Relationships of Pain Intensity, Kinesiophobia and Quality of Life in Chronic Subacromial Pain Syndrome

Yıl 2019, Cilt: 19 Sayı: 2, 396 - 406, 28.06.2019

Sevtap Günay Uçurum

https://doi.org/10.17098/amj.581993

Öz

Objectives: Shoulder pain is an important and frequently
reported biopsychosocial problem. In addition to physical problems,
understanding of psychological problems that contribute to shoulder pain is
important for the treatment process. Therefore, the purpose was to investigate
the relationship between kinesiophobia, demographic characteristics, pain
intensity and quality of life in patients seeking conservative treatment for
chronic subacromial pain syndrome

Materials and Methods: Patients with chronic shoulder pain who applied to
İzmir Atatürk Training and Research Hospital were included in the study.
Demographic data of the patients were recorded. The pain severity with Visual
Analogue Scale, kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), and
quality of life with SF-36 quality of life index were assessed. In statistical
analysis, Spearman and Kendall Correlation Analysis were used. Statistical
significance level was set at p <0.05.

Results: Ninety-five patients, 32 male and 63 female, were included in the
study. The median age was 51 (40-61) years, TSK score was 43(38-47), pain at
rest was 3(0-5), pain during activity was 7 (5-8), SF-36 physical component
(PC) and mental component (MC) scores were 36.50(29.3-42.1) and 42(34.9-49.6),
respectively. While there was no difference between the pain (rest pain
female/male= 3/2, p=0.054; activity pain female/male= 7/6, p=0.187) and
kinesophobia scores (female/male=43/41, p=0,185) between genders, physical
(female/male= 34.40 /41.40, p=0.001) and mental components
(female/male=37.70/48.45, p=0.000) of quality of life was lower in women.
Kinesiophobia score showed correlations with educational level, physical and
mental components of quality of life (r= -0.163, p= 0.039; r= -0.499, p= 0.000;
r= -0.279, p= 0.006).

Conclusion: Patients with subacromial pain syndrome had high
kinesiophobia scores. Female and male participants showed similar pain and
kinesiophobia, however, quality of life scores were better in male
participants. Kinesiophobia showed negative correlations with the level of
education, SF-36 scores. It is important to consider kinesiophobia, education
level and quality of life integrations in chronic shoulder rehabilitation.

Anahtar Kelimeler

Shoulder pain, Quality of life, Kinesiophobia

Kronik Subakromiyal Ağrı Sendromunda Ağrı Şiddeti, Kinezyofobi ve Yaşam Kalitesi Arasındaki Ilişki

Öz

Amaç:
Omuz ağrısı sıkça karşılaşılan biyopsikososyal bir problemdir. Fiziksel
problemlerin yanı sıra, omuz ağrısına katkıda bulunan psikolojik sorunların
anlaşılması, tedavi süreci açısından önemlidir. Bu nedenle çalışmanın amacı
kronik subakromiyal ağrı sendromunda demografik özellikler, ağrı şiddeti,
kinezyofobi ve yaşam kalitesi arasındaki ilişkiyi araştırmaktı.

Materyal
ve Metot: Çalışmaya İzmir Atatürk Eğitim Araştırma
Hastanesine başvuran kronik omuz ağrılı hastalar dâhil edildi. Hastaların
demografik bilgileri kaydedildi. Ağrı şiddeti Görsel Analog Skala ile,
kinezyofobi Tampa Kinezyofobi anketi (TSK) ile ve yaşam kalitesi SF-36 yaşam
kalitesi indeksi ile değerlendirildi. İstatistiksel analizde spearman ve kendal
korolesyan analizi kullanıldı. İstatistiksel anlamlılık düzeyi p< 0,05
olarak kabul edildi.

Bulgular:
Çalışmaya 32’ si erkek, 63’ü kadın olan 95 hasta alındı. Olguların yaş
ortancaları 51 (40-61) yıl, TSK skoru 43 (38-47), istirahat ağrısı(3 (0-5),
aktivite sırasındaki ağrı 7 (5-8), SF-36 fiziksel bileşen (PC) ve mental
bileşen (MC) skorları sırasıyla 36,50 (29,3-42,1) ve 42 (34,9-49,6) du.
Cinsiyetler arasında ağrı (istirahat ağrısı kadın/erkek= 3/2, p=0,054; aktivite
ağrısı kadın/erkek= 7/6, p= 0,187) ve kinezyofobi skorları (kadın/erkek= 43/41,
p= 0,185) arasında fark yokken, yaşam kalitesinin fiziksel (kadın/erkek= 34,40
/41,40, p= 0,001) ve mental komponentlerinin ( kadın/erkek= 37,70/48,45, p=
0,000) kadınlarda daha düşük olduğu bulundu. Kinezyofobi skorunun eğitim
düzeyi, yaşam kalitesinin fiziksel ve mental komponenti ile ilişkili olduğu
bulundu (r= -0,163, p= 0,039; r= -0,499, p= 0,000; r= -0,279, p= 0,006).

Sonuç:
Subakromiyal ağrı sendromu olan hastalarda kinezyofobi skorları yüksek bulundu.
Ağrı ve kinezyofobi değerleri kadın ve erkeklerde benzer bulunurken, erkek
katılımcılarda yaşam kalitesi puanları daha iyi bulunmuştur. Kinezyofobi ile
eğitim düzeyi ve yaşam kalitesi arasında negatif ilişki bulunmuştur. Kronik
omuz ağrı rehabilitasyonunda kinezyofobi, eğitim düzeyi ve yaşam kalitesi
entegrasyonlarının dikkate alınmasının önemli olduğunu düşünmekteyiz.

Anahtar Kelimeler

Omuz ağrısı, Yaşam kalitesi, Kinezyofobi

Kaynakça

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