İnmeli hastalarda kinezyofobinin gövde kontrolü, fonksiyonel mobilite, düşme korkusu ve yaşam kalitesi ile ilişkisi

Abstract

Amaç:Çalışmamızın amacı inmeli hastalarda kinezyofobinin gövde kontrolü, fonksiyonel mobilite, düşme korkusu ve yaşam kalitesi ile ilişkisini incelemekti. Yöntem: Bu çalışma kesitsel gözlemsel bir çalışma olarak tasarlandı. Çalışmaya inme geçirmiş 50 birey katıldı. Kinezyofobi Tampa Kineziyofobi Ölçeği (TKÖ) ile, gövde kontrolü Gövde Bozukluğu Ölçeği (GBÖ) ile, fonksiyonel mobilite Zamanlı Kalk ve Yürü Testi (ZKYT) ile, düşme korkusu Tinetti Düşme Etkinliği Ölçeği (TDEÖ) ile ve yaşam kalitesi Kısa Form 12 (SF-12) fiziksel (SF-12 FK) ve mental skorları (SF-12 MK) ile değerlendirildi. Bulgular: TKÖ ile hem SF12-FK (r=-0,652, p<0,01) hem de SF12-MK (r=-0,391, p<0,01) arasındaki korelasyon negatif ve yüksek düzeyde; TDEÖ toplamı (r=0,790, p<0,01) ile pozitif ve yüksek düzeyde, GBÖ toplam skorları ile negatif yönde ve zayıf düzeyde anlamlı bir ilişki (r=-0,353, p<0,05) bulundu. Sonuç: İnme sonrası kinezyofobinin gövde kontrolünü ve yaşam kalitesini olumsuz etkilediği, ayrıca düşme korkusunu arttırdığı göz önüne alındığında, kinezyofobiye yönelik müdahalelerin tedavi sonuçlarını olumlu yönde etkileyebileceği düşünülmektedir

Keywords

• İnme
• Korku
• Postural denge
• Yaşam kalitesi

Relationship between kinesiophobia and trunk control, functional mobility, fear of falling and quality of life in stroke patients

Abstract

Purpose: The aim of our study was to investigate the relationship between kinesiophobia, trunk control, functional mobility and fear of falling and quality of life in stroke patients. Methods: This study was designed as a cross-sectional observational study. 50 patients participated in the study. Kinesiophobia was assessed using the Tampa Scale for Kinesiophobia (TSK), trunk control using the Trunk Impairment Scale (TIS), functional mobility using the Timed Up and Go Test (TUG), fear of falling using the Tinetti Falls Efficacy Scale (TFES), and quality of life using the Short Form-12 (SF-12) physical Component (SF-12 PC) and Mental component (SF-12 MC) scores. Results: The TSK showed a strong negative correlation with both the SF-12 PC Score (r=–0.652, p<0.01) and the SF-12 MC Score (r=–0.391, p<0.01). A strong positive correlation was observed between TSK and TFES total scores (r=0.790, p<0.01). Additionally, TSK demonstrated low-to-moderate negative correlations with TIS total scores (r=–0.425, p<0.01) and trunk performance (r=–0.353, p<0.05). Conclusion: Considering the detrimental impact of post-stroke kinesiophobia on trunk control, quality of life, and fear of falling, incorporating kinesiophobia-focused interventions into rehabilitation programs may enhance therapeutic outcomes.

Keywords

• Stroke
• Fear
• Postural balance
• Quality of life

Supporting Institution

This study was not funded by any association.

Ethical Statement

Ethics Committee of Uskudar University (61351342-08.2023-48)

Thanks

We would like to thank you for NPIstanbul Brain Hospital

References

1. 1. Murphy SJ, Werring DJ. Stroke: causes and clinical features. Medicine. 2020;48:561-566.
2. 2. Amoah D, Schmidt M, Mather C, et al. An international perspective on young stroke incidence and risk factors: A scoping review. BMC Public Health. 2024;24:1627.
3. 3. Saini V, Guada L, Yavagal DR. Global epidemiology of stroke and access to acute ischemic stroke interventions. Neurology. 2021;97:S6-S16.
4. 4. Potter TB, Tannous J, Vahidy FS. A contemporary review of epidemiology, risk factors, etiology, and outcomes of premature stroke. Curr Atheroscler Rep. 2022;24:939-948.
5. 5. Einstad MS, Saltvedt I, Lydersen S, et al. Associations between post-stroke motor and cognitive function: A cross-sectional study. BMC Geriatrics. 2021;21:103.
6. 6. Tyson SF, Crow JL, Connell L, et al. Sensory impairments of the lower limb after stroke: A pooled analysis of individual patient data. Top Stroke Rehabil. 2013;20:441-449.
7. 7. Hammad U, Anderson AW, Scammon E, et al. Balance and walking speed outcomes in individuals receiving inpatient rehabilitation for acute cerebellar stroke. Nurs Rep. 2024;14:2935-2945.
8. 8. Krause AA, Reimold NK, Embry AE, et al. Effect of mediolateral leg perturbations on walking balance in people with chronic stroke: A randomized controlled trial. Plos one. 2024;19:e0311727.

