Investigation of the effect of low back pain severity on functional level, quality of life and fear-avoidance behavior in women with hip osteoarthritis

Abstract

Purpose: The objective of the this study was to investigate the effect of low back pain (LBP) severity on functional level, quality of life (QoL), and fear-avoidance behavior in patients with hip osteoarthritis (HOA). Material and methods: A cross-sectional study conducted on a total of 43 female patients diagnosed with HOA. The patients were divided into two groups according to pain intensity; Group 1 consisted of patients with moderate-to-high intensity low back pain (VAS:3.5-10 cm; n=21), Group 2 consisted of patients with mild back pain (VAS:0.5-3.49 cm; n=22) occurred. Functional level (Lumbar Spine Mobility, Harris Hip Score, Timed Up and Go Test), quality of life (Nottingham Health Profile) and kinesiophobia (Tampa Scale of Kinesiophobia) were evaluated. Results: When the groups were compared, it was found that the QoL, QoL-pain and emotional reactions sub-parameters scores of Group 1 were significantly higher than Group 2 (p=0.001, p=0.002, p=0.002). However, there was no statistically significant difference between the two groups in terms of functional level and kinesiophobia (p>0.05). Conclusion: The results of the study showed that the QoL-pain and emotional reaction sub-parameters and QoL were negatively affected in patients with moderate-high severity of LBP in HOA in comparison with mild severity of LBP.

Keywords

• Hip osteoarthritis
• low back pain
• quality of life
• pain
• assessment

Kalça osteoartritli kadınlarda bel ağrısı şiddetinin fonksiyonel düzey, yaşam kalitesi ve korku kaçınma davranışına etkisinin incelenmesi

Abstract

Amaç: Bu çalışmanın amacı kalça osteoartritli (KOA) hastalarda bel ağrısı şiddetinin fonksiyonel düzey, yaşam kalitesi ve korku kaçınma davranışı üzerine etkisini incelemektir. Gereç ve yöntem: Yapılan kesitsel çalışmaya KOA tanısı konmuş toplam 43 kadın hasta dahil edilmiştir. Hastalar ağrı şiddetine göre iki gruba ayrılmış; Grup 1 orta-yüksek şiddette bel ağrısı olan hastalardan (VAS:3,5-10 cm; n=21), Grup 2 ise hafif bel ağrısı olan hastalardan (VAS:0,5-3,49 cm; n=22) oluşturulmuştur. Fonksiyonel düzey (Lumbar Bölge Hareketliliği, Harris Kalça Skoru, Zamanlı Kalk ve Yürü Testi), yaşam kalitesi (Nottingham Sağlık Profili) ve kinezyofobi (Tampa Kinezyofobi Ölçeği) değerlendirilmiştir. Bulgular: Gruplar karşılaştırıldığında Grup 1'in yaşam kalitesi, yaşam kalitesi-ağrı ve emosyonel reaksiyonlar alt parametre skorlarının Grup 2'ye göre anlamlı derecede yüksek olduğu görüldü (p=0,001, p=0,002, p=0,002). Ancak fonksiyonel düzey ve kinezyofobi açısından iki grup arasında istatistiksel olarak anlamlı fark yoktu (p>0,05). Sonuç: Çalışmanın sonuçları, KOA'da orta-yüksek şiddette bel ağrısı olan hastalarda, hafif şiddette bel ağrısına kıyasla yaşam kalitesi-ağrı ve emosyonel reaksiyonlar alt parametrelerinin ve yaşam kalitesinin olumsuz etkilendiğini göstermiştir.

Keywords

• Kalça osteoartriti
• bel ağrısı
• yaşam kalitesi
• ağrı
• değerlendirme

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