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

Year 2021, Volume: 26 Issue: 1, 11 - 16, 30.01.2021
https://doi.org/10.21673/anadoluklin.755320

Abstract

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.

References

  • Kaynaklar 1. Greenberg DL. Evaluation and treatment of shoulder pain. Medical Clinics. 2014;98(3):487-504.
  • 2. Ryall C, Coggon D, Peveler R, Reading I, Palmer KT. A case–control study of risk factors for arm pain presenting to primary care services. Occupational Medicine. 2006;56(2):137-43.
  • 3. Gwilym S, Oag H, Tracey I, Carr A. Evidence that central sensitisation is present in patients with shoulder impingement syndrome and influences the outcome after surgery. The Journal of bone and joint surgery British volume. 2011;93(4):498-502.
  • 4. Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, et al. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med. 2017;51(18):1340-7.
  • 5. Burwinkle T, Robinson JP, Turk DC. Fear of movement: factor structure of the Tampa Scale of Kinesiophobia in patients with fibromyalgia syndrome. The Journal of pain. 2005;6(6):384-91.
  • 6. Westman AE, Boersma K, Leppert J, Linton SJ. Fear-avoidance beliefs, catastrophizing, and distress: a longitudinal subgroup analysis on patients with musculoskeletal pain. The Clinical journal of pain. 2011;27(7):567-77.
  • 7. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
  • 8. Elfving B, Andersson T, Grooten WJ. Low levels of physical activity in back pain patients are associated with high levels of fear‐avoidance beliefs and pain catastrophizing. Physiotherapy Research International. 2007;12(1):14-24.
  • 9. Shelby RA, Somers TJ, Keefe FJ, DeVellis BM, Patterson C, Renner JB, et al. Brief fear of movement scale for osteoarthritis. Arthritis care & research. 2012;64(6):862-71.
  • 10. Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. Journal of physical therapy science. 2016;28(2):665-70.
  • 11. Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001;10(5):706-6.
  • 12. Boonstra AM, Preuper HRS, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. PAIN®. 2014;155(12):2545-50.
  • 13. Saadet O, et al. . Tedavi hareketlerinde temel değerlendirme prensipleri. Ankara: Hacettepe üniversitesi fizik tedavi ve rehabilitasyon yüksekokulu yayınları; 2003. 66-73 p.
  • 14. Yilmaz ÖT, Yakut Y, Uygur F, ULUĞ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
  • 15. Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2000;23(1):31-8.
  • 16. Ayhan Ç, Ünal E, Yakut Y. Basit Omuz Testi’nin Türkçe versiyonu: güvenirlik ve geçerlik çalışması. Fizyoter Rehabil. 2010;21:68-74.
  • 17. Choi J, Peters M, Mueller RO. Correlational analysis of ordinal data: from Pearson’s r to Bayesian polychoric correlation. Asia Pacific education review. 2010;11(4):459-66.
  • 18. Wolfensberger A, Vuistiner P, Konzelmann M, Plomb-Holmes C, Léger B, Luthi F. Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain. Clinical Orthopaedics and Related Research®. 2016;474(9):2030-9.
  • 19. Lentz TA, Barabas JA, Day T, Bishop MD, George SZ. The relationship of pain intensity, physical impairment, and pain-related fear to function in patients with shoulder pathology. journal of orthopaedic & sports physical therapy. 2009;39(4):270-7.
  • 20. McClure PW, Michener LA. Staged approach for rehabilitation classification: shoulder disorders (STAR–shoulder). Physical therapy. 2015;95(5):791-800.
  • 21. Mintken PE, Cleland JA, Whitman JM, George SZ. Psychometric properties of the Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in patients with shoulder pain. Archives of physical medicine and rehabilitation. 2010;91(7):1128-36.
