Turkiye Klinikleri Journal of Sports Sciences

.: ORIGINAL RESEARCH
Üst ve Alt Ekstremite Kas-İskelet Sistemi Yaralanmalarında Hareket Korkusu, Psikolojik Faktörler ve Yaşam Kalitesinin Karşılaştırılması
Comparison of the Fear of Movement, Psychological Factors and Quality of Life in Upper and Lower Extremity Musculoskeletal Injuries
Serkan TAŞa, Nilay ŞAHANb, Öznur TUNCA YILMAZc
aToros Üniversitesi Sağlık Bilimleri Yüksekokulu, Fizyoterapi ve Rehabilitasyon Bölümü, Mersin, TÜRKİYE
bHacettepe Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon ABD, Ankara, TÜRKİYE
cHacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, TÜRKİYE
Turkiye Klinikleri J Sports Sci. 2020;12(2):155-62
doi: 10.5336/sportsci.2019-71325
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, alt ve üst ekstremite kas-iskelet sistemi yaralanması olan bireylerde hareket korkusu, katastrofik düşünce, kaygı düzeyi, depresyon belirtisi ve yaşam kalitesinin karşılaştırılmasıdır. Gereç ve Yöntemler: Bu çalışma, yaşları 18-62 yıl aralığında, üst ekstremite kas iskelet sistemi yaralanması olan 63 birey ve alt ekstremite kas iskelet sistemi yaralanması olan 68 birey olmak üzere toplam 131 bireyin katılımıyla gerçekleşti. Çalışma kapsamında bireylerin istirahat ve aktivite ağrı şiddeti Vizüel analog skalası (VAS) kullanılarak ölçüldü. Bireylerin hareket korkusu Tampa Kinezyofobi Ölçeği (TKÖ); katastrofik düşüncesi Ağrı Katastrofik Ölçeği (AKÖ), depresyon düzeyi Beck Depresyon Ölçeği (BDÖ); kaygı düzeyi, Sürekli Kaygı Envanteri (SKE) ve yaşam kalitesi, Nottingham Sağlık Profili (NSP) ile değerlendirildi. Bulgular: İstirahat ağrısı (m1.grup=1.7, m2.grup=1,5; p=0,628), aktivite ağrısı (m1.grup=5.0, m2.grup=;4.9; p=0,864) ve SKE skoru (m1.grup=45,9, m2.grup=46,0; p=0,928) alt ve üst ekstremite hasta grubunda benzer iken, alt ekstremite kas-iskelet yaralanması olan hasta grubunun TKÖ (m1.grup=,36,2 m2.grup=39,2; p=0,028), AKÖ (m1.grup=14,1, m2.grup=17,8; p=0,048), BDÖ (m1.grup=6,9, m2.grup=9,7; p=0,029) ve NSP skorunun (m1.grup=96,7, m2.grup=130,2; p=0,043) üst ekstremite hasta grubuna göre daha fazla olduğu bulundu. Sonuç: Elde ettiğimiz sonuçlar, alt ekstremite yaralanması olan bireylerin, üst ekstremite yaralanması olan bireylere göre hareket korkusu, katastrofik düşünce ve depresyon belirtilerinin daha fazla olduğunu yaşam kalitelerinin ise daha fazla etkilendiğini göstermektedir. Alt ekstremite yaralanması olan hastaların tedavi programının planlamasında, bu sonuçların dikkate alınmasının tedavinin başarısını artırabilecek önemli bir durum olduğu düşünülmektedir.

Anahtar Kelimeler: Kas-iskelet hastalıkları; psikolojik faktörler; yaşam kalitesi
ABSTRACT
 Objective: The purpose of this study was to compare the fear of movement, pain catastrophizing thinking, anxiety level, signs of depression and quality of life between individuals with upper and lower extremities musculoskeletal disorders. Material and Methods: A total of 131 individuals between ages of 18-62 with 63 individuals with upper extremity musculoskeletal injuries and 68 individuals with lower extremity musculoskeletal injuries were included in this study. The severity of pain at rest and activity was measured with Visual Analog Scale (VAS). Level of kinesiophobia, pain catastrophizing, depression and anxiety and quality of life were measured with the Tampa Kinesiophobia Scale (TKS), Pain Catastrophizing Scale (PCS), Beck Depression Scale (BDS), Trait Anxiety Inventory (TAI), and Nottingham Health Profile (NHP), respectively. Results: Pain at rest (m1.group=1.7, m2.group=1.5; p=0.628), and activity (m1.group=5.0, m2.group=4.9; p=0.864) and TAI (m1.group=45.9, m2.group=46.0; p=0.928) score were similar in both groups; however, TSK (m1.group=36.2 m2.group=39.2; p=0.012), PCR (m1.group=14.1, m2.group=17.8; p=0.048), BDS (m1.group=6.9, m2.group=9.7; p=0.029) and NHP (m1.group=96.7, m2.group=130.2; p=0.043) scores were higher in individuals with lower extremity disorders than in individuals with upper extremity disorders. Conclusion: The obtained results suggest that fear of movements, pain catastrophizing thinking, and depression symptoms in individuals with lower extremity disorders were higher; however, quality of life was more affected compared to individuals with upper extremity disorders. It was thought that considering these results in the planning of the treatment program of patients with lower extremity injuries could increase the success of treatment.

Keywords: Musculoskeletal diseases; psychological factors; quality of life
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