Investigation of The Relationship Between Pain, Fear of Movement and Anxiety Level in Lower Extremity Chronic Orthopedic Problems

Abstract

Objectives:Pain in orthopedic injuries is an important problem that prevents active movement. This study was planned to examine the relationship between pain, fear of movement and anxiety level in chronic orthopedic problems of the lower extremity. Materials and Methods: Patients with chronic orthopedic problems in the hip, knee and ankle joints were included in the study. In the patients who were included in the study pain level was evaluated with ‘’Visual Analog Scale’’; fear of movement was evaluated with ‘’Tampa Kinesiophobia Scale’’ and anxiety level was evaluated with ‘’State and Trait Anxiety Inventory (STAI-I and STAI-II)”. Results: It was found that fear of movement was associated with activity pain in patients with lower extremity orthopedic injuries. It was observed that fear of movement was higher in the patients with hip joint orthopedic injury than in patients with knee or ankle involvement. Conclusion: It was concluded that pain effects fear of movement in injuries associated with the hip joint more than in other joints of lower extremity. Pain and psychosocial factors should be evaluated in patients with chronic term lower extremity orthopedic problems and their possible effects on each other should be considered.

Keywords

• Pain
• Movement
• Anxiety
• Lower extremity

Alt Ekstremitenin Kronik Ortopedik Problemlerinde Ağrı, Hareket Korkusu ve Kaygı Düzeyi Arasındaki İlişkinin Araştırılması

Abstract

Amaç: Ortopedik yaralanmalarda ağrı aktif harekete engel olan önemli bir problemdir. Bu çalışma alt ekstremitenin kronik ortopedik problemlerinde ağrı, hareket korkusu ve kaygı düzeyi arasındaki ilişkiyi incelemek amacı ile planlandı. Gereç ve Yöntem: Çalışmaya kalça, diz ve ayak bileği eklemlerine ait kronik ortopedik problemleri olan hastalar dahil edildi. Çalışmaya dahil edilen hastaların ağrı seviyesi ‘‘Görsel Analog Skalası’’ ile; hareket korkusu ‘‘Tampa Kinezyofobi Ölçeği’’ ile; kaygı düzeyi ise “Durumluk ve Sürekli Kaygı Ölçeği (STAI-I ve STAI-II)” ile değerlendirildi. Bulgular: Alt ekstremite ortopedik yaralanması olan hastalarda hareket korkusu aktivite ağrısı ile ilişkili bulundu. Kalça eklemine ait ortopedik yaralanması olan hastalarda hareket korkusunun diz veya ayak bileği etkilenimi olan hastalardan daha yüksek olduğu gözlemlendi. Sonuç: Kalça eklemi ile ilişkili yaralanmalarda ağrının hareket korkusunu diğer alt ekstremite eklemlerine oranla daha fazla etkilediği sonucuna varıldı. Kronik dönem alt ekstremite ortopedik problemi olan hastalarda ağrı ve psikososyal faktörler değerlendirilmeli ve birbirlerine olan olası etkileri göz önünde bulundurulmalıdır.

Keywords

• Ağrı
• Anksiyete
• Alt ekstremite
• Hareket

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