Kronik Bel Ağrısına Bağlı Hafif-Orta Derecede Engelliliği Olan Hastalarda Alt İdrar Yolu Semptomları, Beden Farkındalığı ve Kinezyofobi Arasındaki İlişkinin Araştırılması

Yıl 2025, Sayı: 27, 848 - 859, 31.12.2025

Ümran Kaplan , İlknur Uslu , Zeynep Berber Hümeyra Kiloatar

https://doi.org/10.38079/igusabder.1541580

Öz

Amaç: Bu çalışmanın amacı, kronik bel ağrısı olan ve hafif ile orta düzeyde engelliliğe sahip hastalarda alt üriner sistem semptomları, beden farkındalığı ve kinezyofobi arasındaki ilişkiyi değerlendirmektir.
Yöntem: Çalışmaya kronik bel ağrısı olan ve hafif ile orta düzeyde engelliliğe sahip 94 hasta dahil edilmiştir. Hastaların engellilik düzeyi Oswestry Engellilik İndeksi (ODI) kullanılarak değerlendirilmiştir. Alt üriner sistem disfonksiyonları, Core Lower Urinary Tract Symptom Score (CLSS) ile değerlendirilirken, beden farkındalığı Beden Farkındalığı Anketi (BAQ) ile değerlendirilmiştir. Katılımcıların kinezyofobisi Tampa Kinezyofobi Ölçeği ile değerlendirilmiştir.
Bulgular: Çalışmaya kronik bel ağrısı olan toplam 94 hasta dahil edilmiştir; bunlardan 34'ü hafif engellilik, 60'ı ise orta düzeyde engellilik düzeyine sahiptir. İki engellilik grubu (hafif ve orta) arasında Tampa Kinezyofobi Ölçeği, CLSS toplam puanı ve CLSS yaşam kalitesi alt skoru açısından istatistiksel olarak anlamlı farklılıklar bulunmuştur (p<0,05). ODI ile CLSS arasında güçlü pozitif bir korelasyon (r=0,358, p=0,000), CLSS yaşam kalitesi alt skoru ile anlamlı pozitif bir korelasyon (r=0,317, p=0,002) ve BAQ ile anlamlı olmayan negatif bir korelasyon (r =-0,149, p=0,153) gözlemlenmiştir. Ayrıca, Tampa Kinezyofobi Ölçeği ile CLSS toplam puanı arasında anlamlı bir pozitif korelasyon saptanmıştır (r=0,432, p=0,000). CLSS toplam puanı ile CLSS yaşam kalitesi skoru arasında güçlü pozitif bir korelasyon (r=0,387, p=0,000) saptanırken, BAQ ile anlamlı negatif bir korelasyon gözlemlenmiştir (r=-0,240, p=0,020).
Sonuç: Kronik bel ağrısı olan ve hafif ile orta düzeyde engelliliğe sahip bireylerde, alt üriner sistem semptomları, kinezyofobi ve beden farkındalığı düzeyleri arasında ilişkiler gözlemlenmiştir. Bu bulgular, kronik bel ağrısının yönetiminde yalnızca fiziksel değil, aynı zamanda psikolojik ve pelvik sağlıkla ilişkili faktörlerin de dikkate alınmasının potansiyel önemine işaret etmektedir. Ancak, çalışmanın kesitsel tasarımı nedeniyle, bu değişkenler arasındaki ilişkinin nedenselliği gösterilememektedir; bu nedenle ileri araştırmalara ihtiyaç duyulmaktadır.

Anahtar Kelimeler

Kronik bel ağrısı , engellilik , alt üriner sistem semptomları , beden farkındalığı , kinezyofobi

Investigation of the Relationship between Lower Urinary Tract Symptoms, Body Awareness, and Kinesiophobia in Patients with Chronic Low Back Pain and Mild to Moderate Disability

Öz

Aim: The purpose of this study was to assess the relationship between lower urinary tract symptoms, body awareness, and kinesiophobia in patients with chronic low back pain and mild to moderate disability.
Method: 94 patients with chronic low back pain and mild to moderate disability were included in the study. The disability level of the patients was assessed using the Oswestry Disability Index (ODI). Lower urinary tract dysfunctions were evaluated with the Core Lower Urinary Tract Symptom Score (CLSS), while body awareness was assessed using the Body Awareness Questionnaire (BAQ). The Tampa Kinesiophobia Scale was used to assess the participants' kinesiophobia.
Results: This study included a total of 94 patients with chronic low back pain, of whom 34 had mild disability and 60 had moderate disability. Statistically significant differences were found between the two disability groups (mild and moderate) in terms of the Tampa Kinesiophobia Scale, CLSS total score, and CLSS quality of life subscore (p<0.05). A strong positive correlation was observed between the ODI and CLSS (r=0.358, p=0.000), a significant positive correlation with the CLSS quality of life subscore (r=0.317, p=0.002), and a non-significant negative correlation with the BAQ (r=-0.149, p=0.153). Additionally, there was a significant positive correlation between the Tampa Kinesiophobia Scale and CLSS total score (r=0.432, p=0.000). A strong positive correlation was found between the CLSS total score and the CLSS quality of life score (r=0.387, p=0.000), while a significant negative correlation was observed with the BAQ (r=-0.240, p=0.020).
Conclusion: In individuals with chronic low back pain and mild to moderate disability, relationships have been observed between lower urinary tract symptoms, kinesiophobia, and body awareness levels. These findings point to the potential importance of considering not only physical but also psychological and pelvic health-related factors in the management of chronic low back pain. However, due to the cross-sectional design of the study, the causality of the relationship between these variables cannot be demonstrated; therefore, further research is needed.

Anahtar Kelimeler

Chronic low back pain , disability , lower urinary tract symptoms , body awareness , kinesiophobia

Destekleyen Kurum

This study was supported by the Scientific and Technological Research Council of Turkey (TÜBİTAK) within the scope of the 2209-A-University Students Domestic Research Projects Support Program. The researchers thank TÜBİTAK for their support.

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