Comparison of Pain, Kinesiophobia, Anxiety, Sleep, and Quality of Life Conditions of Patients with Lower and Upper Extremity Fractures

Year 2024, Volume: 4 Issue: 2, 212 - 218, 31.10.2024

Nezih Ziroğlu , Yasemin Şahbaz , Nergiz Batur , Melike Kaymazalp , Deniz Su Öztunalı , Havva Sude Gür , Gizem Buse Kurt

Abstract

Fractures affect the psychological status of individuals in addition to pain and functional problems. Fractures negatively affect patients’ quality of life (QoL) by causing anxiety, kinesiophobia, and sleep problems. The aim was to develop personalized rehabilitation approaches by evaluating the psychological status of patients treated conservatively for lower and upper extremity fractures. 120 patients with isolated upper and lower extremity fractures who received nonsurgical treatment were compared prospectively in terms of pain, sleep quality, anxiety, kinesiophobia, and QoL. The visual analog score was used for pain, Tampa kinesiophobia scale for kinesiophobia, Beck anxiety inventory for anxiety, Pittsburgh sleep quality index for sleep, and short-form twelve for QoL. Although there was no significant difference in demographics between the groups, the mean age of upper extremity fracture patients was lower. No significant difference was found between the two groups regarding pain, kinesiophobia, anxiety, sleep quality, and QoL. Patients with fractures in the lower or upper extremities experienced a decrease in their sleep and life quality, and an increase in their pain, anxiety, and kinesiophobia levels. However, no significant differences were found between lower and upper extremity fractures. Clinicians should approach patients who have fractures as a biopsychosocial whole, not only functionally and radiologically, but also by considering their psychological conditions.

Keywords

ower Extremity, Upper Extremity, Fracture, Sleep, Anxiety, Kinesiophobia, Quality Of Life

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