COMPARISON OF SYMPTOMS, PAIN INTENSITY, KINESIOPHOBIA, ANXIETY, DEPRESSION, AND PHYSICAL ACTIVITY IN PATIENTS WITH KNEE OSTEOARTHRITIS ACCORDING TO PAIN-RELATED ACTIVITY PATTERNS

Öz

Objective Examining pain-related activity patterns in patients with knee osteoarthritis (OA) will help to establish appropriate rehabilitation programs in this patient population. The aim of this study is to compare symptoms, pain intensity, fear of movement, anxiety, depression status and physical activities according to pain-related activity patterns in patients with knee OA. Material and Method: 120 participants with clinical and radiological knee OA were included in this crosssectional study. Participants with knee OA were divided into three groups according to the Pain- Activity Patterns Scale: avoidance pattern, overdoing pattern, and regulation pattern. Visual Analogue Scale for assessing the severity of pain of participants with knee OA, KOOS (Knee Injury and Osteoarthritis Outcome Score) for assessing knee functions and knee-related quality of life, International Physical Activity Questionnaire Short Form (IPAQ-Short) for assessing physical activity level, fear of falling the TAMPA kinesiophobia scale and the Hospital Anxiety Depression Scale (HAD) for anxiety and depression were used. Results In our study, participants with knee OA were divided into three groups according to pain, and all subgroups of pain duration, pain severity (rest-activity), and KOOS scores were found to be similar to each other (p>0.05). HAD-anxiety and depression states, TAMPA scores and IPAQ-Walking scores were found to be different between the groups (p<0.05). It was found that patients with exaggeration pattern had higher anxiety than other groups (p<0.05), patients with avoidance pattern had higher depression (p<0.05) and fear of falling (p<0.05), and patients with regulation pattern had lower walking scores (p<0.05). Conclusion According to our study, it is seen that the level of depression and anxiety is lower in ordering behavior and it is associated with positive psychosocial outcomes. However, it is seen that the level of physical activity is the lowest in patients with knee OA who exhibit regulation behavior.

Anahtar Kelimeler

• Osteoarthritis
• Pain-Related Activity Patterns
• Kinesiophobia

DİZ OSTEOARTRİTİ OLAN HASTALARIN AĞRI İLE İLİŞKİLİ AKTİVİTE PATERNLERİNE GÖRE SEMPTOMLARI, AĞRI ŞİDDETİ, HAREKET KORKUSU, ANKSİYETE, DEPRESYON DURUMU VE FİZİKSEL AKTİVİTELERİNİN KARŞILAŞTIRILMASI

Öz

Amaç Diz osteoartirti (OA) olan hastalarda ağrı ile ilişkili aktivite paternlerinin incelenmesi bu hasta popülasyonunda uygun rehabilitasyon programlarının oluşturulmasına yardımcı olacaktır. Bu çalışmanın amacı diz OA'lı hastalarda ağrı ile ilişkili aktivite paternlerine göre semptomları, ağrı şiddeti, hareket korkusu, anksiyete, depresyon durumu ve fiziksel aktivitelerinin karşılaştırılmasıdır. Gereç ve Yöntem Bu kesitsel çalışmamıza klinik ve radyolojik olarak diz OA olan 120 katılımcı alındı. Diz OA olan katılımcılar, Ağrı-Aktivite Paternleri Ölçeği’ne göre kaçınma paterni, aşırıya kaçma paterni, düzene sokma paterni olmak üzere üç gruba ayrıldı. Diz OA olan katılımcıların ağrı şiddetleri Görsel Analog Skala, diz fonksiyonları ve diz ile ilişkili yaşam kalitesi KOOS (Diz İncinme ve Osteoartrit Sonuç Skoru) ölçeği, fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi Kısa Form (UFAA-Kısa), düşme korkusu TAMPA kinezyofobi ölçeği, anksiyete ve depresyon durumları Hastane Anksiyete Depresyon Ölçeği (HAD) ile değerlendirildi. Bulgular Çalışmamızda tüm grupların ağrı süresi, ağrı şiddetleri (dinlenme-aktivite), KOOS puanlarının benzer olduğu görüldü (p>0.05). Gruplar arasında HAD-anksiyete ve depresyon durumları, TAMPA puanları ve UFAA-Yürüme puanlarının ise faklı olduğu görüldü (p<0.05). Aşırıya kaçma paterni olan hastaların anksiyetelerinin diğer gruplara göre daha yüksek (p<0.05), kaçınma paterni olan hastaların depresyon durumlarının (p<0.05) ve düşme korkularının daha yüksek (p<0.05) ve düzene sokma paterni olan hastaların ise yürüme puanlarının daha düşük olduğu bulundu (p<0.05). Sonuç Çalışmamıza göre düzene koyma grubunda depresyon ve anksiyete düzeyinin daha düşük olduğu ve pozitif psikososyal sonuçlarla ilişkilendirildiği görülmektedir. Ancak düzene koyma davranışı sergileyen diz OA'li hastalarda fiziksel aktivite seviyesinin en düşük olduğu görülmektedir.

Anahtar Kelimeler

• Osteoartirt
• Ağrı-Aktivite Paterni
• Kinezyofobi

Kaynakça

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