The Effect of Kinesiophobia on Quality of Life and Shoulder Functionality in Painful Shoulder Pathologies
Öz
Aim: The aim of this study was to investigate the relationship between kinesiophobia and quality of life and shoulder functionality in patients with painful shoulder pathologies.
Materials and Methods: Physical and sociodemographic data of the patients participating in the study were recorded. The resting and activity pain associated with the disease was evaluated with the Visual Analogue Scale (VAS). Shoulder active joint range of motion was evaluated with a universal goniometer. Kinesiophobia level was evaluated by Tampa Kinesiophobia Scale (TKÖ), Turkish version of life quality Nottingham Health Profile (NSP), shoulder functions were evaluated by Simple Shoulder Test (SST). Spearman's correlation analysis was used for statistical analysis and p <0.05 was accepted.
Results: The study was completed with 120 participants (age: 48.65 ± 14.11 years; BMI: 26.58 ± 5.44 kg / m2).42 frozen shoulders (35%), 34 rotator cuffs (28.3%), 16 impingments (13.3%), 11 humerus fractures (9.2%), 4 dislocations (3.3%), 2 bankart lesions ( 1.7%), 1 patient with acromioclavicular separation (0.8%) participated in the study.Rest pain was 4.56 ± 3.14 and activity pain was 7.71 ± 2.49.A moderate correlation was found between the kinesiophobia score and NSP pain (p = 0,000, r = 0.414), NSP sensory (p = 0,000, r = 0.535), and NSP total score (p = 0,000, r = 0.511).There was a weak correlation between kinesiophobia and other NSP subparameters (sleep, socialisolation, activity, energy), SST subparameters (pain, dailyactivity, strength) and SST total score, activity pain, external rotation.No relation was found between resting pain, shoulder flexion, extension, adduction, abduction, internal rotation and kinesiophobia (p> 0.05).
Conclusion: Kinesiophobia, which occurs due to painful movement in shoulder pathologies, causes patients to become inadequate in their daily life activities, and the low quality of life brought by this situation causes patients to fight both physical and psychological factors.
Anahtar Kelimeler
shoulder, kinesiophobia, life quality, function, daily living activities
Kaynakça
- Kaynaklar 1. Greenberg DL. Evaluation and treatment of shoulder pain. Medical Clinics. 2014;98(3):487-504.
- 2. Ryall C, Coggon D, Peveler R, Reading I, Palmer KT. A case–control study of risk factors for arm pain presenting to primary care services. Occupational Medicine. 2006;56(2):137-43.
- 3. Gwilym S, Oag H, Tracey I, Carr A. Evidence that central sensitisation is present in patients with shoulder impingement syndrome and influences the outcome after surgery. The Journal of bone and joint surgery British volume. 2011;93(4):498-502.
- 4. Steuri R, Sattelmayer M, Elsig S, Kolly C, Tal A, Taeymans J, et al. Effectiveness of conservative interventions including exercise, manual therapy and medical management in adults with shoulder impingement: a systematic review and meta-analysis of RCTs. Br J Sports Med. 2017;51(18):1340-7.
- 5. Burwinkle T, Robinson JP, Turk DC. Fear of movement: factor structure of the Tampa Scale of Kinesiophobia in patients with fibromyalgia syndrome. The Journal of pain. 2005;6(6):384-91.
- 6. Westman AE, Boersma K, Leppert J, Linton SJ. Fear-avoidance beliefs, catastrophizing, and distress: a longitudinal subgroup analysis on patients with musculoskeletal pain. The Clinical journal of pain. 2011;27(7):567-77.
- 7. Vlaeyen JW, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000;85(3):317-32.
- 8. Elfving B, Andersson T, Grooten WJ. Low levels of physical activity in back pain patients are associated with high levels of fear‐avoidance beliefs and pain catastrophizing. Physiotherapy Research International. 2007;12(1):14-24.
- 9. Shelby RA, Somers TJ, Keefe FJ, DeVellis BM, Patterson C, Renner JB, et al. Brief fear of movement scale for osteoarthritis. Arthritis care & research. 2012;64(6):862-71.
- 10. Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. Journal of physical therapy science. 2016;28(2):665-70.