Öz
Amaç
Bu çalışmanın amacı osteoporoz (OP) ve osteopeni (OPN) hastalarında kinezyofobi, fiziksel aktivite düzeyi ve yaşam kalitesi (QoL) arasındaki ilişkiyi belirlemektir.
Gereç ve Yöntem
Çalışmaya 41 OP ve 41 OPN hastası dahil edildi. Kinezyofobi, Tampa Kinezyofobi ölçeği, fiziksel aktivite seviyesi Uluslararası Fiziksel Aktivite Anketi-Kısa Formu ve QoL, Avrupa Osteoporoz Federasyonu QoL anketi kullanılarak değerlendirildi.
Bulgular
Çalışma her grupta 40 hasta olmak üzere 80 hasta ile tamamlanmıştır. İki grup arasında kinezyofobi açısından anlamlı bir fark bulunurken (p=0,027), aktivite düzeylerinde anlamlı bir fark gözlenmemiştir (p=0,103). Ayrıca, OP’li hastalarda kinezyofobi ve fiziksel aktivite seviyesi ile QoL’nin tüm alt parametreleri arasında anlamlı korelasyon gözlenmiştir (p<0,05). OPN’li hastalarda kinezyofobi ve fiziksel aktivite seviyesi arasında anlamlı bir korelasyon gözlenirken (p<0,001, r=-0,544), kinezyofobi ve QoL arasında anlamlı bir korelasyon saptanmamıştır (p>0,05).
Sonuç
Kinezyofobinin OP ve OPN hastalarında yüksek olduğu ve bu durumun OP hastalarında fiziksel aktivite seviyesi ve QoL düzeyini olumsuz etkilediği bulunmuştur. Egzersizin bu hastalar üzerindeki olumlu etkileri göz önüne alındığında, kinezyofobinin değerlendirilmesi ve tedavisi giderek daha önemli hale gelmektedir.
Anahtar Kelimeler: Anahtar kelimeler: Kinezyofobi, fiziksel aktivite seviyesi, yaşam kalitesi, osteoporoz, osteopenia
Kaynakça
Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, et al. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int. 2012;23:949-55.
Mohd-Tahir NA, Li SC. Economic burden of osteoporosis-related hip fracture in Asia: a systematic review. Osteoporos Int. 2017;28:2035-44.
Pinheiro MB, Oliveira J, Bauman A, Fairhall N, Kwok W, Sherrington C. Evidence on physical activity and osteoporosis prevention for people aged 65+ years: a systematic review to inform the WHO guidelines on physical activity and sedentary behaviour. Int J Behav Nutr Phys Act. 2020;17:150.
Kanis JA, McCloskey EV, Johansson H, Cooper C, Rizzoli R, Reginster JY, et al. European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Osteoporos Int. 2013;24:23-57.
Park HY, Jung WS, Kim SW, Lim K. Relationship Between Sarcopenia, Obesity, Osteoporosis, and Cardiometabolic Health Conditions and Physical Activity Levels in Korean Older Adults. Front Physiol. 2021;12:706259.
Ersungur E, Öztürk N. Kinesiophobia and quality of life. Recent studies in health sciences. 2019;676-82.
Altuğ F, Ünal A, Kilavuz G, Kavlak E, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain1. J Back Musculoskelet Rehabil. 2016;29:527-31.
Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016;28:665-70.
Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study. BMC Geriatr. 2016;16:50.
Wertli MM, Rasmussen-Barr E, Held U, Weiser S, Bachmann LM, Brunner F. Fear-avoidance beliefs-a moderator of treatment efficacy in patients with low back pain: a systematic review. Spine J. 2014;14:2658-78.
Gunendi Z, Eker D, Tecer D, Karaoglan B, Ozyemisci-Taskiran O. Is the word “osteoporosis” a reason for kinesiophobia? Eur J Phys Rehabil Med. 2018;54:671-5.
Oksuz S, Unal E. The effect of the clinical pilates exercises on kinesiophobia and other symptoms related to osteoporosis: Randomised controlled trial. Complement Ther Clin Pract. 2017;26:68-72.
Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-84.
Koçyigit H, Gülseren S, Erol A, Hizli N, Memis A. The reliability and validity of the Turkish version of Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO). Clin Rheumatol. 2003;22:18-23.