9. 9. Asiri F, Reddy RS, Tedla JS, et al. Kinesiophobia and its correlations with pain, proprioception, and functional performance among individuals with chronic neck pain. PloS One. 2021;16:e0254262.
10. 10. Chen X, Yang X, Li Y, et al. Influencing factors of kinesiophobia among stroke patients with hemiplegia: A mixed methods study. Clin Neurol Neurosurg. 2024;240:108254.
11. 11. Eren F, Yucel K. Comparison of blood lipid parameters in ischemic and hemorrhagic stroke patients and their relationship with mortality. Sakarya Med J. 2021;11:400-408.
12. 12. Koca TT, Gülkesen A, Nacitarhan V, et al. Does kinesiophobia associated with poststroke neuropathic pain and stroke severity? Pain. 2019;22:60-65.
13. 13. Adlı H, Talu B. Is the cause of kinesiophobia in stroke patients pain, or is it due to a lack of postural control, the affected side, and depression? Turk J Neurol. 2025;31:25-33.
14. 14. Gunay Ucurum S. The relationship between pain severity, kinesiophobia, and quality of life in patients with non-specific chronic neck pain. J Back Musculoskel Rehabil. 2019;32:677-683.
15. 15. Bąk E, Młynarska A, Marcisz C, et al. Kinesiophobia in elderly polish patients after ischemic stroke, including frailty syndrome. Neuropsychiatr Dis Treat. 2022;18:707-715.
16. 16. Jia X, Wang Z, Huang F, et al. A comparison of the Mini-Mental State Examination (MMSE) with the Montreal Cognitive Assessment (MoCA) for mild cognitive impairment screening in Chinese middle-aged and older population: A cross-sectional study. BMC Psychiatry. 2021;21:485.
17. 17. Arevalo-Rodriguez I, Smailagic N, Figuls MR, et al. Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database Syst Rev. 2015;2015:CD010783.
18. 18. Neblett R, Hartzell M, Mayer T, et al. Establishing clinically meaningful severity levels for the Tampa Scale for Kinesiophobia (TSK-13). Eur J Pain. 2016;20:701-710.
19. 19. Aydeniz B, Ersoy S, Çinicioğlu M, et al. Evaluation of kinesiophobia, pain and functional status in adhesive capsulitis and rotator cuff syndrome. Bagcilar Med Bull. 2023;8:270-277.
20. 20. Uluğ N, Yakut Y, Alemdaroğlu İ, et al. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016;28:665-70.
21. 21. Yu S-H, Park S-D. The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients. J Exerc Rehabil. 2013;9:362.
22. 22. Sorrentino G SP, Solaro C, Rabini A, et al. Clinical measurement tools to assess trunk performance after stroke: A systematic review. Eur J Phys Rehabil Med. 2018;54:772-784.
23. 23. Sağ RB, Şahin F, Sağ M, et al. Assessing the validity and reliability of the Turkish version of the Trunk Impairment Scale in stroke patients. North Clin Istanb. 2019;6:156-165.
24. 24. Lee K, Lee D, Hong S, et al. The relationship between sitting balance, trunk control and mobility with predictive for current mobility level in survivors of sub-acute stroke. PLoS One. 2021;16:e0251977.
25. 25. Huisinga J, Bruetsch A, Mccalley A, et al. An instrumented timed up and go in facioscapulohumeral muscular dystrophy. Muscle Nerve. 2018;57:503-506.
26. 26. Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80:896-903.
27. 27. Demirci CS, Sertel M, Önal B, et al. The relationship between fear of movement, balance and fear of falling in stroke patients with shoulder pain. Turkiye Klinikleri J Health Sci. 2021;6:274-80. 28. Durmuş MS, Sertel M, Arslan SA. Reliability and validity of the Turkish version of the Tinetti Falls Efficacy Scale in older adults and comparison with other fall scales. Top Geriatr Rehabil. 2025;41:14-23.
28. 29. Arovah NI, Heesch KC. Assessment of the validity and reliability of the Indonesian version of Short Form 12 (SF-12). J Prev Med Hyg. 2021;62:E421.
29. 30. Gündüz ÖS, Mutlu S, Basli AA, et al. Validation of the Turkish Form of Short Form-12 health survey version 2 (SF-12v2). Arch Rheumatol. 2021;36:280-286.
30. 31. Jankowska A, Golicki D. Self-reported diabetes and quality of life: findings from a general population survey with the Short Form-12 (SF-12) Health Survey. Arch Medi Sci. 2021;18:1157-1168.
31. 32. Wasiuk-Zowada D, Knapik A, Szefler-Derela J, et al. Kinesiophobia in stroke patients, multiple sclerosis and parkinson’s disesase. Diagnostics. 2021;11:796.
32. 33. Oguz S, Demirbuken I, Kavlak B, et al. The relationship between objective balance, perceived sense of balance, and fear of falling in stroke patients. Top Stroke Rehabil. 2017; 24:527-532.
33. 34. Jo S, Choi W, Jung J, et al. Convergence study on the relationship between kinesiophobia and fear of falling in patients with stroke. J Korean Chem Soc. 2019;10:33-41.
34. 35. Ahn S-N. Differences in body awareness and its effects on balance function and independence in activities of daily living for stroke. J Phys Ther Sci. 2018;30:1386-9.
35. 36. Sarıçan Y, Erdoğanoğlu Y, Pepe M. The effect of body awareness on trunk control, affected upper extremity function, balance, fear of falling, functional level, and level of independence in patients with stroke. Top Stroke Rehabil. 2023;30:681-690.
36. 37. Hsieh C-L, Sheu C-F, Hsueh I-P, et al. Trunk control as an early predictor of comprehensive activities of daily living function in stroke patients. Stroke. 2002;33:2626-2630. 38. Karthikbabu S, Verheyden G. Relationship between trunk control, core muscle strength and balance confidence in community-dwelling patients with chronic stroke. Top Stroke Rehabil. 2021;28:88-95.