Kronik Bel Ağrısı Olan Farklı Yaş Gruplarındaki Bireylerin Ağrı Algıları ve Ağrı İnançları ile Semptom Şiddeti̇ Arasındaki̇ İli̇şki̇ni̇n İncelenmesi̇
Yıl 2024,
Cilt: 12 Sayı: 1, 215 - 225, 19.02.2024
Mahsun Ekinci
Ömer Şevgin
Öz
Kronik bel ağrısı (KBA) teorik olarak 12 hafta veya 3 aydan daha uzun süredir yaşanan bel ağrısıdır. Bu çalışmanın amacı, kronik bel ağrısı olan farklı yaş gruplarındaki bireylerin ağrı algıları ve ağrı inançları ile semptom şiddeti arasındaki ilişkiyi araştırmaktır. Çalışma Aralık 2022-Mart 2023 tarihleri arasında 210 kişi ile gerçekleştirildi. Katılımcılar yaşlarına göre 3 gruba ayrıldı; 18-39, 40-56, 57-79. Kişisel bilgileri kaydetmek ve katılımcıların inançlarını, ağrı algılarını ve yaşadıkları ağrının şiddetini ölçmek için Demografik Bilgiler, Ağrı İnançları Ölçeği (AİÖ), Ağrının Merkeziliği Ölçeği (COPS) ve Sayısal Derecelendirme Ölçeği (NRS-11) anketleri kullanıldı. Yaş grupları arasındaki farkın değerlendirmesinde One-Way MANOVA yöntemi kullanıldı. NRS-11, 18-39 / 40-56 ve 18-39 / 57-79 yaş grupları arasında anlamlı farklılık gözlendi (p<0.05). Psikolojik Ağrı İnanç Ölçeği’nde 40-56 / 57-79 ve 18-39 / 57-79 yaş grupları arasında anlamlı farklılık gözlendi (p<0.05). Organik Ağrı İnanç Ölçeği 18-39 / 57-79 yaş grubunda anlamlı olarak farklı bulundu (p<0.001). Sonuç olarak, artan yaşın ağrı şiddeti ve ağrıya ilişkin inançların gücü ile doğru orantılı olduğu bulundu. Ayrıca, KBA’lı bireylerde yaş faktörünün ağrı merkezileşmesi üzerinde etkili olmadığı bulundu.
Kaynakça
- Buchbinder, R., Underwood, M., Hartvigsen, J., & Maher, C. G. (2020). The Lancet Series call to action to reduce low value care for low back pain: an update. Pain, 161 Suppl 1(1), S57–S64. https://doi.org/10.1097/j.pain.0000000000001869
- Christe, G., Pizzolato, V., Meyer, M., Nzamba, J., & Pichonnaz, C. (2021). Unhelpful beliefs and attitudes about low back pain in the general population: A cross-sectional survey. Musculoskeletal Science & Practice, 52, 102342. https://doi.org/10.1016/j.msksp.2021.102342
- Dionne, C. E., Dunn, K. M., & Croft, P. R. (2006). Does back pain prevalence really decrease with increasing age? A systematic review. Age and Ageing, 35(3), 229–234. https://doi.org/10.1093/ageing/afj055
- Docking, R. E., Fleming, J., Brayne, C., Zhao, J., Macfarlane, G. J., Jones, G. T., & Cambridge City over-75s Cohort Study collaboration. (2011). Epidemiology of back pain in older adults: prevalence and risk factors for back pain onset. Rheumatology (Oxford, England), 50(9), 1645–1653. https://doi.org/10.1093/rheumatology/ker175
- Glassman, S. D., Anagnost, S. C., Parker, A., Burke, D., Johnson, J. R., & Dimar, J. R. (2000). The effect of cigarette smoking and smoking cessation on spinal fusion. Spine, 25(20), 2608–2615. https://doi.org/10.1097/00007632-200010150-00011
- Günay Uçurum, S., & Kalkan, A. C. (2018). Bel ağrılı hastalarda ağrı, kinezyofobi ve yaşam kalitesi arasındaki ilişki. Ege Tıp Dergisi, 57(3), 131–135. https://doi.org/10.19161/etd.418139
- Hanife Özlem Sertel Berk. (2006). Chronic pain experience and pain beliefs: Turkish validity and reliability study of the Pain Beliefs Scale. Istanbul University.
