Kronik Non-Spesifik Boyun Ağrılı Bireylerde Kinezyofobide Ağrı, Engellilik, Denge, Depresyon ve Uyku Kalitesinin Rolü

Öz

Amaç: Kronik non-spesifik boyun ağrılı (KNSBA) bireylerde kinezyofobi ile ilişkili faktörleri ve bağımsız belirleyicilerini incelemektir. Gereç ve Yöntem: Bu çalışmaya KNSBA tanısı olan 70 birey dâhil edilmiştir. Kinezyofobi Tampa Kinezyofobi Ölçeği (TKÖ) ile değerlendirilmiştir. Ağrı şiddeti Görsel Analog Skala (GAS), engellilik Boyun Engellilik İndeksi (BEİ), denge performansı Berg Denge Ölçeği (BDÖ), depresyon şiddeti Beck Depresyon Envanteri (BDE) ve uyku kalitesi Pittsburgh Uyku Kalitesi İndeksi (PUKİ) kullanılarak değerlendirilmiştir. Sonuçlar: TKÖ ile BDE (r=0,654) ve NDI (r=0,513) arasında güçlü pozitif ilişkiler saptanırken (p<0,001); GAS-aktivite (r=0,498, p<0,001), GAS-gece (r=0,335, p=0,004) ve PUKİ (r=0,451, p=0,006) ile orta düzeyde pozitif ilişkiler bulunmuştur. BDÖ ile TKÖ arasında güçlü, negatif bir ilişki saptanmıştır (r=−0,513, p<0,001).Regresyon analizi sonuçlarına göre GAS-aktivite BDÖ ve BDE kinezyofobinin bağımsız belirleyicileri olup, TKÖ skorlarındaki varyansın %60’ını açıklamaktadır. Tartışma: CNSNP'de kinezyofobi ile ağrı, psikolojik ve denge faktörleri ilişkilidir.

Anahtar Kelimeler

• Boyun Ağrısı
• Denge
• Depresyon

The Role of Pain, Disability, Balance, Depression, and Sleep Quality in Kinesiophobia among Individuals with Chronic Non-Specific Neck Pain

Öz

Purpose: To examine the factors associated with kinesiophobia and its predictors in individuals with chronic non-specific neck pain (CNSNP). Material and Methods: This study included 70 individuals with CNSNP. Kinesiophobia was assessed using Tampa Kinesiophobia Scale (TKS). Pain intensity was evaluated using the Visual Analog Scale (VAS), disability using Neck Disability Index (NDI), balance performance using Berg Balance Scale (BBS), depression severity using Beck Depression Inventory (BDI), and sleep quality using Pittsburgh Sleep Quality Index (PSQI). Results: TKS demonstrated a strong positive association with BDI (r=0.654) and NDI (r=0.513) (both p<0.001), and moderate positive associations with VAS-activity (r=0.498, p<0.001), VAS-night (r=0.335, p=0.004), and PSQI (r=0.451, p=0.006). BBS was strongly and negatively correlated with TKS (r=−0.513, p<0.001). Multiple linear regression analysis revealed that VAS-activity BBS and BDI were significant independent predictors of TKS, jointly explaining 60% of the variance in TKS scores. Discussion: Kinesiophobia in CNSNP is associated with pain, psychological, and balance factors.

Anahtar Kelimeler

• Neck pain
• Balance
• Depression

Kaynakça

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