The Relationship Between Kinesiophobia, Physical Activity and Disability Level and Pain Management in Patients with Chronic Low Back Pain in Genders

Abstract

Purpose: The aim of this study was to examine the relationship between pain management, kinesiophobia, physical activity and disability level in patients with chronic low back pain (CLBP) in different genders. Methods: Eighty-two patients with CLBP (42 females, 42 males) between the ages of 20-60 participated in the study. Pain management strategies were determined by Pain Coping Questionnaire (PCQ). Tampa Scale for Kinesiophobia for perception of kinesiophobia, Oswestry Disability Index for disability due to pain and International Physical Activity Questionnaire-Short Form (IPAQ-SF) for the physical activity level were used. Results: Women (mean age: 43.23±8.40 years) and men (mean age: 37.09±12.16 years) exhibited differences in helplessness (p=0.001) and conscious cognitive interventions (p=0.023) for pain management. No disparities were noted in self-coping and seeking medical help (p>0.05). Gender variation was significant in kinesiophobia (p=0.002), disability score (p=0.031), and disability percentage (p=0.018) among those with chronic low back pain. Notably, physical activity demonstrated gender balance (p>0.05), while sitting score had a significant difference (p=0.000). In both genders with CLBP, significant associations were found between PCQ dimensions and disability aspects, and in males, with physical activity (p<0.05). Conclusion: Management of CLBP varies by gender and is related to kinesiophobia, physical activity, and disability level.

Keywords

• chronic low back pain
• pain coping
• kinesiophobia
• physical activity
• disability

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