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İnflamatuar Romatizmal Hastalıklarda Egzersiz-Fiziksel Aktivite Bilinç Düzeyi ve Korku Kaçınma İnanışlarının Karşılaştırılması

Year 2022, Volume: 44 Issue: 5, 620 - 628, 29.09.2022
https://doi.org/10.20515/otd.1052109

Abstract

Bu çalışmanın amacı, Ankilozan spondilit (AS), Romatoid Artrit (RA) ve sağlıklı bireylerin yaşam kalitesi, korku kaçınma inançları, fiziksel aktivite düzeyleri, egzersiz ve fiziksel aktivite bilinç durumlarını karşılaştırmak ve hastalık aktivitesi ile bu parametreler arasındaki ilişkisini araştırmaktı. Bu çalışmaya AS (n=27), RA (n=28) ve sağlıklı (n=28) bireyler dahil edildi. Katılımcıların hastalık aktivite düzeyleri, fiziksel aktivite düzeyleri (Kısa form-Uluslararası Fiziksel Aktivite Anketi, UFAA-7), korku kaçınma inanışları (Korku-Kaçınma İnançları Anketi, KKİA), fiziksel aktivite ve egzersiz farkındalığı (Egzersiz ve Fiziksel Aktivite Bilinci Anketi, EFBA) ve yaşam kalitesi (Kısa form-36, SF-36) değerlendirildi. AS ve RA grupları; UFAA-7, EFBA ve SF-36 skorları açısından benzer (p>0.05) ve sağlıklı gruba göre düşüktü (p<0.05). AS ve RA gruplarının KKİA puanları sağlıklı bireylerden daha yüksekti (p<0.05). Hastalık aktivitesi ile UFAA-7 ve SF36 skorları arasında negatif yönde (p<0.05); AS ve RA gruplarında hastalık aktivite skoru ile KKİA arasında pozitif yönde ilişki bulundu (p<0.05). Bu sonuçlar, RA’daki ve AS'deki hastaların hastalık yükünün benzer olabileceğini ve bu hastalarda egzersiz ve fiziksel aktivitenin hastalık yükünü artıracağına dair yanlış inançlara sahip olabileceğini gösterebilir.

