Kinesiophobia Following Anterior Cruciate Ligament Reconstruction

Erdem, Mehmet; Kochai, Alauddin; Erdem, Ahmet Can; Özdemir, Uğur; Gulabi, Deniz; Erkorkmaz, Ünal; bayam, levent

Kinesiophobia Following Anterior Cruciate Ligament Reconstruction

Alauddin Kochai, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Ortopedi ve travmatoloji Anabilim dalı. Sakarya/Türkiye)

Levent Bayam, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Ortopedi ve travmatoloji Anabilim dalı. Sakarya/Türkiye)

Mehmet Erdem, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Ortopedi ve travmatoloji Anabilim dalı. Sakarya/Türkiye)

Ahmet Can Erdem, (Bezmialem Üniversitesi, Tıp Fakültesi, Ortopedi ve travmatoloji Anabilim dalı. İstanbul / Türkiye)

Deniz Gülabi, (Lütfi Kırdar Kartal Training and Research Hospital, Ortopedi ve travmatoloji Anabilim dalı. Kartal, İstanbul 34890, Turkey)

Uğur Özdemir, (Sakarya Üniversitesi, Tıp Fakültesi, Sakarya, Ortopedi ve travmatoloji Anabilim dalı. Sakarya/Türkiye)

Ünal Erkorkmaz (Sakarya Üniversitesi, Tıp Fakültesi, Biyoistatistik Anabilim Dalı Sakarya / Türkiye)

Sakarya Tıp Dergisi

5 0

Yıl: 2019 Cilt: 9 Sayı: 2 Sayfa Aralığı: 289 - 296 Metin Dili: İngilizce İndeks Tarihi: 05-05-2021

Kinesiophobia Following Anterior Cruciate Ligament Reconstruction

Öz:

Objective The aim of the study was to explore the effect of kinesiophobia on daily and sport activities of the patients following their anterior cruciate ligament (ACL) reconstruction.We correlated Tampa scale of Kinesiophobia (TSK) with Tagner Activity score (TAS). We hypothesized that high level of Tam-pa scale of Kinesiophobia decreases TagnerActivity score. ( Sakarya Med J 2019, 9(2):289-296 )Materialsand MethodsA total of 50 patients, who had Anterior cruciate ligament (ACL) reconstruction surgery between January 2010 and December 2016 were included to this study. KT-1000arthrometer at 30 de-grees knee flexion was performed for both knees. Patients completed Lysholm Knee, TAS and TSK questionnaires postoperatively and TSK score wascorrelated with TAS and Lysholm knee scoreResults Mean age was 29.6 (18-50) and minimum follow-up was 12 months. Twenty out of 50 patients (%40) had meniscal tears. There was significant and inverse correlationbetween TAS and TSK. Higher TSK led to lower TAS whilst lower TSK led to higher TAS. However, there was no correla-tion between Lysholm knee score, TAS and TKSin patients with or without meniscal tear.Conclusion Our study showed that good knee function is not the only indicator to return preinjury daily and sport activities but kinesiophobia may also play a significant role even ifLyshman knee score is higher. Therefore, the patients with ACL injury should be informed about the kinesiophobia. We suggest that a kinesiophobia test could be addedto the patients assessments with ACL injury. The patients who have high rate of kinesiophobia preoperatively, may benefit from psychotherapy postoperatively in additionto their physical therapy.

Anahtar Kelime:

Ön Çapraz Bağ Rekonstrüksiyonu Yapılan Hastalarda Kinezyofobi

Öz:

Amaç Kinezyofobi’nin gündelik ve sportif aktivitelerin üzerindeki rolünü, Tempa Kinezyofobi skorunu (TSK) Tagner aktivite skoru (TAS) ile karşılaştırarak araştırmayı amaçladık. Hipotez: Yüksek Tempa Kinezyofobi skoru Tagner aktivite skorunu düşürür. ( Sakarya Tıp Dergisi 2019, 9(2):289-296 ). Gereç ve Yöntemler Ocak 2010-Aralık 2016 yılları arasında ön çapraz bağ rekonstrüksiyonu yapılan 50 hasta çalışma-ya dahil edildi. Tüm hastalara Lysholm diz skorlaması, Tagner aktivite skorlaması ve Tempa Kinezyofobi skorlaması uygulandı. Hastaların her iki dizine 30 derecede KT-1000 artrometre uygu-landı. Tempa Kinezyofobi skoru, Tagner aktivite skoru ve Lysholm knee skoru ile karşılaştırıldı. Bulgular Hastaların ortalama yaşı 29.6 (18-50) ve minimum takip süreleri 12 ay idi. Hastaların 20’sinde (%40) aynı zamanda menisküs yırtığı mevcuttu. Tagner aktivite skoru, Tempa Kinezyofobi skoru ile karşılaştırıldığında anlamlı ve ters yönde bir korelasyon olduğu görüldü. Yüksek Tempa kinezyofobi skoru olan hastalarda Tegner aktivite skoru düşük; düşük Tempa kinezyofobi skoru olan hastalarda Tegner aktivite skoru anlamlı olarak yüksek olduğu görüldü. İstatistiksel olarak TKS, TAS, Lysholm skorları ve menisküs yırtığı olan ve olmayan hastalar arasında anlamlı bir fark bulunamadı. Sonuç Çalışmamız, diz fonksiyonlarının yaralanma öncesi gündelik aktivite ve sportif aktiviteye geri dönüş için tek başına yeterli olmadığını gösterdi. Lysholm skoru yüksek olsa bile kinezyofobinin, hasta-ların gündelik ve sportif aktivitelerine geri dönüşlerinde negatif bir rol oynadığı görüldü. Çalışmamızın sonuçlarına göre, tüm ön çapraz bağ yırtığı için opere edilecek hastalarda, kinezyo-fobi hakkında ameliyattan önce bilgilendirilmesi ve kinezyofobi testi yapılması tavsiye edilir. Yüksek kinezyofobi skoru olan hastalar, ameliyat sonrası fizik tedavinin yanında psikoterapiden de faydalanabilirler.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kochai A, bayam l, Erdem M, Erdem A, Gulabi D, Özdemir U, Erkorkmaz Ü (2019). Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. , 289 - 296.
Chicago	Kochai Alauddin,bayam levent,Erdem Mehmet,Erdem Ahmet Can,Gulabi Deniz,Özdemir Uğur,Erkorkmaz Ünal Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. (2019): 289 - 296.
MLA	Kochai Alauddin,bayam levent,Erdem Mehmet,Erdem Ahmet Can,Gulabi Deniz,Özdemir Uğur,Erkorkmaz Ünal Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. , 2019, ss.289 - 296.
AMA	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. . 2019; 289 - 296.
Vancouver	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. . 2019; 289 - 296.
IEEE	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü "Kinesiophobia Following Anterior Cruciate Ligament Reconstruction." , ss.289 - 296, 2019.
ISNAD	Kochai, Alauddin vd. "Kinesiophobia Following Anterior Cruciate Ligament Reconstruction". (2019), 289-296.

APA	Kochai A, bayam l, Erdem M, Erdem A, Gulabi D, Özdemir U, Erkorkmaz Ü (2019). Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi, 9(2), 289 - 296.
Chicago	Kochai Alauddin,bayam levent,Erdem Mehmet,Erdem Ahmet Can,Gulabi Deniz,Özdemir Uğur,Erkorkmaz Ünal Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi 9, no.2 (2019): 289 - 296.
MLA	Kochai Alauddin,bayam levent,Erdem Mehmet,Erdem Ahmet Can,Gulabi Deniz,Özdemir Uğur,Erkorkmaz Ünal Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi, vol.9, no.2, 2019, ss.289 - 296.
AMA	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi. 2019; 9(2): 289 - 296.
Vancouver	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü Kinesiophobia Following Anterior Cruciate Ligament Reconstruction. Sakarya Tıp Dergisi. 2019; 9(2): 289 - 296.
IEEE	Kochai A,bayam l,Erdem M,Erdem A,Gulabi D,Özdemir U,Erkorkmaz Ü "Kinesiophobia Following Anterior Cruciate Ligament Reconstruction." Sakarya Tıp Dergisi, 9, ss.289 - 296, 2019.
ISNAD	Kochai, Alauddin vd. "Kinesiophobia Following Anterior Cruciate Ligament Reconstruction". Sakarya Tıp Dergisi 9/2 (2019), 289-296.