- Hartrick, C. T., Kovan, J. P., & Shapiro, S. (2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Practice: The Official Journal of World Institute of Pain, 3(4), 310–316. https://doi.org/10.1111/j.1530-7085.2003.03034.x
- Hartvigsen, J., Frederiksen, H., & Christensen, K. (2006). Back and neck pain in seniors-prevalence and impact. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 15(6), 802–806. https://doi.org/10.1007/s00586-005-0983-6
- Hestbaek, L., Leboeuf-Yde, C., & Manniche, C. (2003). Low back pain: what is the long-term course? A review of studies of general patient populations. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 12(2), 149–165. https://doi.org/10.1007/s00586-002-0508-5
- Hoy, D., Brooks, P., Blyth, F., & Buchbinder, R. (2010). The Epidemiology of low back pain. Best Practice & Research. Clinical Rheumatology, 24(6), 769–781. https://doi.org/10.1016/j.berh.2010.10.002
- Jacobs, J. M., Hammerman-Rozenberg, R., Cohen, A., & Stessman, J. (2006). Chronic back pain among the elderly: prevalence, associations, and predictors. Spine, 31(7), E203-7. https://doi.org/10.1097/01.brs.0000206367.57918.3c
- Jepma, M., Koban, L., van Doorn, J., Jones, M., & Wager, T. D. (2018). Behavioural and neural evidence for self-reinforcing expectancy effects on pain. Nature Human Behaviour, 2(11), 838–855. https://doi.org/10.1038/s41562-018-0455-8
- Jiménez-Sánchez, S., Fernández-de-Las-Peñas, C., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Palacios-Ceña, D., & Jiménez-García, R. (2012). Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain). Gaceta Sanitaria, 26(6), 534–540. https://doi.org/10.1016/j.gaceta.2011.10.012
- Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. Lancet (London, England), 398(10294), 78–92. https://doi.org/10.1016/S0140-6736(21)00733-9
- Lee, G. I., & Neumeister, M. W. (2020). Pain: Pathways and Physiology. Clinics in Plastic Surgery, 47(2), 173–180. https://doi.org/10.1016/j.cps.2019.11.001
- Leysen, M., Nijs, J., Van Wilgen, P., Demoulin, C., Dankaerts, W., Danneels, L., …Roussel, N. (2021). Attitudes and beliefs on low back pain in physical therapy education: A cross-sectional study. Brazilian Journal of Physical Therapy, 25(3), 319–328. https://doi.org/10.1016/j.bjpt.2020.08.002
- Maher, C., Underwood, M., & Buchbinder, R. (2017). Non-specific low back pain. Lancet (London, England), 389(10070), 736–747. https://doi.org/10.1016/S0140-6736(16)30970-9
- Morton, L., de Bruin, M., Krajewska, M., Whibley, D., & Macfarlane, G. J. (2019). Beliefs about back pain and pain management behaviours, and their associations in the general population: A systematic review. European Journal of Pain (London, England), 23(1), 15–30. https://doi.org/10.1002/ejp.1285
- Nevin Dogan, & Songul Goris. (2018). The Effect of Pain Levels and Pain Beliefs of Elderly People Living in Nursing Home on Quality of Life. International Journal of Caring Sciences, 11(2), 947–954.
- Orhan, C., Van Looveren, E., Cagnie, B., Mukhtar, N. B., Lenoir, D., & Meeus, M. (2018). Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients with Chronic Musculoskeletal Pain: A Systematic Review. Pain Physician, 21(6), 541–558.
- Ozsoy-Unubol, T., & Unal-Ulutatar, C. (2020). Cross-cultural adaptation and validation of the Turkish version of Centrality of Pain Scale in patients with fibromyalgia syndrome. International Journal of Rheumatic Diseases, 23(6), 772–777. https://doi.org/10.1111/1756-185X.13825
- Pillastrini, P., Vanti, C., Curti, S., Mattioli, S., Ferrari, S., Violante, F. S., & Guccione, A. (2015). Using PubMed search strings for efficient retrieval of manual therapy research literature. Journal of Manipulative and Physiological Therapeutics, 38(2), 159–166. https://doi.org/10.1016/j.jmpt.2014.11.005
- Pincus T., & Morley S. (2002). New avenues for the prevention of chronic musculoskeletal pain and disability. Pain research and clinical management. Elsevier.