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References

  • Referans1. Palabıyık O, Taş Tuna A, Bayar F, et al. Ankilozan Spondilit ve Romatoid Artrit Birlikteliği Olan Hastada Kombine Siyatik-Femoral Sinir Bloğu. Firat Med J. 2014;19(4):214-6.
  • Referans2 Bucourt E, Martaillé V, Goupille P, et al. A Comparative Study of Fibromyalgia, Rheumatoid Arthritis, Spondyloarthritis, and Sjogren’s Syndrome; Impact of the Disease on Quality of Life, Psychological Adjustment, and Use of Coping Strategies. Pain Medicine. 2021;22(2):372–81.
  • Referans3. Lööf H, Demmelmaier I, Henriksson EW, et al. Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis. Scand J Rheumatol. 2015;44(2):93–9.
  • Referans4. Tezcan ME, Cinkit Doğan B, Şen N, et al. High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis. Arch Rheumatol. 2017;32(4):325-32.
  • Referans5. Kınıklı Gİ, Güney Deniz H, Karahan S, et al. Predıctors of Fear of Movement in Patıents with Rheumatoıd Arthrıtıs. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2018;29(2):11-7.
  • Referans6. Tuncay F, Borman P, Kaygısız F, et al. Romatoid Artrit Hastalık Aktivitesinin, Romatoid Artrit Hastalık Aktivite İndeksi (RADAI) ile Değerlendirilmesi ve Diğer Klinik Hastalık Aktivite İndeksleri ile Karşılaştırılması. Turkiye Klinikleri J Med Sci. 2015;35(3):179-85.
  • Referans7. O’Dwyer T, McGowan E, O’Shea F, et al. Physical Activity and Exercise: Perspectives of Adults with Ankylosing Spondylitis. Journal of Physical Activity and Health. 2016;13(5):504-13.
  • Referans8. Hernández-Hernández MV, Díaz-González F. Role of physical activity in the management and assessment of rheumatoid arthritis patients. Reumatol Clin. 2017;13(4):214-20.
  • Referans9. 9. Connolly D, Fitzpatrick C, O’Shea F. Disease Activity, Occupational Participation, and Quality of Life for Individuals with and without Severe Fatigue in Ankylosing Spondylitis. Hindawi Occupational Therapy International. 2019;2019(1):1-10.
  • Referans10. Garrett S, Jenkinson T, Kennedy LG, et al. A new approach to defining disease status in Ankylosing Spondylitis: The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). J Rheumatol. 1994;21(12): 2286-91.
  • Referans11. Akkoc Y, Karatepe AG, Akar S, et al. Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int. 2005;25(4):280-84.
  • Referans12. Sahebari M, Ayati R, Mirzaei H, et al. Serum Trace Element Concentrations in Rheumatoid Arthritis. Biological Trace Element Research. 2016;171(2): 237-45.
  • Referans13. Bae S, Cook E, Kim S-Y. Psychometric evaluation of a Korean Health Assessment Questionnaire for clinical research. The Journal of rheumatology. 1998;25(10):1975-79.
  • Referans14. Sağlam M, Arıkan H, Savcı S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Ski. 2010;111(1):278-84.
  • Referans15. Bingül ÖÖ, Başaslan Ü. Validity and reliability of the Turkish version of the Fear Avoidance Beliefs Questionnaire. Fizyoterapi Rehabilitasyon. 2009;24(1):135-43.
  • Referans16. Koçyiğit H, Aydemir Ö, Fişek G, et al. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. İlaç ve Tedavi Dergisi. 1999;12(2):102-6.
  • Referans17. Tuncel F, Tuncel S, Yüksel HS, et al. Ankara Üniversitesi Kolejlerinde Çalışan Personelin Sağlıklı Yaşam Alışkanlıkları ve Fiziksel Aktivite Bilinç Düzeyleri. Ankara Üniv Spor Bil Fak. 2016;14(1):109-19.
  • Referans18. Şenel A. Çalışan ve Çalışmayan Kadınların Egzersiz Bilgi ve Bilinç Düzeylerinin Karşılaştırılması. Pamukkale Üniversitesi, Denizli. Yüksek Lisans Tezi, 2019; 64 syf.
  • Referans19. Kısacık P, Ünal E, Akman U, et al. Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female patients with ankylosing spondylitis. Complementary Therapies in Clinical Practice. 2016;22:38-43.
  • Referans20. O’Dwyer T, McGowan E, O’Shea F, et al. Physical Activity and Exercise: Perspectives of Adults with Ankylosing Spondylitis. Journal of Physical Activity and Health. 2016;13(5):504-13.
  • Referans21. Larkin L, Gallagher S, Fraser AD, et al. Relationship between self-efficacy, beliefs, and physical activity in inflammatory arthritis. Hong Kong Physiotherapy Journal. 2016;34:33-40.
  • Referans22. Gossec L, Berenbaum F, Chauvin P, et al. Development and application of a questionnaire to assess patient beliefs in rheumatoid arthritis and axial spondyloarthritis. Clinical Rheumatology. 2018;37(10):2649–57.
  • Referans23. Matcham F, Scott IC, Rayner L, et al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2014;44(2):123–30.
  • Referans24. Yang X, Fan D, Xia Q, et al. The health-related quality of life of ankylosing spondylitis patients assessed by SF-36: a systematic review and meta-analysis. Qual Life Res. 2016;25(11):2711-23.
  • Referans25. Zink A, Thiele K, Huscher D, et al. Healthcare and burden of disease in psoriatic arthritis. A comparison with rheumatoid arthritis and ankylosing spondylitis. J Rheumatol. 2006;33(1):86–90.
  • Referans26. Michelsen B, Fiane R, Diamantopoulos AP, et al. A Comparison of Disease Burden in Rheumatoid Arthritis, Psoriatic Arthritis and Axial Spondyloarthritis. PLoS ONE. 2015;10(4):1-11.

