The relationship between kinesiophobia, physical performance and balance in lower extremity lymphedema patients

Öz

Purpose: Lymphedema is an important situation that causes physical and psychological life-threatening problems. This study researches kinesiophobia in lower extremity patients and scrutinizes the relationship between kinesiophobia, physical performance and balance. Methods: This cross-sectional controlled study included 40 individuals diagnosed with lower extremity lymphedema with a mean age of 42.58±10.30 years and 31 healthy individuals with a mean age of 40.65 ± 9.53 years. The evaluation of patients with unilateral lymphedema without cognitive and visual problems and those without orthopedic and neurological disorders that would prevent walking and those without heart disease and hypertension was carried out between November 2018 and March 2019. Static balance was evaluated with standing on One leg Balance Test, fear of movement was evaluated with Tampa Scale Kinesiophobia and functional levels were evaluated with Timed Up and Go test. Results: Static balance and physical performance of lower extremity lymphedema patients were found to be statistically different than healthy individuals (p<0.05). Patients with lower extremity lymphedema had a severe fear of movement (37 and above). There was a significant moderate correlation between kinesiophobia and balance (r= -0.536 p= 0.001) kinesiophobia and physical performance (r= 0.522 p= 0.001) in lower extremity lymphedema patients. And this correlation was more in healthy individuals. Conclusions: High fear of movement and decreased physical performance and balance were found in patients with lower extremity lymphedema. Early diagnosis and treatment of complications due to lymphedema is important for the clinical results of this patient group.

Anahtar Kelimeler

• lymphedema
• kinesiophobia
• static balance
• physical performance

Alt Ekstremite Lenfödem Hastalarında Kinezyofobi, Fiziksel Performans ve Denge Arasındaki İlişki

Öz

Amaç: Lenfödem, fiziksel ve psikolojik hayatı tehdit eden sorunlara neden olan önemli bir durumdur. Bu çalışmada alt ekstremite hastalarında kinezyofobi araştırılmakta ve kinezyofobi, fiziksel performans ve denge arasındaki ilişki incelenmektedir. Yöntemler: Bu kesitsel kontrollü çalışma, alt ekstremite lenfödem tanısı almış, yaş ortalaması 42.58 ± 10.30 yıl olan 40 birey ve yaş ortalaması 40.65 ± 9.53 yıl olan 31 sağlıklı bireyi içermektedir. Kognitif ve görsel problemi olmayan tek taraflı lenfödem hastaları ile yürümeyi engelleyecek ortopedik ve nörolojik bozukluğu olmayanlar ile kalp hastalığı ve hipertansiyonu olmayanların değerlendirilmesi Kasım 2018-Mart 2019 tarihleri arasında yapıldı. Test, hareket etme korkusu Tampa Ölçeği Kinezyofobi ile, fonksiyonel düzeyler ise Zamanlı Yukarı ve Git testi ile değerlendirildi. Bulgular: Alt ekstremite lenfödem hastalarının statik denge ve fiziksel performansları sağlıklı bireylerden istatistiksel olarak farklı bulundu (p <0.05). Alt ekstremite lenfödemi olan hastalarda şiddetli hareket korkusu vardı (37 ve üzeri). Alt ekstremite lenfödem hastalarında kinezyofobi ile denge (r = -0.536 p = 0.001) kinezyofobi ve fiziksel performans (r = 0.522 p = 0.001) arasında orta derecede anlamlı bir korelasyon vardı. Ve bu ilişki sağlıklı bireylerde daha fazlaydı. Sonuç: Alt ekstremite lenfödemi olan hastalarda yüksek hareket korkusu ve düşük fiziksel performans ve denge saptandı. Lenfödeme bağlı komplikasyonların erken teşhisi ve tedavisi bu hasta grubunun klinik sonuçları açısından önemlidir.

Anahtar Kelimeler

• lenfödem
• kinezyofobi
• statik denge
• fiziksel performans

Kaynakça

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