Gulrandhe P, Warutkar V, Chitale N, Arora SP, Phansopkar P. Fear avoidance model of kinesiophobia and rehabilitation. J Med Pharm Allied Sci. 2021;10:3529-33.
Vasudeva A, Nanda MS, Sahu S, Neyaz O, Choudhary A, Kumar R, et al. The efficacy of a structured exercise program versus zoledronic acid in persons with primary osteoporosis: a prospective, randomized controlled trial. Int J Health Sci Res. 2019;9:1-9.
De Vroey H, Claeys K, Shariatmadar K, Weygers I, Vereecke E, Van Damme G, et al. High levels of kinesiophobia at discharge from the hospital may negatively affect the short-term functional outcome of patients who have undergone knee replacement surgery. J Clin Med. 2020;9:738.
Clapp IM, Nwachukwu BU, Beck EC, Rasio JP, Alter T, Allison B, et al. What is the role of kinesiophobia and pain catastrophizing in outcomes after hip arthroscopy for femoroacetabular impingement syndrome? Arthrosc Sports Med Rehabil. 2020;2:e97-104.
Vlaeyen JW, Kole-Snijders AM, Rotteveel AM, Ruesink R, Heuts PH. The role of fear of movement/(re) injury in pain disability. J Occup Rehabil. 1995;5:235-52.
Fletcher C, Bradnam L, Barr C. The relationship between knowledge of pain neurophysiology and fear avoidance in people with chronic pain: A point in time, observational study. Physiother Theory Pract. 2016;32:271-6.
Marini S, Barone G, Masini A, Dallolio L, Bragonzoni L, Longobucco Y, et al. The effect of physical activity on bone biomarkers in people with osteoporosis: a systematic review. Front Endocrinol (Lausanne). 2020;11:585689.
Pang Y-H, Zhang H-J, Liu T. Mediating effect of self-efficacy on relationship between kinesiophobia and physical activity among female elderly osteoporosis patients[J]. Chinese Journal of Public Health. 2020;36:628-31.
Aykut Selçuk M, Karakoyun A. Is there a relationship between kinesiophobia and physical activity level in patients with knee osteoarthritis? Pain Medicine. 2020;21:3458-69.
Demirbüken İ, Özgül B, Kuru Çolak T, Aydoğdu O, Sarı Z, Yurdalan SU. Kinesiophobia in relation to physical activity in chronic neck pain. J Back Musculoskelet Rehabil. 2016;29:41-7.
Bağlan Yentür S, Karatay S, Oskay D, Tufan A, Küçük H, Haznedaroğlu Ş. Kinesiophobia and related factors in systemic lupus erythematosus patients. Turk J Med Sci. 2019;49:1324-31.
Mısırcı S, Akyol Y, Ulus Y, Cengiz AK, Bilgici A. Kinesiophobia and Related Factors in Postmenopausal Women with Osteoporosis and Osteopenia. Turk J Osteoporos. 2021;27:74-81.
Ceylan CM, Korkmaz MD. Investigation of the Relationship Between Bone Mineral Density, Kinesiophobia, Fear of Falling, Anxiety and Depression Levels in Patients with Osteoporosis. Turk J Osteoporos. 2023;29:59-65.
NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy. JAMA. 2001;285:785-95.
Bianchi ML, Orsini MR, Saraifoger S, Ortolani S, Radaelli G, Betti S. Quality of life in post-menopausal osteoporosis. Health Qual Life Outcomes. 2005;3:78.
Ciubean AD, Ungur RA, Irsay L, Ciortea VM, Borda IM, Onac I, et al. Health-related quality of life in Romanian postmenopausal women with osteoporosis and fragility fractures. Clin Interv Aging. 2018;13:2465-72.
Caires ELP, Bezerra MC, Junqueira AFTA, Fontenele SMA, Andrade SCA, d’Alva CB. Treatment of postmenopausal osteoporosis: a literature-based algorithm for use in the public health care system. Rev Bras Reumatol Engl Ed. 2017;57:254-63.
Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019;53:554-9.
Antunes RS, de Macedo BG, Amaral Tda S, Gomes Hde A, Pereira LS, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras. 2013;21:27-9.