Comparison of Exercise-Physical Activity Consciousness and Fear Avoidance Beliefs in Inflammatory Rheumatological Diseases

Year 2022, Volume: 44 Issue: 5, 620 - 628, 29.09.2022
https://doi.org/10.20515/otd.1052109

Abstract

The aim of this study was to compare the quality of life, fear avoidance beliefs, physical activity levels, exercise and physical activity consciousness status of Ankylosing spondylitis (AS), Rheumatoid Arthritis (RA) and healthy individuals and to investigate the relationship between disease activity level with these parameters in AS and RA. AS (n=27), RA (n=28), and healthy (n=28) individuals were included in this study. Participants' disease activity levels, physical activity levels (Short form-International Physical Activity Questionnaire, IPAQ-7), fear avoidance beliefs (Fear-Avoidance Beliefs Questionnaire), FABQ), physical activity and exercise awareness (Exercise and Physical Activity Consciousness Questionnaire, EPACQ), and quality of life (Short form-36, SF-36) were evaluated. AS and RA groups; IPAQ-7, EPACQ and SF-36 scores were similar and lower than healthy group (p<0.05). FABQ scores of the AS and RA groups were higher than the healthy individuals (p<0.05). There was a negative correlation between disease activity and UFAA-7 and SF36 scores (p<0.05); A positive correlation was found between the disease activity and FABQ scores in the AS and RA groups (p<0.05). These results may indicate that patients with RA and AS may have similar disease burden and may have false beliefs that exercise and physical activity will increase the disease burden in these patients.

Project Number

yok.

