Yılmaz ERGİŞİ, Mehmet Ali TOKGÖZ, Mustafa ODLUYURT, Ulunay KANATLI, Muhammet Baybars ATAOĞLU

Ağrıyı felaketleştirmenin ve kinezyofobinin omuz artroskopisi sonuçları üzerine etkisi

Amaç: Duygusal ve bilişsel faktörlerin ağrıyı etkilediği gösterilmiştir ve bu etkinin gelişimindeki ana faktörlerden biri ağrıyı felaketleştirme durumudur. Bu çalışmada, omuz lezyonlarında ki ağrıyı felaketleştirme durumunun ve sıklığının belirlenmesi, ağrıyı felaketleştirme durumu ile ameliyat öncesi ve ameliyat sonrası fonksiyonel sonuçları değerlendirmeyi amaçladık. Gereç ve Yöntem: Omuz artroskopisi yapılan toplam 114 hasta çalışmaya dahil edildi. Hastaların ameliyat öncesi ve sonrası ağrı ve fonksiyonel durumlarını değerlendirmek için ağrı felaketleştirme ölçeği, Tampa kinezyofobi ölçeği, görsel analog skala ve Los Angeles California Üniversitesi omuz skalası kullanıldı. Bulgular: Katastrofizasyon, 114 hastanın 42’sinde (% 37) saptandı. Kinezyofobi ağrıyı felaketleştiren hastalarda daha yüksekti (p

The effect of pain catastrophizing and kinesiophobia on the result of shoulder arthroscopy

Objectives: Emotional and cognitive factors have been shown to affect pain, and one of the main factors in the development of this effect is pain catastrophizing. The present study aims to determine the effect and frequency of the pain catastrophizing in shoulder lesions and to examine the association between pain catastrophizing and to assess the pre-operative and post- operative functional outcomes. Methods: A total of 114 patients who underwent shoulder arthroscopy were included study. Pain catastrophizing scale, Tam- pa kinesiophobia scale, visual analog scale, and University of California at Los Angeles shoulder scale were used for evaluating patients’ pre- and post-operative pain and functional situation. Results: Pain catastrophizing was detected 42 of 114 patients (37%). Kinesiophobia was higher in patients who catastroph- ized shoulder pain (p

PDF

___

1. Linaker CH, Walker-Bone K. Shoulder disorders and occu- pation. Best Pract Res Clin Rheumatol 2015;29(3):405–23.
2. Takasawa E, Yamamoto A, Kobayashi T, Tajika T, Shitara H, Ichinose T, et al. Characteristics of neck and shoulder pain in the Japanese general population. J Orthop Sci 2015;20(2):403–9.
3. Schaible HG, Schmelz M, Tegeder I. Pathophysiology and treatment of pain in joint disease. Adv Drug Deliv Rev 2006;58(2):323–42.
4. Ağırman M, Leblebicier MA, Durmuş O, Saral İ, Gündüz OH. Should we continue to administer blind shoulder injec - tions? Eklem Hastalik Cerrahisi 2016;27(1):29–33.
5. Solé E, Tomé-Pires C, de la Vega R, Racine M, Castarlenas E, Jensen MP, et al. Cognitive fusion and pain experience in young people. Clin J Pain 2016;32(7):602–8.
6. Quartana PJ, Campbell CM, Edwards RR. Pain catastrophiz- ing: A critical review. Expert Rev Neurother 2009;9(5):745– 58.
7. Elvery N, Jensen MP, Ehde DM, Day MA. Pain catastroph- izing, mindfulness, and pain acceptance: What’s the differ- ence? Clin J Pain 2017;33(6):485–95.
8. Pavlin DJ, Sullivan MJ, Freund PR, Roesen K. Catastro- phizing: A risk factor for postsurgical pain. Clin J Pain 2005;21(1):83–90.
9. Karan A, Müslümanoğlu L, Aki S, Filiz M, Yildiz EÖ, Berker E. The comparison of the efficacy aerobic exercises ver- sus strengthening, stretching and mobilization exercises in subacute and chronic low back pain. Turk J Med Sci 1999;29(4):475–80.
10. Süren M, Okan I, Gökbakan AM, Kaya Z, Erkorkmaz U, Arici S, et al. Factors associated with the pain catastrophizing scale and validation in a sample of the Turkish population. Turk J Med Sci 2014;44(1):104–8.
11. Yılmaz T, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Turk J Physiother Rehabil 2011;22(1):44–49.
12. Roddey TS, Olson SL, Cook KF, Gartsman GM, Hanten W. Comparison of the University of California-Los Ange- les shoulder scale and the simple shoulder Test with the shoulder pain and disability index: Single-administration reliability and validity. Phys Ther 2000;80(8):759–68.
13. Yaray O, Akesen B, Ocaklioglu G, Aydinli U. Validation of the Turkish version of the visual analog scale spine score in patients with spinal fractures. Acta Orthop Traumatol Turc 2011;45(5):353–8.
14. Sullivan MJ, Bishop SR, Pivik J. The pain catastrophiz- ing scale:development and validation. Psychol Assess 1995;7:524–32.
15. Sullivan MJ, Stanish W, Waite H, Sullivan M, Tripp DA. Cata- strophizing, pain, and disability in patients with soft-tissue injuries. Pain 1998;77(3):253–60.
16. Høvik LH, Winther SB, Foss OA, Gjeilo KH. Preoperative pain catastrophizing and postoperative pain after total knee arthroplasty: A prospective cohort study with one year follow-up. BMC Musculoskelet Disord 2016;17:214.
17. Doménech J, Sanchis-Alfonso V, Espejo B. Changes in cata- strophizing and kinesiophobia are predictive of changes in disability and pain after treatment in patients with an- terior knee pain. Knee Surg Sports Traumatol Arthrosc 2014;22(10):2295–300.
18. Sullivan MJ, Rodgers WM, Wilson PM, Bell GJ, Murray TC, Fraser SN. An experimental investigation of the relation between catastrophizing and activity intolerance. Pain 2002;100(1–2):47–53.
19. Nakajima D, Yamamoto A, Kobayashi T, Osawa T, Shi - tara H, Ichinose T, et al. The effects of rotator cuff tears, including shoulders without pain, on activities of daily living in the general population. J Orthop Sci. 2012;17(2):136–40.
20. Andersen TE, Karstoft KI, Brink O, Elklit A. Pain-catastro- phizing and fear-avoidance beliefs as mediators be - tween post-traumatic stress symptoms and pain follow- ing whiplash injury a prospective cohort study. Eur J Pain 2016;20(8):1241–52.