ÖZET

Amaç:

Bu çalışmanın amacı fibromiyaljili (FMS) kadın hastalarda kinezyofobi düzeylerini belirlemektir. Ayrıca, FMS’li hastalarda kinezyofobi ile ilişkili faktörleri araştırmayı ve bu hasta popülasyonunda kinezyofobinin iş sonuçlarına etkisini değerlendirmeyi amaçladık.

Gereç ve Yöntem:

Ocak 2021-Mayıs 2021 tarihleri arasında FMS’li 50 kadın hasta ve kas-iskelet ağrısı olan ancak FMS tanı kriterlerini karşılamayan 44 kadın hasta çalışmaya dahil edildi. Ağrı sayısal skala, kinezyofobi düzeyleri Tampa Kinezyofobi Skalası (TSK) ile, çalışma çıktıları tarafımızca hazırlanan anket formu ile değerlendirildi.

Bulgular:

TSK ortanca puanları FMS grubunda 41,50 (21-61), kontrol grubunda 37 (23-61) idi. TSK puanı FMS grubunda anlamlı olarak yüksekti (p=0,030). Ağrı skorları (p<0,001) ve semptom süresi (p<0,001) yüksek düzeyde kinezyofobi ile anlamlı şekilde ilişkiliydi. Çoklu lineer regresyon analizi yapıldığında, vücut kitle indeksinin (p=0,411) kinezyofobi düzeyleri ile ilişkili olmadığı, yaşın (p<0,001) ise kinezyofobi düzeyleri ile ilişkili olduğu bulundu. FMS hastalarında artan kinezyofobi seviyeleri, daha kötü iş sonuçlarıyla ilişkilendirilmiştir.

Sonuç:

FMS’li hastalarda kinezyofobi düzeyinin değerlendirilmesi ve kinezyofobi varlığında koruyucu stratejiler geliştirilmesi tedavi programı oluşturulurken faydalı bilgiler sağlayabilir.

References

Sarzi-Puttini P, Giorgi V, Marotto D, Atzeni F. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol 2020;16:645-60.

Sarıhan K, Uzkeser H, Erdal A. Evaluation of balance, fall risk, and related factors in patients with fibromyalgia syndrome. Turk J Phys Med Rehabil 2021;67:409-15.

Maffei ME. Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies. Int J Mol Sci 2020;21:7877.

Beyazova M, Kutsal YG, İnanıcı F. Fibromiyalji sendromu: Fiziksel Tıp ve Rehabilitasyon. Ankara: Güneş Tıp Kitabevi; 2011. p. 2365-77.

Chinn S, Caldwell W, Gritsenko K. Fibromyalgia Pathogenesis and Treatment Options Update. Curr Pain Headache Rep 2016;20:25.

D’Agnelli S, Arendt-Nielsen L, Gerra MC, Zatorri K, Boggiani L, Baciarello M, Bignami E. Fibromyalgia: Genetics and epigenetics insights may provide the basis for the development of diagnostic biomarkers. Mol Pain 2019;15:1744806918819944.

Binkiewicz-Glinska A, Bakula S, Tomczak H, Landowski J, Ruckemann-Dziurdzinska K, Zaborowska-Sapeta K, et al. Fibromyalgia Syndrome - a multidisciplinary approach. Psychiatr Pol 2015;49:801-10.

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.

Perrot S, Trouvin AP, Rondeau V, Chartier I, Arnaud R, Milon JY, et al. Kinesiophobia and physical therapy-related pain in musculoskeletal pain: A national multicenter cohort study on patients and their general physicians. Joint Bone Spine 2018;85:101-7.

Benatto MT, Bevilaqua-Grossi D, Carvalho GF, Bragatto MM, Pinheiro CF, Straceri Lodovichi S, et al. Kinesiophobia Is Associated with Migraine. Pain Med 2019;20:846-51.

Luque-Suarez A, Martinez-Calderon J, Navarro-Ledesma S, Morales-Asencio JM, Meeus M, Struyf F. Kinesiophobia Is Associated With Pain Intensity and Disability in Chronic Shoulder Pain: A Cross-Sectional Study. J Manipulative Physiol Ther 2020;43:791-8.

Burwinkle T, Robinson JP, Turk DC. Fear of movement: factor structure of the tampa scale of kinesiophobia in patients with fibromyalgia syndrome. J Pain 2005;6:384-91.

Koçyiğit BF, Akaltun MS. Kinesiophobia Levels in Fibromyalgia Syndrome and the Relationship Between Pain, Disease Activity, Depression. Arch Rheumatol 2020;35:214-9.

Oskay D, Tuna Z, Düzgün İ, Elbasan B, Yakut Y, Tufan A. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turk J Med Sci 2017;47:1340-7.

Clauw DJ. Fibromyalgia: a clinical review. JAMA 2014;311:1547-55.

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.

Galvez-Sánchez CM, Montoro CI, Duschek S, Reyes Del Paso GA. Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia. J Affect Disord 2020;265:486-5.

Nijs J, Roussel N, Van Oosterwijck J, De Kooning M, Ickmans K, Struyf F, et al. Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. Clin Rheumatol 2013;32:1121-9.

Russek L, Gardner S, Maguire K, Stevens C, Brown EZ, Jayawardana V, et al. A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome. Clin Rheumatol 2015;34:1109-19.

Ferrera D, Mercado F, Pelaez I, Martinez-Inigo D, Fernandes-Magalhaes R, Barjola P, et al. Fear of pain moderates the relationship between self-reported fatigue and methionine allele of catechol-O-methyltransferase gene in patients with fibromyalgia. PLoS One 2021;16:e0250547.

Lambin DI, Thibault P, Simmonds M, Lariviere C, Sullivan MJL. Repetition-induced activity-related summation of pain in patients with fibromyalgia. Pain 2011;152:1424-30.

Turk DC, Robinson JP, Burwinkle T. Prevalence of fear of pain and activity in patients with fibromyalgia syndrome. J Pain 2004;5:483-90.

Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62:363-72.

Åkerström ML MSc, Grimby-Ekman A Phd, Lundberg M Phd. Work ability is influenced by kinesiophobia among patients with persistent pain. Physiother Theory Pract 2017;33:634-43.

Macías-Toronjo I, Sánchez-Ramos JL, Rojas-Ocaña MJ, García-Navarro EB. Influence of Psychosocial and Sociodemographic Variables on Sickness Leave and Disability in Patients with Work-Related Neck and Low Back Pain. Int J Environ Res Public Health 2020;17:5966.

Sugano R, Ikegami K, Ando H, Nozawa H, Michii S, Kondo M, et al. The Relationship Between Fear-avoidance Beliefs in Employees with Chronic Musculoskeletal Pain and Work Productivity: A Longitudinal Study. J UOEH 2020;42:13-26.

Fibromiyalji Sendromunda Kinezyofobi ve İlişkili Faktörler

ÖZET

References