INVESTIGATION OF PSYCHOSOCIAL AND FUNCTIONAL DYNAMICS IN INDIVIDUALS WITH CHRONIC LOW BACK PAIN

Abstract

Purpose: The aim of this study was to compare the functional status, psychological status, quality of life and disability levels of individuals with chronic low back pain (LBP) of different origins with healthy individuals. Methods: A total of 141 individuals, including healthy, nonspecific, non-radiculopathy and radiculopathy groups, participated in the study. Measurements included, the International Physical Activity Questionnaire, physical endurance tests, Visual Analogue Scale, Roland Morris Disability Questionnaire, Trait Anxiety Inventory, Fear Avoidance Beliefs questionnaire and Nottingham Health Profile. Results: Psychological status, disability level and quality of life scores except anxiety level in individuals with chronic LBP differed significantly in the lowest nonspecific group and the highest in the radiculopathy group (p<0.001). Trunk extensor endurance showed a significant difference in favour of the healthy group compared to the other groups, whereas trunk flexion endurance showed a significant difference between all groups. A good correlation was found between the pain level of the patients with the quality of life and fear avoidance behavior, and a very good correlation was found with the disability level (p<0.001, r=0.666, r=0.790, r=0.865, respectively). Conclusion: Due to the differences in the endurance levels and psychosocial situation between patients with low back pain, it is important to plan for the treatment taking into account both the physical and psychological needs of the individual change.

Keywords

• Anxiety
• Fear
• Low Back Pain
• Quality of Life

KRONİK BEL AĞRISI OLAN BİREYLERDE PSİKOSOSYAL VE FONKSİYONEL DİNAMİKLERİN İNCELENMESİ

Öz

Amaç: Bu çalışmanın amacı farklı kökenlere sahip kronik bel ağrısı olan bireyler ile sağlıklı bireyler arasında fonksiyonel durum, psikolojik durum, yaşam kalitesi ve dizabilite düzeyini karşılaştırmaktır. Yöntem: Çalışmaya sağlıklı, nonspesifik, non-radikülopati ve radikülopati gruplarına dahil olan toplam 141 kişi katıldı. Ölçüm parametreleri olarak Uluslararası Fiziksel Aktivite Anketi, fiziksel endurans testleri, Görsel Analog Skala, Roland Morris Dizabilite Anketi, Sürekli Kaygı Envanteri, Korkudan Kaçınma İnançları anketi ve Nottingham Sağlık Profili kullanıldı. Sonuçlar: Kronik bel ağrısı olan bireylerde anksiyete düzeyi dışındaki psikolojik durum, dizabilite düzeyi ve yaşam kalitesi puanları, en düşük nonspesifik grupta ve en yüksek radikülopati grubunda anlamlı farklılık gösterdi (p<0,001). Gövde ekstansör dayanıklılığı diğer gruplara göre sağlıklı grup lehine anlamlı farklılık gösterirken, gövde fleksiyon dayanıklılığı tüm gruplar arasında anlamlı farklılık gösterdi. Hastaların ağrı düzeyi ile yaşam kalitesi ve korkudan kaçınma davranışı arasında iyi bir korelasyon olduğu, dizabilite düzeyi arasında ise çok iyi bir korelasyon olduğu belirlendi (p<0,001, r=0,666, r=0,790, r=0,865, sırasıyla). Tartışma: Gruplar arasındaki endurans düzeyi ve psikososyal durum farklılıklarından dolayı, bireyin hem fiziksel hem de psikolojik ihtiyaçlarının değiştiği göz önünde bulundurularak tedavinin planlanması önemlidir.

Anahtar Kelimeler

• Anksiyete
• Korku
• Bel Ağrısı
• Yaşam Kalitesi

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