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ORIJINAL ARAŞTIRMA

Cesur ve Sakin Ol, Bel Ağrısından Uzak Ol: Kinezyofobi ve Ağrıyı Felaketleştirme Davranışı; Kronik Nonspesifik Bel Ağrılı Hastalarda, Diğer Maladaptif Psikososyal Faktörler Gibi Dizabiliteye Yol Açabilir
Be Brave and Cool, Be Far From Low Back Pain: Kinesiophobia and Pain Catastrophizing Behaviour Can Cause Disability in Chronic Non-Specific Low Back Pain Patients Like the Other Maladaptive Psyschosocial Factors
Received Date : 30 Nov 2020
Accepted Date : 14 Mar 2021
Available Online : 23 Mar 2021
Doi: 10.31609/jpmrs.2020-80286 - Makale Dili: EN
J PMR Sci. 2021;24(2):143-51
ÖZET
Amaç: Bu çalışmanın amacı; kronik nonspesifik bel ağrılı hastalarda, kinezyofobi ve ağrıyı felaketleştirme davranışının bel ağrısı ilişkili dizabilite üzerine etkisini araştırmaktır. Gereç ve Yöntemler: Üç aşamalı hasta alımı ile toplamda 54 hastanın verilerinin kaydedildiği prospektif ve kesitsel olarak tasarlanan bu çalışmada; sosyodemografik ve antropometrik verilerle birlikte, kinezyofobi (Tampa Kinesiophobia Scale ile), katastrofi (Pain Catastrophizing Scale ile) ve bel ağrısı ilişkili engellilik düzeyine (Oswestry Disability Index ile) ait veriler analiz edilmiştir. İstatistiksel analiz yoluyla; sürekli değişkenler, ortalama değer±SD ve ortanca değer (minimummaksimum) ile kategorik değişkenler ise sayı ve yüzde belirtecek şekilde ifade edilmiştir. Değişkenlerin korelasyonunu değerlendirmek amacıyla, Pearson ve Spearman korelasyon katsayısı kullanılmıştır. Korelasyon katsayısı 0,00-0,30 ise ihmal edilebilir, 0,30-0,50 ise düşük, 0,50-0,70 ise orta, 0,70-0,90 ise yüksek, 0,90-1,00 ise çok yüksek olarak kabul edilmiştir. Bulgular: Çalışmamızda; kinezyofobi ve katastrofi ile bel ağrısı ilişkili dizabilite düzeyi arasında orta derecede pozitif korelasyon saptanmıştır. Bel ağrısı ilişkili dizabilite düzeyi ile eğitim ve gelir düzeyi arasında düşük derecede negatif korelasyon saptanmıştır. Sonuç: Kinezyofobi ve ağrıyı felaketleştirme davranışı gibi psikososyal patolojiler, bel ağrısı ilişkili dizabiliteyi olumsuz anlamda etkileyebilir. Tedavide, patoanatomik/biomedikal yaklaşım yanında, psikososyal temelli bir değerlendirmenin yapılması, psikososyal patoloji saptanması durumunda ağrı eğitimi, kognitif davranışsal tedavi gibi tedavilerin mevcut tedaviye eklenmesi esastır.
ABSTRACT
Objective: The aim of the study is to research the effect of kinesiophobia and pain catastrophizing behavior on disability related to low back pain among patients with chronic non-specific low back pain. Material and Methods: In this prospective and cross-sectional study, in which the data of 54 patients in total were recorded with 3 stages of patient recruitment; the data of kinesiophobia (with Tampa Kinesiophobia Scale ), catastrophe (with Pain Catastrophizing Scale) and low back pain-related disability level (with Oswestry Disability Index) with sociodemographic and anthropometric data were analyzed. By means of statistical analysis; continuous variables were expressed with mean value±SD and median value (minimum-maximum) and categorical variables were expressed in terms of numbers and percentages. The Pearson and Spearman correlation coefficient was used to evaluate the correlation of the variables. The correlation coefficient of 0.00-0.30 was considered as negligible, 0.30-0.50 as low, 0.50-0.70 as medium, 0.70-0.90 as high, and 0.90-1.00 as very high. Results: A moderate positive correlation was identified between kinesiophobia and catastrophizing with disability level related to low back pain. There was a low-degree negative correlation between disability level related to low back pain with education and income level. Conclusions: Psychosocial pathologies like kinesiophobia and pain catastrophizing behavior may affect disability related to low back pain in a negative sense. In addition to the pathoanatomic/biomedical approach, treatment should include a psychosocial-based assessment and if psychosocial pathology is identified, treatments like pain education and cognitive behavioral therapy should be added to present treatments.
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