- Shi, Y., Weingarten, T. N., Mantilla, C. B., Hooten, W. M., & Warner, D. O. (2010). Smoking and pain: pathophysiology and clinical implications. Anesthesiology, 113(4), 977–992. https://doi.org/10.1097/ALN.0b013e3181ebdaf9
- Thomas, E., Peat, G., Harris, L., Wilkie, R., & Croft, P. R. (2004). The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain, 110(1–2), 361–368. https://doi.org/10.1016/j.pain.2004.04.017
- Urits, I., Burshtein, A., Sharma, M., Testa, L., Gold, P. A., Orhurhu, V., …Kaye, A. D. (2019). Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports, 23(3), 23. https://doi.org/10.1007/s11916-019-0757-1
- Von Korff, M., & Moore, J. C. (2001). Stepped care for back pain: activating approaches for primary care. Annals of Internal Medicine, 134(9 Pt 2), 911–917. https://doi.org/10.7326/0003-4819-134-9_part_2-200105011-00016
- Waddell G. (2004). The Back Pain Revolution. Churchill Livingstone.
- Wang, L., Ye, H., Li, Z., Lu, C., Ye, J., Liao, M., & Chen, X. (2022). Epidemiological trends of low back pain at the global, regional, and national levels. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 31(4), 953–962. https://doi.org/10.1007/s00586-022-07133-x
- Williams, A. C. de C., & Craig, K. D. (2016). Updating the definition of pain. Pain, 157(11), 2420–2423. https://doi.org/10.1097/j.pain.0000000000000613
- Yağci, N., Cavlak, U., Baskan, E., & Öztop, M. (2020). Geriatrik bireylerde bel ağrısı riski. Cukurova Medical Journal, 45(2), 421–427. https://doi.org/10.17826/cumj.641324
- Yerlikaya, M., & Saracoglu, İ. (2022). The attitudes and beliefs of physiotherapists, family physicians and physiatrists concerning chronic low back pain. Journal of Health Sciences and Medicine, 5(2), 393–398. https://doi.org/10.32322/jhsm.1015826
INVESTIGATION OF THE RELATIONSHIP BETWEEN PAIN PERCEPTIONS AND PAIN BELIEFS AND SYMPTOM SEVERITY OF INDIVIDUALS IN DIFFERENT AGE GROUPS WITH CHRONIC LOW BACK PAIN
Yıl 2024,
Cilt: 12 Sayı: 1, 215 - 225, 19.02.2024
Mahsun Ekinci
Ömer Şevgin
Öz
Chronic low back pain (CLBP) is theoretically low back pain experienced for more than 12 weeks or 3 months. The aim of this study was to investigate the relationship between pain perceptions, beliefs and symptom severity of individuals in different age groups with CLBP. The study was conducted between December 2022 and March 2023 with 210 individuals. Participants were divided into 3 groups according to age; 18-39, 40-56, 57-79. The Demographic Information Form, Pain Beliefs Scale (PBQ), Centrality of Pain Scale (COPS) and Numeric Rating Scale (NRS-11) questionare were used to record the personal information and to measure participant’s pain beliefs pain perceptions, and the severity of pain experienced. One-Way MANOVA was used to evaluate the difference between age groups. NRS-11 was found significantly different between age groups of 18-39/40-56 and 18-39/57-79 (p<0.05). Significant difference was observed in the Psychological Pain Beliefs Scale among the age groups of 40-56/57-79 and 18-39/57-79 (p<0.05). Organic Pain Beliefs Scale was found significantly different in age group of 18-39/57-79 (p<0.001). In conclusion, increasing age was found to be directly proportional to pain intensity and the strength of pain beliefs. Also, age factor was not found to be effective on the pain centralization in individuals with CLBP.
Etik Beyan
This study was ethically approved by the XXXX University Non-Interventional Research Ethics Committee (61351342, No. 12, 30/11/2022).
Teşekkür
This study was produced from Mahsun Ekinci's thesis.
