PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE
Yıl: 2018 Cilt: 29 Sayı: 2 Sayfa Aralığı: 11 - 17 Metin Dili: İngilizce DOI: 10.21653/tjpr.453714 İndeks Tarihi: 23-10-2019
PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE
Öz: Purpose: Patients with rheumatoid arthritis (RA) frequently have experience difficulties duringdaily activities since decrease in upper and lower extremity functions. The aim of this study wasto investigate the association between fear of movement and age, upper and lower extremityfunction and functional disability in patients with RA.Methods: A total of 88 patients (mean age: 56.01±11.51 years) with RA participated in the study.Disease activity was assessed using the Disease Activity Score in 28 joints (DAS28). Functionaldisability was assessed using the Health Assessment Questionnaire-Disability Index (HAQ-DI).The Disabilities of the Arm, Shoulder and Hand Score (QuickDASH) was used to assess upperextremity function. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC)was used to evalute the lower extremity function. The Tampa Scale for Kinesiophobia (TSK) wasused to assess pain-related fear of movement. The multiple stepwise linear regression model withR-square (R2) was used to compare across the models and explain the total variance.Results: Eight independent variables namely, age (r=0.215, p=0.044), QuickDASH (r=0.504,p<0.001), HAQ-DI (r=0.315, p=0.003), WOMAC Pain (r=0.512, p<0.001), WOMAC Stiffness (r=0.419,p<0.001), WOMAC Function (r=0.398, p<0.001), WOMAC Total (r=0.429, p<0.001), WOMACrange (r=0.419, p<0.001), demonstrated significant correlations with TSK. Besides, there werecorrelations between two independent variables (QuickDASH, p=0.013, WOMAC Pain, p=0.034) andTSK (R2=0.293).Conclusion: The results of the study suggested that fear of movement was likely to be associatedwith poorer upper extremity functional disability and lower extremity pain levels in spite of varieddrug therapies in patients with RA. Therefore, assessment of upper and lower extremity functionand related factors should be a part of rehabilitation process for a complimentary treatment.
Anahtar Kelime: Konular:
ROMATOİD ARTRİTLİ HASTALARDA HAREKET ETME KORKUSUNUN BELİRLEYİCİLERİ ARAŞTIRMA MAKALESİ
Öz: Amaç: Romatoid artritli (RA) hastalarda günlük yaşantılarında üst ve alt ekstremite fonksiyonlarındaki azalma sebebiyle genellikle sorun yaşamaktadır. Bu çalışmanın amacı, RA hastalarında hareket korkusunun yaş, alt ve üst ekstremite fonksiyonları ve fonksiyonel bozukluklar ile ilişkisini incelemekti. Yöntem: Bu çalışmaya 88 RA’lı (yaş: 56,01±11,51 yıl) hasta dahil edildi. Hastalık aktivitesinin değerlendirilmesinde Hastalık Aktivite Skoru-28 (DAS-28) ve fonksiyonel bozuluklukların değerlendirilmesinde Sağlık Sorgulama Formu-Bozukluk İndeksi (HAQ-DI) kullanıldı. Üst ekstremite fonksiyonelliğinin değerlendirilmesinde Kol, Omuz, El Sorunları Anketi Kısa Versiyonu (QuickDASH) kullanılırken, alt ekstremite fonksiyonelliği için Western Ontario ve McMaster Universiteleri Osteoartrit Indeksi (WOMAC) kullanıldı. Ağrıya bağlı hareket korkusunu değerlendirmek için, Tampa Kinezyofobi Ölçeği (TKÖ) kullanıldı. Analizlerin yapılmasında R kare ile (R2 ) çok aşamalı doğrusal regresyon analizi kullanıldı. Sonuçlar: Yaş (r=0,215, p=0,044), QuickDASH (r=0,504, p<0,001), HAQ-DI (r=0,315, p=0,003), WOMAC ağrı (r=0,512, p<0,001), WOMAC tutukluk (r=0,419, p<0,001), WOMAC fonksiyon (r=0,398, p<0,001), WOMAC toplam (r=0,429, p<0,001), WOMAC yüzdesi (r=0,419, p<0,001) gibi sekiz bağımsız değişken ile TKÖ puanı arasında korelasyon bulundu. Ayrıca, QuickDASH, (p=0,013) ve WOMAC ağrı (p=0,034) ile TKÖ arasında korelasyon olduğu görüldü (R2 =0,293). Tartışma: Çalışmanın sonuçları, RA hastalarında ilaç tedavilerine rağmen var olan hareket etme korkusunun üst ekstremite fonksiyonlarındaki yetersizlikler ve alt ekstremitelerdeki ağrı ile ilişkili olabileceğini göstermiştir. Bu nedenle, üst ve alt ekstremite fonksiyonları ve bunlarla ilişkili faktörlerin incelenmesi rehabilitasyon sürecinin tamamlayıcı bir parçası olmalıdır.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA | KINIKLI G, Guney H, Karahan S, ATEŞ A, TURGAY T, kınıklı G (2018). PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. , 11 - 17. 10.21653/tjpr.453714 |
Chicago | KINIKLI Gizem Irem,Guney Hande,Karahan Sevilay,ATEŞ Aşkın,TURGAY TAHSİN MURAT,kınıklı Gülay PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. (2018): 11 - 17. 10.21653/tjpr.453714 |
MLA | KINIKLI Gizem Irem,Guney Hande,Karahan Sevilay,ATEŞ Aşkın,TURGAY TAHSİN MURAT,kınıklı Gülay PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. , 2018, ss.11 - 17. 10.21653/tjpr.453714 |
AMA | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. . 2018; 11 - 17. 10.21653/tjpr.453714 |
Vancouver | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. . 2018; 11 - 17. 10.21653/tjpr.453714 |
IEEE | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G "PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE." , ss.11 - 17, 2018. 10.21653/tjpr.453714 |
ISNAD | KINIKLI, Gizem Irem vd. "PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE". (2018), 11-17. https://doi.org/10.21653/tjpr.453714 |
APA | KINIKLI G, Guney H, Karahan S, ATEŞ A, TURGAY T, kınıklı G (2018). PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 29(2), 11 - 17. 10.21653/tjpr.453714 |
Chicago | KINIKLI Gizem Irem,Guney Hande,Karahan Sevilay,ATEŞ Aşkın,TURGAY TAHSİN MURAT,kınıklı Gülay PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 29, no.2 (2018): 11 - 17. 10.21653/tjpr.453714 |
MLA | KINIKLI Gizem Irem,Guney Hande,Karahan Sevilay,ATEŞ Aşkın,TURGAY TAHSİN MURAT,kınıklı Gülay PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.29, no.2, 2018, ss.11 - 17. 10.21653/tjpr.453714 |
AMA | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2018; 29(2): 11 - 17. 10.21653/tjpr.453714 |
Vancouver | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2018; 29(2): 11 - 17. 10.21653/tjpr.453714 |
IEEE | KINIKLI G,Guney H,Karahan S,ATEŞ A,TURGAY T,kınıklı G "PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 29, ss.11 - 17, 2018. 10.21653/tjpr.453714 |
ISNAD | KINIKLI, Gizem Irem vd. "PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS ORIGINAL ARTICLE". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 29/2 (2018), 11-17. https://doi.org/10.21653/tjpr.453714 |