Arzu ERDEN, Emre ŞENOCAK

Postmenopozal dönemdeki kronik bel ağrılı kadınların bel farkındalık düzeylerini etkileyen faktörlerin incelenmesi

Amaç: Bel farkındalığı, interoseptif ve propriyoseptif sistemlerle ilişkili olması sebebiyle, menopoz sonrası dönemdeki kronik bel ağrılı kadınlarda oldukça önemlidir. Bu çalışmanın amacı, postmenopozal dönemindeki kronik bel ağrılı kadınların bel farkındalık düzeylerinin kinezyofobi seviyesi, ağrı, özür durumu ve beden farkındalığı ile ilişkisini incelemektir.Yöntem: Çalışmaya 185 (yaş ortalaması 58.3±8.53 yıl) postmenopozal dönemdeki kronik bel ağrılı kadın dâhil edildi. Bele özgü vücut algısı (bel farkındalığı) Fremantle Bel Farkındalık Anketi ile değerlendirildi. Ayrıca Tampa Kinezyofobi Ölçeği-11, Görsel Analog Skalası, Roland Morris Özürlülük Anketi ve Vücut Farkındalık Anketi kullanıldı.Bulgular: Kadınların %61'inin en az son bir yıldır bel ağrısı şikayeti vardı. Fremantle Bel Farkındalık Anketi toplam puanı ile kinezyofobi seviyesi (r=0.193; p=0.009), ağrı şiddeti (r=0.352; p=0.001), ağrı süresi (r=0.191; p=0.009) ve özürlülük (r=0.394; p=0.001) arasında zayıf düzeyde ilişki vardı. Fremantle Bel Farkındalık Anketi toplam puanı ile beden farkındalık düzeyi arasında ilişki yoktu (r=0.033; p=0.654).Sonuç: Bu çalışmanın sonuçlarına göre, bele özgü vücut algısı kinezyofobi, ağrı ve özürlülük ile ilişkilidir. Çalışma bu bakımdan, bel bölgesindeki değişiklikleri algılama düzeyini ifade eden bel farkındalığı kavramının önemini ortaya koymaktadır.

Anahtar Kelimeler:

Postmenapoz, Bel ağrısı, Farkındalık, Kinezyofobi

An analysis on factors affecting back awareness of postmenopausal women with chronic low back pain

Purpose: Back awareness, which related with interoceptive and proprioceptive systems, is very important for postmenopausal women with chronic low back pain. The of this study was to show the relationship between back awareness and kinesiophobia level, pain, disability and, body awareness in postmenopausal women with chronic low back pain.Methods: One hundred and eighty-five women (with a mean age of 58.3±8.53 years) with chronic low back pain in the postmenopausal period were included in the study. The Fremantle Back Awareness Questionnaire was used to evaluate back- specific body perception (back awareness). The Tampa Scale of Kinesiophobia-11, Visual Analogue Scale, The Roland Morris Disability Questionnaire, and The Body Awareness Questionnaire were also used.Results: Sixty one percent of the women reported chronic low back pain at least last year. There were weak correlations between Fremantle Back Awareness Questionnaire total score and kinesiophobia level (r=0.193; p=0.009), pain intensity (r=0.352; p=0.001), pain duration (r=0.191; p=0.009) and disability (r=0.394; p=0.001). There was no correlation between Fremantle Back Awareness Questionnaire total score and body awareness level (r=0.033; p=0.654).Conclusion: According to the results of this study, the back-specific body perception associated with kinesiophobia, pain, and disability. In this respect, the study reveals the importance of the concept of back awareness, which expresses the level of perception of changes in the back region.

