Sınger J. Decrease in timed balance test scores with aging. Phys Ther. 1984;64(7):1067-9.
• Referans22. Chan YH. Biostatistics 104: correlational analysis. Singapore Med J. 2003;44:614-9.
• Referans23. Dönmez AA, Özdemir L. Skin care and protective approaches in lymphedema. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi (Turkish Article). 2016;54–64.
• Referans24. Rodrick JR, Poage E, Wanchai A, Stewart BR, Cormier JN, Armer JM. Complementary, alternative, and other noncomplete decongestive therapy treatment methods in the management of lymphedema: a systematic search and review. PM R. 2014;6(3):250-74.
• Referans25. Özkal Ö, Topuz S, Konan A, Kısmet K. Alt Ekstremite Yanık Yaralanması Olan Bireylerde Ağrı, Kinezyofobi, Denge Ve Fonksiyonellik Arasındaki İlişkinin İncelenmesi. Ankara Eğt. Arş. Hast. Derg (Turkish Article). 2017;50(3):122-8.
• Referans26. Yıldız Erdoğanoğlu, Meryem Çalık, Meltem Vural. Functional evaluation of patients with mastectomy lymphedema. Turk J Phys Med Rehab. 2021;67(x):1-6.
• Referans27. Ishak NA, Zahari Z, Justine M. Kinesiophobia, Pain, Muscle Functions, and Functional Performances among Older Persons with Low Back Pain. Pain Tesearch and Treatment. 2017;ID 3489617.
• Referans28. Herán Á, Agudo-Carmona D, Ferrer-Peña R, López-de-Uralde-Villanueva I, GilMartínez A, Paris-Alemany A, et al. Postural stability in osteoarthritis of the knee and hip: Analysis of association with pain catastrophizing and fear-avoidance beliefs‖. PM R 2016;8(7):618-28.
• Referans29. Marcks P. Lymphedema. Pathogenesis, prevention, and treatment. Cancer Pract. 1997;5(1):32-8.
• Referans30. Kiel KD, Rademacker Aw. Early stage breast cancer: arm edema after wide excision and breast irradiation. Radiology. 1996;198(1):279–83.
• Referans31. Fu MR, Axelrod D, Guth AA, Fletcher J, Qiu JM, Scagliola J, et al. Patterns of obesity and lymph fluid level during the first year of breast cancer treatment: A prospective study. Journal of personalized medicine. 2015;5(3):326-40.