Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Diz Osteoartritli Kadınlarda Kinezyofobi ile Kas Mimari Özellikleri ve Fonksiyonel Testler Arasındaki İlişki: Analitik Çalışma
The Relationship Between Kinesiophobia and Muscle Architectural Characteristics and Functional Tests in Women with Knee Osteoarthritis: An Analytical Study
Nazlı Büşra CİĞERCİOĞLUa , Zilan BAZANCİR APAYDINb , Hakan APAYDINc , Hande GÜNEY DENİZa
aHacettepe Üniversitesi Fizyoterapi ve Rehabilitasyon Fakültesi, Kas İskelet Fizyoterapisi ve Rehabilitasyon Bölümü, Ankara, Türkiye
bAnkara Medipol Üniversitesi Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
cAnkara Etlik Şehir Hastanesi, Romatoloji Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(2):328-34
doi: 10.5336/healthsci.2024-101654
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, diz osteoartritli (OA) bireylerde kinezyofobi seviyeleri ile rektus femoris (RF) kas mimari parametreleri, ağrı ve fonksiyonel performans arasındaki ilişkiyi incelemektir. Gereç ve Yöntemler: Çalışmaya 45- 65 yaş aralığında 98 diz OA'lı kadın dâhil edildi. Bireylerin hareket korkusu, Tampa Kinezyofobi Ölçeği ile değerlendirildi. RF kasının kas kalınlığı ve pennasyon açısını incelemek için B-Mod ultrasonografi kullanıldı. Diz ağrısı, görsel analog skalası ile değerlendirildi. Fonksiyonel performans değerlendirmesi için tekrarlı oturup kalkma testi ve Diz İncinme ve Osteoartrit Sonuç Skoru [Knee Injury and Osteoarthritis Outcome Score (KOOS)] kullanıldı. Verilerin istatistiksel değerlendirmesi için Pearson, Spearman korelasyon testi ve basit doğrusal regresyon analizleri kullanıldı. Bulgular: Kinezyofobi ile RF kas kalınlığı (r=-0,471, p=0,009) arasında negatif yönde orta düzeyde ve pennasyon açısı (r=-0,307, p=0,026) ile negatif yönde zayıf düzeyde ilişki saptandı. Kinezyofobi ile ağrı arasında pozitif yönde orta düzeyde ilişki vardı (r=0,639, p=0,001). Kinezyofobi ile tekrarlı oturup kalkma testi arasında pozitif yönde orta düzeyde ilişki vardı (r=0,538, p=0,001). Ek olarak, kinezyofobi ile KOOS'un her alt parametresi arasında negatif yönde ilişki bulundu (p<0,05). Regresyon analizine göre kinezyofobideki varyansın %39'unu ağrı; %12'sini RF kas kalınlığı; %2'sini RF pennasyon açısı; %14'ünü tekrarlı oturup kalkma testinin açıkladığı ortaya konuldu. Sonuç: Bu çalışma, diz OA'lı kadınlarda kinezyofobinin RF kas kalınlığı ile pennasyon açısı, ağrı ve fonksiyonel testler ile ilişkili olduğunu gösterdi. Kinezyofobi nedeniyle hareket korkusu olan ve aktiviteden kaçınan bireylerin RF kas kalınlığının ve kuvvet üretme kapasitesini gösteren pennasyon açısının azaldığı saptandı.

Anahtar Kelimeler: Osteoartrit; kinezyofobi; ultrason; fonksiyonel performans
ABSTRACT
 Objective: To investigate the relationship between kinesiophobia levels and rectus femoris (RF) muscle architectural parameters, pain and functional performance in individuals with knee osteoarthritis (OA). Material and Methods: 98 women aged 45-65 years with knee OA were included in the study. Individuals' fear of physical activity was assessed with the Tampa Kinesiophobia Scale. B-Mode ultrasonography was used to examine the muscle thickness and pennation angle of the RF muscle. Visual analogue scale was used to evaluate knee pain. Repetitive sit-to-stand test and Knee Injury and Osteoarthritis Outcome Score (KOOS) were used for functional performance evaluation. For the statistical analysis the Pearson, the Spearman correlation test and basic linear regression analysis were used. Results: There was a moderate negative correlation between kinesiophobia and RF muscle thickness (r=-0.471, p=0.009) and a weak negative correlation with pennation angle (r=-0.307, p=0.026). There was a moderate positive correlation between kinesiophobia and pain (r=0.639, p=0.001). There was a moderate positive correlation between kinesiophobia and repetitive sit-to-stand test (r=0.538, p=0.001). In addition, kinesiophobia was negatively correlated with each sub-parameter of KOOS (p<0.05). Regression analysis revealed that pain explained 39% of the variance in kinesiophobia, RF muscle thickness 12%, RF pennation angle 2%, and repetitive sitting and standing 14%. Conclusion: This study showed that kinesiophobia was associated with RF muscle thickness and pennation angle, pain and functional tests in women with knee OA. It was found that RF muscle thickness and pennation angle indicating force generating capacity decreased in individuals who had fear of movement and avoided activity due to kinesiophobia.

Keywords: Osteoarthritis; kinesiophobia; ultrasound; functional performance
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