References

  • Referans1. Palabıyık O, Taş Tuna A, Bayar F, et al. Ankilozan Spondilit ve Romatoid Artrit Birlikteliği Olan Hastada Kombine Siyatik-Femoral Sinir Bloğu. Firat Med J. 2014;19(4):214-6.
  • Referans2 Bucourt E, Martaillé V, Goupille P, et al. A Comparative Study of Fibromyalgia, Rheumatoid Arthritis, Spondyloarthritis, and Sjogren’s Syndrome; Impact of the Disease on Quality of Life, Psychological Adjustment, and Use of Coping Strategies. Pain Medicine. 2021;22(2):372–81.
  • Referans3. Lööf H, Demmelmaier I, Henriksson EW, et al. Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis. Scand J Rheumatol. 2015;44(2):93–9.
  • Referans4. Tezcan ME, Cinkit Doğan B, Şen N, et al. High Disease Activity May Increase Fear-Avoidance Beliefs in Rheumatoid Arthritis. Arch Rheumatol. 2017;32(4):325-32.
  • Referans5. Kınıklı Gİ, Güney Deniz H, Karahan S, et al. Predıctors of Fear of Movement in Patıents with Rheumatoıd Arthrıtıs. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2018;29(2):11-7.
  • Referans6. Tuncay F, Borman P, Kaygısız F, et al. Romatoid Artrit Hastalık Aktivitesinin, Romatoid Artrit Hastalık Aktivite İndeksi (RADAI) ile Değerlendirilmesi ve Diğer Klinik Hastalık Aktivite İndeksleri ile Karşılaştırılması. Turkiye Klinikleri J Med Sci. 2015;35(3):179-85.
  • Referans7. O’Dwyer T, McGowan E, O’Shea F, et al. Physical Activity and Exercise: Perspectives of Adults with Ankylosing Spondylitis. Journal of Physical Activity and Health. 2016;13(5):504-13.
  • Referans8. Hernández-Hernández MV, Díaz-González F. Role of physical activity in the management and assessment of rheumatoid arthritis patients. Reumatol Clin. 2017;13(4):214-20.
  • Referans9. 9. Connolly D, Fitzpatrick C, O’Shea F. Disease Activity, Occupational Participation, and Quality of Life for Individuals with and without Severe Fatigue in Ankylosing Spondylitis. Hindawi Occupational Therapy International. 2019;2019(1):1-10.
  • Referans10. Garrett S, Jenkinson T, Kennedy LG, et al. A new approach to defining disease status in Ankylosing Spondylitis: The Bath Ankylosing Spondylitis Disease Activity Index (BASDAI). J Rheumatol. 1994;21(12): 2286-91.
  • Referans11. Akkoc Y, Karatepe AG, Akar S, et al. Turkish version of the Bath Ankylosing Spondylitis Disease Activity Index: reliability and validity. Rheumatol Int. 2005;25(4):280-84.
  • Referans12. Sahebari M, Ayati R, Mirzaei H, et al. Serum Trace Element Concentrations in Rheumatoid Arthritis. Biological Trace Element Research. 2016;171(2): 237-45.
  • Referans13. Bae S, Cook E, Kim S-Y. Psychometric evaluation of a Korean Health Assessment Questionnaire for clinical research. The Journal of rheumatology. 1998;25(10):1975-79.
  • Referans14. Sağlam M, Arıkan H, Savcı S, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Ski. 2010;111(1):278-84.
  • Referans15. Bingül ÖÖ, Başaslan Ü. Validity and reliability of the Turkish version of the Fear Avoidance Beliefs Questionnaire. Fizyoterapi Rehabilitasyon. 2009;24(1):135-43.
  • Referans16. Koçyiğit H, Aydemir Ö, Fişek G, et al. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. İlaç ve Tedavi Dergisi. 1999;12(2):102-6.
  • Referans17. Tuncel F, Tuncel S, Yüksel HS, et al. Ankara Üniversitesi Kolejlerinde Çalışan Personelin Sağlıklı Yaşam Alışkanlıkları ve Fiziksel Aktivite Bilinç Düzeyleri. Ankara Üniv Spor Bil Fak. 2016;14(1):109-19.
  • Referans18. Şenel A. Çalışan ve Çalışmayan Kadınların Egzersiz Bilgi ve Bilinç Düzeylerinin Karşılaştırılması. Pamukkale Üniversitesi, Denizli. Yüksek Lisans Tezi, 2019; 64 syf.
  • Referans19. Kısacık P, Ünal E, Akman U, et al. Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female patients with ankylosing spondylitis. Complementary Therapies in Clinical Practice. 2016;22:38-43.
  • Referans20. O’Dwyer T, McGowan E, O’Shea F, et al. Physical Activity and Exercise: Perspectives of Adults with Ankylosing Spondylitis. Journal of Physical Activity and Health. 2016;13(5):504-13.
  • Referans21. Larkin L, Gallagher S, Fraser AD, et al. Relationship between self-efficacy, beliefs, and physical activity in inflammatory arthritis. Hong Kong Physiotherapy Journal. 2016;34:33-40.
  • Referans22. Gossec L, Berenbaum F, Chauvin P, et al. Development and application of a questionnaire to assess patient beliefs in rheumatoid arthritis and axial spondyloarthritis. Clinical Rheumatology. 2018;37(10):2649–57.
  • Referans23. Matcham F, Scott IC, Rayner L, et al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: A systematic review and meta-analysis. Seminars in Arthritis and Rheumatism. 2014;44(2):123–30.
  • Referans24. Yang X, Fan D, Xia Q, et al. The health-related quality of life of ankylosing spondylitis patients assessed by SF-36: a systematic review and meta-analysis. Qual Life Res. 2016;25(11):2711-23.
  • Referans25. Zink A, Thiele K, Huscher D, et al. Healthcare and burden of disease in psoriatic arthritis. A comparison with rheumatoid arthritis and ankylosing spondylitis. J Rheumatol. 2006;33(1):86–90.
  • Referans26. Michelsen B, Fiane R, Diamantopoulos AP, et al. A Comparison of Disease Burden in Rheumatoid Arthritis, Psoriatic Arthritis and Axial Spondyloarthritis. PLoS ONE. 2015;10(4):1-11.
There are 26 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section ORİJİNAL MAKALE
Authors

Hanife Doğan 0000-0002-2294-2483

Özlem Balbaloğlu 0000-0003-2813-3406

Project Number yok.
Publication Date September 29, 2022
Published in Issue Year 2022 Volume: 44 Issue: 5

Cite

Vancouver Doğan H, Balbaloğlu Ö. Comparison of Exercise-Physical Activity Consciousness and Fear Avoidance Beliefs in Inflammatory Rheumatological Diseases. Osmangazi Tıp Dergisi. 2022;44(5):620-8.


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