Kinesiophobia Following Anterior Cruciate Ligament Reconstruction.

Yıl 2019, Cilt: 9 Sayı: 2, 289 - 296, 28.06.2019

Alauddin Kochai Levent Bayam Mehmet Erdem Ahmet Can Erdem Deniz Gülabi Uğur Özdemir Sarper Mehmet Çetinkaya Ünal Erkorkmaz

https://doi.org/10.31832/smj.552802

Öz

Purpose:  We aimed to investigate the effect of kinesiophobia on daily and sport activities. We compared Tampa scale of Kinesiophobia (TSK) with Tagner Activity score (TAS). We hypothesized that high level of Tampa scale of Kinesiophobia decreases Tagner Activity score.

 

Materyal Methods:A total of 50 patients, with Anterior cruciate ligament (ACL) reconstruction surgery from January 2010 and December 2016 were included in this study. The patients completed the Lysholm Knee, TAS and TSK questionnaires postoperatively. KT-1000 arthrometer at 30 degrees knee flexion performed for both knees. The TSK score was compared with TAS and Lyshman knee score. 

Results:Mean age was 29.6 (18-50). Minimum follow-up was 12 months. Twenty of 50 patients (%40) had meniscal tears. The TAShad negative and significant correlation with TSK. Higher TSKled to lower TASand lower TSKled to higher TAS.There was no difference in Lysholm and TAS compared to TSKin patient with or without meniscal tear.

Conclusion 

Our study showed that knee functions are not the only indicator to return preinjury daily and sport activities. Kinesiophobia may also play a significant role even if the Lyshman knee score is higher. The patients with Anterior cruciate ligamentinjury must be warned about the kinesiophobia. In our opinion, all the patients with Anterior cruciate ligamentruptures should have a kinesiophobia test. The patients who have high rate of kinesiophobia preoperatively, shouldhave a psychotherapy postoperatively in addition to their physical therapy. 

Anahtar Kelimeler

Anterior Cruciate Ligament; Kinesiophobia; Lysholm knee score; Meniscal tear; Tempa Scale of Kinesiophobia; Tagner activity score

Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastalarda Kinezyofobi

Öz

Amaç :Kinezyofobi’nin gündelik ve sportif aktivitelerin üzerindeki rolünü, Tempa Kinezyofobi skorunu (TSK)  Tagner aktivite skoru (TAS) üzerindeki etkilerini araştırmaya amaçladık. 

Hipotez: Yüksek Tempa Kinezyofobi skoru Tagner aktivite skorunu düşürür. 

 

Materyal Metod: Ocak 2010-Aralık 2016 yılları arasında önçapraz bağ rekonstrüksiyonu yapılan 50 hasta çalışmaya alındı. Tüm hastalara Lysholm diz skorlaması, Tagner aktivite skorlaması ve Tempa Kinezyofobi skorlaması yapıldı. Hastaların her iki dizine 30 derecede KT-1000 artrometreuygulandı. Tempa Kinezyofobi skoru, Tagner aktivite skoru ve Lysholm knee skoru ile karşılaştırıldı.  

 

Sonuçlar: Hastaların ortalama yaşı 29.6 (18-50) ve minimum takip süreleri 12 ay idi. Hastaların 20’sinde (%40) aynı zamanda menisküs yırtığı mevcuttu. Tagner aktivite skoru, Tempa Kinezyofobi skoru ile anlamlı olarak negatif bir korelasyon olduğu görüldü. Yüksek Tempa kinezyofobi skoru olan hastalarda Tegner aktivite skoru düşük, düşük Tempa kinezyofobi skoru olan hastalarda Tegner aktivite skoru anlamlı olarak yükek olduğu görüldü. İstatistiksel olarak TKS ve TAS Lysholm skorları arasında, menisküs yırtığı olan ve olmayan hastalar arasında anlamlı bir fark bulunmadı.

 

Çıkarım:Çalışmamız diz fonksiyonlarının, istenilen düzeyde olması, yaralanma öncesi gündelik aktivite ve sportif aktiviteye geri dönüş için yeterli olmadığını gösterdi. Lysholm skoru yüksek olsa bile Kinezyofobini sportif aktiviteye geri dönüşte önemli rol oynamaktadır. Calismamiz sonuclarina gore, tüm ön çapraz bağ yırtığı için opere edilecek hastaların kinezyofobi hakkında bilgilendirilmesini ve testin yapılmasını, ayrıca, yüksek kinezyofobi skoru olan hastalara fizik tedavinin yanında psikolojik terapi almaları öneririz. 

Anahtar Kelimeler

Ön çapraz bağ; Kinezyofobi; Lysholm diz skoru; Meisküs yırtığı; Tempa kinezyofobi skoru; Tagner aktivite skoru

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