Kinesiophobia in Fibromyalgia Syndrome: Relationship with Obesity, Pain Intensity, High Disease Activity

Öz

Objective: It was aimed to investigate the relationship between disease severity and kinesiophobia in Fibromyalgia Syndrome.

Material and Methods: This study, which was planned as a prospective, cross-sectional, case-control study, included 149 patients between the ages of 21-67 who were diagnosed with FMS according to American College of Rheumatology 2010 criteria and 92 healthy controls with similar characteristics. Fibromyalgia Impact Questionnaire was used for disease severity, visual analog scale was used for pain severity, and Tampa Kinesiophobia Scale was used for kinesiophobia. Demographic data such as age, gender, body mass index of the patients were recorded.

Results: Demographic data were similar between the patient group (n=149) and the healthy control group (n=92). When Tampa Kinesiophobia Scale was compared with 41.51 (SD: 7.31) in the patient group and 35.71 (SD: 8.98) in the control group, there was a significant difference (p<0.01). There was a significant correlation between disease severity and kinesiophobia (p<0.01). Visual analog scale and Fibromyalgia Impact Questionnaire values were also significantly different in the patient group compared to the control group (p<0.01). There was no significant relationship between body mass index low group (25 kg/m2 and below) and body mass index high group (25 kg/m2 above) and kinesiophobia.

Conclusion: As the severity of the disease increases in fibromyalgia syndrome, kinesiophobia also increases. Therefore, kinesiophobia should be kept in mind when planning treatment in patients with Fibromyalgia Syndrome.

Anahtar Kelimeler

• Fiibromialgia Syndrome
• Kinesiophobia
• Tampa Scale of Kinesiophobia
• Fibromialgia Impact Questionnaire
• Fear of Movement

FİBROMYALJİ SENDROMUNDA KİNEZYOFOBİ: OBEZİTE, AĞRI ŞİDDETİ, YÜKSEK HASTALIK AKTİVİTESİ İLİŞKİSİ

Öz

Amaç: Fibromiyalji sendromunda hastalık şiddeti ile kinezyofobi arasındaki ilişkinin araştırılması amaçlandı.

Gereç ve Yöntemler: Prospektif, kesitsel, vaka kontrol araştırması olarak planlanan bu çalışmaya Amerikan Romatoloji Koleji 2010 kriterlerine göre Fibromiyalji sendromu tanısı almış 21-67 yaş arası 149 hasta ile benzer özellikte 92 sağlıklı kontrol dâhil edildi. Hastalık şiddeti için Fibromiyalji Etki Anketi, ağrı şiddeti için vizüel analog skala, kinezyofobi için Tampa Kinezyofobi Ölçeği kullanıldı. Hastaların yaş, cinsiyet, vücut kitle indeksi gibi demografik verileri kaydedildi.

Bulgular: Hasta grubu ve sağlıklı kontrol grubu arasında demografik veriler benzerdi. Tampa Kinezyofobi Ölçeği, hasta grubunda ortalama 41.51 (SS:7.31), kontrol grubunda ortalama 35.71 (SS:8.98) olarak bulunmuş olup anlamlı fark vardı (p<0.01. Hastalık şiddeti ile kinezyofobi arasında anlamlı korelasyon mevcuttu (p<0.01). Vizüel analog skala, Fibromiyalji Etki Anketi değerleri ise hasta grubunda kontrol grubuna göre anlamlı farklıydı (p<0.01). Vücut kitle indeksinin düşük (25 kg/m2 ve altı) ve yüksek grupları (25 kg/m2 üstü) ile kinezyofobi arasında anlamlı ilişki yoktu.

Sonuç: Fibromiyalji sendromunda hastalık şiddeti arttıkça kinezyofobi de artmaktadır. Bu nedenle fibromiyalji sendromlu hastalarda tedavi planlarken kinezyofobi akılda tutulmalıdır.

Anahtar Kelimeler

• Fibromiyalji Sendromu
• Kinezyofobi
• Tampa Kinezyofobi Ölçeği
• Fibromiyalji Etki Anketi
• Hareket Korkusu

Kaynakça

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