Diz Osteoartritli Hastalarda Kinezyofobi, Ağrı, Fonksiyonel Durum ve Öz-Etkililik Arasındaki İlişkinin İncelenmesi

Abstract

Korkmaz N.,Investigation of the Relationship Between Kinesiophobia, Pain, Functional Status and Self-Efficacy in Patients with Knee Osteoarthritis. Hacettepe University, Graduate School of Health Sciences, Physiotherapy and Rehabilitation Programme, Master Thesis, 2019. The aim of this study was to investigate the relationship between kinesophobia, pain, functional status and self-efficacy in patients with knee osteoarthritis and to investigate whether these parameters are proportional to the severity of knee osteoarthritis. The study was performed between April 2018 - February 2019 at Hacettepe University on Stage 2 and Stage 3 knee osteoarthritis diagnosed by the Kellgren Lawrence classification, and on control group volunteer individuals(n=108). Physical characteristics and sociodemographic information of the individuals were recorded. Tampa Scale of Kinesophobia (TSK) was used to evaluate kinesiophobia, and Visual Analogue Scale (VAS) was used for pain. For functional status, the Western Ontario and McMaster Universities Arthritis Index (WOMAC), 30 sec sit to stand test (STS), Manual Muscle Test, Universal Goniometer, 10 m Walk Test(10mWT), Tinetti Balance and Gait Test (TBT&TGT), Single Leg Stand Test (SLST) was used. Self-efficacy was assessed using the Self-Efficacy Scale for Arthritis (ASES). As a result, a positive correlation was found between WOMAC and TSK results of knee OA patients(p = 0.048; r = 0.332). The results of the ASES were negatively correlated with TSK and WOMAC(p = 0.002; r = 0.499, p = 0.000; r = 0.580). There was also negative correlation between WOMAC and TBT&TGT(p<0.05). The SLST was found to be negatively correlated with WOMAC, and positively with ASES results(p<0.05). The BMI and TSK values of the stage 3 were higher than those of the stage 2 and lower ASES, TBT&TGT values were found. It is thought that the results obtained from the study may change according to the fear and avoidance of the knee osteoarthritis patients, their belief that they can do it themselves, and the extent to which radiological results are reflected on the physical condition of the person will inform the physiotherapists and other health professionals. Keywords: Self-Efficacy, Osteoarthritis, Kinesophobia, Pain, Functional Status