Keywords:

Postmenopausal, Low back pain, Awareness, Kinesiophobia,

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1. E Silva AVS, Lacativa PGS, Russo LAT, et al. Association of back pain with hypovitaminosis D in postmenopausal women with low bone mass. BMC Musculoskelet Disord. 2013;14:184.
2. Manchikanti L, Singh V, Datta S, et al. American Society of Interventional Pain Physicians. Pain Physician. 2009;12:35-70.
3. Özmen T, Gündüz R, Doğan H, et al. The relationship between kinesiophobia and quality of life with chronic low back pain. Fırat University Medical Journal of Health Sciences. 2016;30:01-04.
4. Pinar G, Pinar T, Doğan N, et al. Osteoporosis risk factors in the women over 45-years old. Dicle Medical Journal. 2009;36:258.5. Beales D, Lutz A, Thompson J, et al. Disturbed body perception, reduced sleep, and kinesiophobia in subjects with pregnancy- related persistent lumbopelvic pain and moderate levels of disability: an exploratory study. Man Ther. 2016;21:69-75.
5. Beales D, Lutz A, Thompson J, et al. Disturbed body perception, reduced sleep, and kinesiophobia in subjects with pregnancy- related persistent lumbopelvic pain and moderate levels of disability: an exploratory study. Man Ther. 2016;21:69-75.
6. Wand BM, Catley MJ, Rabey MI, et al. Disrupted self-perception in people with chronic low back pain further evaluation of the fremantle back awareness questionnaire. J Pain. 2016;17:1001-1012.
7. Morkoç B. The effects of cervical stabilization exercises on pulmonary functions and respiratory muscle strength in patients with neck pain. Master's Thesis, Health Sciences Institute. Hacettepe University: Ankara; 2017.
8. Hardy R, Kuh, D. Change in psychological and vasomotor symptom reporting during the menopause. Soc Sci Med. 2002;5:1975-1988.
9. Erol E, Yıldız A, Yıldız R, et al. Reliability and validity of the turkish version of the fremantle back awareness questionnaire. Spine. 2018;44:549-554.
10. Yilmaz ÖT, Yakut Y, Uygur F, et al. The Turkish version of the Tampa kinesiophobia scale and test-retest reliability. Turk J Physiother Rehabil. 2011;22:44-49.
11. Ök G. The effect of various musculoskeletal system diseases on the pressure pain threshold. Master’s Thesis. Haydarpaşa Numune Education and Research Hospital Physical Medicine and Rehabilitation Clinic: İstanbul; 2009.
12. Kücükdeveci AA, Tennant A, Elhan Ah, et al. Validation of the turkish version of the roland morris disability questionnaire for use in low back pain. Spine 2001;26:2738-2743.
13. Erden A, Altuğ F, Cavlak U. Investigation of the relationship between body awareness, pain, emotional status, and quality of life among healthy people. J Kartal TR. 2013;24:145-150.
14. Karaca S. Turkish version of Body Awareness Questionnaire: Validity and reliability study. Master’s Thesis. Muğla: Muğla Sıtkı Koçman University; 2017.
15. Karasar N. Bilimsel Araştırma Yöntemi; Nobel Yayın Dağıtım, Dokuzuncu Basım. Ankara; 2000.
16. Uçurum SG, Kalkan AC. The relationship between pain, kinesiophobia and quality of life in patients with low back pain. Ege Journal of Medicine. 2018;57:131-135.
17. Lotze, M, Moseley GL. Role of distorted body image in pain. Curr Rheumatol Rep. 2007;9:488-496.
18. Dennenberg N, Reeves GD. Changes in health locus of control and activities of daily living in a physical therapy clinic using the feldenkrais method of sensory motor education. Master’s thesis, program in physical therapy. Oakland University: Rochester, Michigan; 1995.
19. Mcpartland JM, Brodeur, RR, Hallgren RC. Chronic neck pain, standing balance, and suboccipital muscle atrophy-a pilot study. J Manipulative Physiol Ther. 1997;20:24-29. Hardy R, Kuh, D. Change in psychological and vasomotor symptom reporting during the menopause. Soc Sci Med. 2002;5:1975-1988.