  • 22. George SZ, Parr JJ, Wallace MR, Wu SS, Borsa PA, Dai Y, et al. Inflammatory genes and psychological factors predict induced shoulder pain phenotype. Medicine and science in sports and exercise. 2014;46(10):1871.
  • 23. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-9.
  • 24. Martinez-Calderon J, Struyf F, Meeus M, Luque-Suarez A. The association between pain beliefs and pain intensity and/or disability in people with shoulder pain: a systematic review. Musculoskeletal Science and Practice. 2018;37:29-57.
  • 25. Vasen AP, Lacey SH, Keith MW, Shaffer JW. Functional range of motion of the elbow. The Journal of hand surgery. 1995;20(2):288-92.
  • 26. Namdari S, Yagnik G, Ebaugh DD, Nagda S, Ramsey ML, Williams Jr GR, et al. Defining functional shoulder range of motion for activities of daily living. Journal of shoulder and elbow surgery. 2012;21(9):1177-83.
  • 27. Oosterwijk AM, Nieuwenhuis MK, Schouten HJ, van der Schans CP, Mouton LJ. Rating scales for shoulder and elbow range of motion impairment: Call for a functional approach. PloS one. 2018;13(8).
  • 28. Clausen MB, Witten A, Holm K, Christensen KB, Attrup ML, Hölmich P, et al. Glenohumeral and scapulothoracic strength impairments exists in patients with subacromial impingement, but these are not reflected in the shoulder pain and disability index. BMC Musculoskeletal Disorders. 2017;18(1):302.
  • 29. Doğan M, Koçak M, Kılınç ÖO, Ayvat F, Sütçü G, Ayvat E, et al. Functional range of motion in the upper extremity and trunk joints: Nine functional everyday tasks with inertial sensors. Gait & posture. 2019;70:141-7.
  • 30. Thoomes-de Graaf M, Scholten-Peeters G, Schellingerhout JM, Bourne A, Buchbinder R, Koehorst M, et al. Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and “activity limitations”: a systematic review. Quality of Life Research. 2016;25(9):2141-60.
  • 31. Roh YH, Noh JH, Oh JH, Baek GH, Gong HS. To what degree do shoulder outcome instruments reflect patients’ psychologic distress? Clinical Orthopaedics and Related Research®. 2012;470(12):3470-7.
  • 32. Potter MQ, Wylie JD, Greis PE, Burks RT, Tashjian RZ. Psychological distress negatively affects self-assessment of shoulder function in patients with rotator cuff tears. Clinical Orthopaedics and Related Research®. 2014;472(12):3926-32.
  • 33. Sindhu BS, Lehman LA, Tarima S, Bishop MD, Hart DL, Klein MR, et al. Influence of fear-avoidance beliefs on functional status outcomes for people with musculoskeletal conditions of the shoulder. Physical therapy. 2012;92(8):992-1005.
  • 34. Wylie JD, Beckmann JT, Granger E, Tashjian RZ. Functional outcomes assessment in shoulder surgery. World journal of orthopedics. 2014;5(5):623.
  • 35. Aceituno-Gómez J, García-Madero V, Blázquez-Gamallo R, Harto-Martínez A, Mohedano A, Viñuela A, et al. Health-related quality of life in patients diagnosed with subacromial syndrome in the Talavera Integrated Area. Revista espanola de salud publica. 2019;93.
  • 36. Alizadehkhaiyat O, Roebuck MM, Makki AT, Frostick SP. Pain, functional disability, psychological status, and health-related quality of life in patients with subacromial impingement syndrome. Cogent Medicine. 2017;4(1):1406631.
  • 37. Cheng H, Novak CB, Veillette C, von Schroeder HP. Influence of psychological factors on patient-reported upper extremity disability. Journal of Hand Surgery (European Volume). 2020;45(1):71-6.
  • 38. Turk DC, Wilson HD. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Current pain and headache reports. 2010;14(2):88-95.