Kaynakça
- Buchbinder, R., Underwood, M., Hartvigsen, J., & Maher, C. G. (2020). The Lancet Series call to action to reduce low value care for low back pain: an update. Pain, 161 Suppl 1(1), S57–S64. https://doi.org/10.1097/j.pain.0000000000001869
- Christe, G., Pizzolato, V., Meyer, M., Nzamba, J., & Pichonnaz, C. (2021). Unhelpful beliefs and attitudes about low back pain in the general population: A cross-sectional survey. Musculoskeletal Science & Practice, 52, 102342. https://doi.org/10.1016/j.msksp.2021.102342
- Dionne, C. E., Dunn, K. M., & Croft, P. R. (2006). Does back pain prevalence really decrease with increasing age? A systematic review. Age and Ageing, 35(3), 229–234. https://doi.org/10.1093/ageing/afj055
- Docking, R. E., Fleming, J., Brayne, C., Zhao, J., Macfarlane, G. J., Jones, G. T., & Cambridge City over-75s Cohort Study collaboration. (2011). Epidemiology of back pain in older adults: prevalence and risk factors for back pain onset. Rheumatology (Oxford, England), 50(9), 1645–1653. https://doi.org/10.1093/rheumatology/ker175
- Glassman, S. D., Anagnost, S. C., Parker, A., Burke, D., Johnson, J. R., & Dimar, J. R. (2000). The effect of cigarette smoking and smoking cessation on spinal fusion. Spine, 25(20), 2608–2615. https://doi.org/10.1097/00007632-200010150-00011
- Günay Uçurum, S., & Kalkan, A. C. (2018). Bel ağrılı hastalarda ağrı, kinezyofobi ve yaşam kalitesi arasındaki ilişki. Ege Tıp Dergisi, 57(3), 131–135. https://doi.org/10.19161/etd.418139
- Hanife Özlem Sertel Berk. (2006). Chronic pain experience and pain beliefs: Turkish validity and reliability study of the Pain Beliefs Scale. Istanbul University.
- Hartrick, C. T., Kovan, J. P., & Shapiro, S. (2003). The numeric rating scale for clinical pain measurement: a ratio measure? Pain Practice: The Official Journal of World Institute of Pain, 3(4), 310–316. https://doi.org/10.1111/j.1530-7085.2003.03034.x
- Hartvigsen, J., Frederiksen, H., & Christensen, K. (2006). Back and neck pain in seniors-prevalence and impact. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 15(6), 802–806. https://doi.org/10.1007/s00586-005-0983-6
- Hestbaek, L., Leboeuf-Yde, C., & Manniche, C. (2003). Low back pain: what is the long-term course? A review of studies of general patient populations. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 12(2), 149–165. https://doi.org/10.1007/s00586-002-0508-5
- Hoy, D., Brooks, P., Blyth, F., & Buchbinder, R. (2010). The Epidemiology of low back pain. Best Practice & Research. Clinical Rheumatology, 24(6), 769–781. https://doi.org/10.1016/j.berh.2010.10.002
- Jacobs, J. M., Hammerman-Rozenberg, R., Cohen, A., & Stessman, J. (2006). Chronic back pain among the elderly: prevalence, associations, and predictors. Spine, 31(7), E203-7. https://doi.org/10.1097/01.brs.0000206367.57918.3c
- Jepma, M., Koban, L., van Doorn, J., Jones, M., & Wager, T. D. (2018). Behavioural and neural evidence for self-reinforcing expectancy effects on pain. Nature Human Behaviour, 2(11), 838–855. https://doi.org/10.1038/s41562-018-0455-8
- Jiménez-Sánchez, S., Fernández-de-Las-Peñas, C., Carrasco-Garrido, P., Hernández-Barrera, V., Alonso-Blanco, C., Palacios-Ceña, D., & Jiménez-García, R. (2012). Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain). Gaceta Sanitaria, 26(6), 534–540. https://doi.org/10.1016/j.gaceta.2011.10.012
- Knezevic, N. N., Candido, K. D., Vlaeyen, J. W. S., Van Zundert, J., & Cohen, S. P. (2021). Low back pain. Lancet (London, England), 398(10294), 78–92. https://doi.org/10.1016/S0140-6736(21)00733-9
- Lee, G. I., & Neumeister, M. W. (2020). Pain: Pathways and Physiology. Clinics in Plastic Surgery, 47(2), 173–180. https://doi.org/10.1016/j.cps.2019.11.001
- Leysen, M., Nijs, J., Van Wilgen, P., Demoulin, C., Dankaerts, W., Danneels, L., …Roussel, N. (2021). Attitudes and beliefs on low back pain in physical therapy education: A cross-sectional study. Brazilian Journal of Physical Therapy, 25(3), 319–328. https://doi.org/10.1016/j.bjpt.2020.08.002
- Maher, C., Underwood, M., & Buchbinder, R. (2017). Non-specific low back pain. Lancet (London, England), 389(10070), 736–747. https://doi.org/10.1016/S0140-6736(16)30970-9
- Morton, L., de Bruin, M., Krajewska, M., Whibley, D., & Macfarlane, G. J. (2019). Beliefs about back pain and pain management behaviours, and their associations in the general population: A systematic review. European Journal of Pain (London, England), 23(1), 15–30. https://doi.org/10.1002/ejp.1285
- Nevin Dogan, & Songul Goris. (2018). The Effect of Pain Levels and Pain Beliefs of Elderly People Living in Nursing Home on Quality of Life. International Journal of Caring Sciences, 11(2), 947–954.
