Farklı Şiddetteki Diz Osteoartritli Hastalarda Kinezyofobi, Ağrı, Fonksiyonel Durum ve Öz-Etkililik Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: Bu çalışmamızın amacı farklı şiddetteki diz osteoartritli hastalarda kinezyofobi, ağrı, fonksiyonel durum ve öz-etkililik arasındaki ilişkiyi incelemektir.
Gereç ve Yöntem: Çalışmaya Kellgren Lawrence sınıflamasına göre evre 2 ve evre 3 diz osteoartritli 72 birey dahil edildi. Kinezyofobi için Tampa Kinezyofobi Ölçeği (TKÖ), ağrı için Vizüel Analog Skalası (VAS) kullanıldı. Bireylerin fonksiyonel durumu The Western Ontario and McMaster Universities Arthritis Indeks (WOMAC) ile değerlendirildi. Öz-etkililik Artritlerde Öz Etkililik Ölçeği (AÖÖ) kullanılarak değerlendirildi.
Bulgular: Evre 2 ve evre 3 hastalarının WOMAC ile TKÖ sonuçları arasında pozitif yönde orta düzeyde ilişkili bulundu (p=0,048; r=0,332, p=0,024; r=0,376). Her iki evrede AÖÖ ile TKÖ sonuçları (p=0,002; r=0,449, p=0,016; r=0,390) ve AÖÖ ile WOMAC sonuçları negatif yönde orta düzeyde ilişkiliydi (p=0,000; r=0,580, p=0,010; r=0,426). Evre 3 hastalarının evre 2’ye göre düşük öz-etkililik (p=0,011), yüksek kinezyofobiye sahip oldukları görüldü (p=0,009). Evre 2 hastalarının VAS ile WOMAC sonuçları arasında anlamlı ilişki saptanmazken (p=0,281; r=0,184) evre 3 hastaları arasında pozitif yönde orta düzeyde ilişki görüldü (p=0,017; r=0,397).
Tartışma: Diz osteoartritli hastalarda kinezyofobi ve kişinin aktiviteye yapabileceğine dair kendine olan inancının fonksiyonel durumu etkileyen belirteçlerden biri olduğu ve bu parametrelerin radyolojik şiddetle ilişkili olduğu saptandı. Dolayısıyla bu bireylerin değerlendirme ve tedavi programlarında bu parametrelere de dikkat edilmesi gerektiği düşünülmektedir.

Keywords

• Diz
• Osteoartrit
• Ağrı
• Fonksiyonel durum
• Öz etkililik

Investigation of the relationship Between Kinesiophobia, Pain, Functional Status and Self - Efficacy in Patients with Knee Osteoarthritis of Different Severity

Abstract

Purpose: The aim of this study is to examine the relationship between kinesophobia, pain, functional status and self-efficacy in patients with knee osteoarthritis of different severity.
Material and Methods: The study included 72 individuals with stage 2 and 3 knee osteoarthritis according to the Kellgren Lawrence classification. Tampa Kinesiophobia Scale (TSK) for kinesiophobia; Visual Analogue Scale (VAS) for pain, Western Ontario and McMaster Universities Arthritis Index (WOMAC) for functional status, Self-Efficacy Scale for Arthritis (ASES) for self-efficacy were used, respectively.
Results: Positive correlations were found between WOMAC and TSK of stage 2 and 3(p=0.048; r=0.332, p=0.024; r=0.376). In both phases, ASES and TSK (p=0.002; r=0.449, p=0.016; r=0.390) and ASES and WOMAC were moderately negatively correlated (p=0.000; r=0.580, p=0.010; r=0.426). It was observed that stage 3 had lower self-efficacy (p=0.011) and higher kinesiophobia compared to stage 2 (p=0.009) patients. While there was no correlation between VAS and WOMAC of stage 2 (p=0.281; r=0.184), moderate positive correlation was found in stage 3 (p=0.017; r=0.397).
Discussion: In patients with knee osteoarthritis, it was determined that kinesiophobia and self-belief that one can do the activity were the markers affecting the functional status and these parameters were related to radiological severity. Therefore, it is thought that attention should be paid to these parameters in the evaluation and treatment programs of these individuals.

Keywords

• Knee
• Osteoarthritis
• Pain
• Functional Status
• Self Efficacy

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