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

Year 2021, Volume: 26 Issue: 1, 11 - 16, 30.01.2021
https://doi.org/10.21673/anadoluklin.755320

Abstract

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.

References

  • Kaynaklar 1. Greenberg DL. Evaluation and treatment of shoulder pain. Medical Clinics. 2014;98(3):487-504.
  • 2. Ryall C, Coggon D, Peveler R, Reading I, Palmer KT. A case–control study of risk factors for arm pain presenting to primary care services. Occupational Medicine. 2006;56(2):137-43.
  • 3. Gwilym S, Oag H, Tracey I, Carr A. Evidence that central sensitisation is present in patients with shoulder impingement syndrome and influences the outcome after surgery. The Journal of bone and joint surgery British volume. 2011;93(4):498-502.
  • 4. Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, et al. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med. 2017;51(18):1340-7.
  • 5. Burwinkle T, Robinson JP, Turk DC. Fear of movement: factor structure of the Tampa Scale of Kinesiophobia in patients with fibromyalgia syndrome. The Journal of pain. 2005;6(6):384-91.
  • 6. Westman AE, Boersma K, Leppert J, Linton SJ. Fear-avoidance beliefs, catastrophizing, and distress: a longitudinal subgroup analysis on patients with musculoskeletal pain. The Clinical journal of pain. 2011;27(7):567-77.
  • 7. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
  • 8. Elfving B, Andersson T, Grooten WJ. Low levels of physical activity in back pain patients are associated with high levels of fear‐avoidance beliefs and pain catastrophizing. Physiotherapy Research International. 2007;12(1):14-24.
  • 9. Shelby RA, Somers TJ, Keefe FJ, DeVellis BM, Patterson C, Renner JB, et al. Brief fear of movement scale for osteoarthritis. Arthritis care & research. 2012;64(6):862-71.
  • 10. Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. Journal of physical therapy science. 2016;28(2):665-70.
  • 11. Crichton N. Visual analogue scale (VAS). J Clin Nurs. 2001;10(5):706-6.
  • 12. Boonstra AM, Preuper HRS, Balk GA, Stewart RE. Cut-off points for mild, moderate, and severe pain on the visual analogue scale for pain in patients with chronic musculoskeletal pain. PAIN®. 2014;155(12):2545-50.
  • 13. Saadet O, et al. . Tedavi hareketlerinde temel değerlendirme prensipleri. Ankara: Hacettepe üniversitesi fizik tedavi ve rehabilitasyon yüksekokulu yayınları; 2003. 66-73 p.
  • 14. Yilmaz ÖT, Yakut Y, Uygur F, ULUĞ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
  • 15. Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. International journal of rehabilitation research Internationale Zeitschrift fur Rehabilitationsforschung Revue internationale de recherches de readaptation. 2000;23(1):31-8.
  • 16. Ayhan Ç, Ünal E, Yakut Y. Basit Omuz Testi’nin Türkçe versiyonu: güvenirlik ve geçerlik çalışması. Fizyoter Rehabil. 2010;21:68-74.
  • 17. Choi J, Peters M, Mueller RO. Correlational analysis of ordinal data: from Pearson’s r to Bayesian polychoric correlation. Asia Pacific education review. 2010;11(4):459-66.
  • 18. Wolfensberger A, Vuistiner P, Konzelmann M, Plomb-Holmes C, Léger B, Luthi F. Clinician and Patient-reported Outcomes Are Associated With Psychological Factors in Patients With Chronic Shoulder Pain. Clinical Orthopaedics and Related Research®. 2016;474(9):2030-9.
  • 19. Lentz TA, Barabas JA, Day T, Bishop MD, George SZ. The relationship of pain intensity, physical impairment, and pain-related fear to function in patients with shoulder pathology. journal of orthopaedic & sports physical therapy. 2009;39(4):270-7.
  • 20. McClure PW, Michener LA. Staged approach for rehabilitation classification: shoulder disorders (STAR–shoulder). Physical therapy. 2015;95(5):791-800.
  • 21. Mintken PE, Cleland JA, Whitman JM, George SZ. Psychometric properties of the Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in patients with shoulder pain. Archives of physical medicine and rehabilitation. 2010;91(7):1128-36.
  • 22. George SZ, Parr JJ, Wallace MR, Wu SS, Borsa PA, Dai Y, et al. Inflammatory genes and psychological factors predict induced shoulder pain phenotype. Medicine and science in sports and exercise. 2014;46(10):1871.