- Orhan, C., Van Looveren, E., Cagnie, B., Mukhtar, N. B., Lenoir, D., & Meeus, M. (2018). Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients with Chronic Musculoskeletal Pain: A Systematic Review. Pain Physician, 21(6), 541–558.
- Ozsoy-Unubol, T., & Unal-Ulutatar, C. (2020). Cross-cultural adaptation and validation of the Turkish version of Centrality of Pain Scale in patients with fibromyalgia syndrome. International Journal of Rheumatic Diseases, 23(6), 772–777. https://doi.org/10.1111/1756-185X.13825
- Pillastrini, P., Vanti, C., Curti, S., Mattioli, S., Ferrari, S., Violante, F. S., & Guccione, A. (2015). Using PubMed search strings for efficient retrieval of manual therapy research literature. Journal of Manipulative and Physiological Therapeutics, 38(2), 159–166. https://doi.org/10.1016/j.jmpt.2014.11.005
- Pincus T., & Morley S. (2002). New avenues for the prevention of chronic musculoskeletal pain and disability. Pain research and clinical management. Elsevier.
- Shi, Y., Weingarten, T. N., Mantilla, C. B., Hooten, W. M., & Warner, D. O. (2010). Smoking and pain: pathophysiology and clinical implications. Anesthesiology, 113(4), 977–992. https://doi.org/10.1097/ALN.0b013e3181ebdaf9
- Thomas, E., Peat, G., Harris, L., Wilkie, R., & Croft, P. R. (2004). The prevalence of pain and pain interference in a general population of older adults: cross-sectional findings from the North Staffordshire Osteoarthritis Project (NorStOP). Pain, 110(1–2), 361–368. https://doi.org/10.1016/j.pain.2004.04.017
- Urits, I., Burshtein, A., Sharma, M., Testa, L., Gold, P. A., Orhurhu, V., …Kaye, A. D. (2019). Low Back Pain, a Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Current Pain and Headache Reports, 23(3), 23. https://doi.org/10.1007/s11916-019-0757-1
- Von Korff, M., & Moore, J. C. (2001). Stepped care for back pain: activating approaches for primary care. Annals of Internal Medicine, 134(9 Pt 2), 911–917. https://doi.org/10.7326/0003-4819-134-9_part_2-200105011-00016
- Waddell G. (2004). The Back Pain Revolution. Churchill Livingstone.
- Wang, L., Ye, H., Li, Z., Lu, C., Ye, J., Liao, M., & Chen, X. (2022). Epidemiological trends of low back pain at the global, regional, and national levels. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 31(4), 953–962. https://doi.org/10.1007/s00586-022-07133-x
- Williams, A. C. de C., & Craig, K. D. (2016). Updating the definition of pain. Pain, 157(11), 2420–2423. https://doi.org/10.1097/j.pain.0000000000000613
- Yağci, N., Cavlak, U., Baskan, E., & Öztop, M. (2020). Geriatrik bireylerde bel ağrısı riski. Cukurova Medical Journal, 45(2), 421–427. https://doi.org/10.17826/cumj.641324
- Yerlikaya, M., & Saracoglu, İ. (2022). The attitudes and beliefs of physiotherapists, family physicians and physiatrists concerning chronic low back pain. Journal of Health Sciences and Medicine, 5(2), 393–398. https://doi.org/10.32322/jhsm.1015826