  • 23. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53(9):554-9.
  • 24. Martinez-Calderon J, Struyf F, Meeus M, Luque-Suarez A. The association between pain beliefs and pain intensity and/or disability in people with shoulder pain: a systematic review. Musculoskeletal Science and Practice. 2018;37:29-57.
  • 25. Vasen AP, Lacey SH, Keith MW, Shaffer JW. Functional range of motion of the elbow. The Journal of hand surgery. 1995;20(2):288-92.
  • 26. Namdari S, Yagnik G, Ebaugh DD, Nagda S, Ramsey ML, Williams Jr GR, et al. Defining functional shoulder range of motion for activities of daily living. Journal of shoulder and elbow surgery. 2012;21(9):1177-83.
  • 27. Oosterwijk AM, Nieuwenhuis MK, Schouten HJ, van der Schans CP, Mouton LJ. Rating scales for shoulder and elbow range of motion impairment: Call for a functional approach. PloS one. 2018;13(8).
  • 28. Clausen MB, Witten A, Holm K, Christensen KB, Attrup ML, Hölmich P, et al. Glenohumeral and scapulothoracic strength impairments exists in patients with subacromial impingement, but these are not reflected in the shoulder pain and disability index. BMC Musculoskeletal Disorders. 2017;18(1):302.
  • 29. Doğan M, Koçak M, Kılınç ÖO, Ayvat F, Sütçü G, Ayvat E, et al. Functional range of motion in the upper extremity and trunk joints: Nine functional everyday tasks with inertial sensors. Gait & posture. 2019;70:141-7.
  • 30. Thoomes-de Graaf M, Scholten-Peeters G, Schellingerhout JM, Bourne A, Buchbinder R, Koehorst M, et al. Evaluation of measurement properties of self-administered PROMs aimed at patients with non-specific shoulder pain and “activity limitations”: a systematic review. Quality of Life Research. 2016;25(9):2141-60.
  • 31. Roh YH, Noh JH, Oh JH, Baek GH, Gong HS. To what degree do shoulder outcome instruments reflect patients’ psychologic distress? Clinical Orthopaedics and Related Research®. 2012;470(12):3470-7.
  • 32. Potter MQ, Wylie JD, Greis PE, Burks RT, Tashjian RZ. Psychological distress negatively affects self-assessment of shoulder function in patients with rotator cuff tears. Clinical Orthopaedics and Related Research®. 2014;472(12):3926-32.
  • 33. Sindhu BS, Lehman LA, Tarima S, Bishop MD, Hart DL, Klein MR, et al. Influence of fear-avoidance beliefs on functional status outcomes for people with musculoskeletal conditions of the shoulder. Physical therapy. 2012;92(8):992-1005.
  • 34. Wylie JD, Beckmann JT, Granger E, Tashjian RZ. Functional outcomes assessment in shoulder surgery. World journal of orthopedics. 2014;5(5):623.
  • 35. Aceituno-Gómez J, García-Madero V, Blázquez-Gamallo R, Harto-Martínez A, Mohedano A, Viñuela A, et al. Health-related quality of life in patients diagnosed with subacromial syndrome in the Talavera Integrated Area. Revista espanola de salud publica. 2019;93.
  • 36. Alizadehkhaiyat O, Roebuck MM, Makki AT, Frostick SP. Pain, functional disability, psychological status, and health-related quality of life in patients with subacromial impingement syndrome. Cogent Medicine. 2017;4(1):1406631.
  • 37. Cheng H, Novak CB, Veillette C, von Schroeder HP. Influence of psychological factors on patient-reported upper extremity disability. Journal of Hand Surgery (European Volume). 2020;45(1):71-6.
  • 38. Turk DC, Wilson HD. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Current pain and headache reports. 2010;14(2):88-95.
There are 38 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section ORIGINAL ARTICLE
Authors

Cansu Şahbaz Pirinççi 0000-0002-3921-0721

Emine Cihan 0000-0003-0699-3771

Muhammed Arca 0000-0001-8104-4985

Elif Dilara Durmaz 0000-0001-5670-8890

Necmiye Ün Yıldırım 0000-0002-5527-4290

Publication Date January 30, 2021
Acceptance Date September 20, 2020
Published in Issue Year 2021 Volume: 26 Issue: 1

Cite

Vancouver Şahbaz Pirinççi C, Cihan E, Arca M, Durmaz ED, Ün Yıldırım N. The Effect of Kinesiophobia on Quality of Life and Shoulder Functionality in Painful Shoulder Pathologies. Anatolian Clin. 2021;26(1):11-6.

13151 This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.