Ozan GÜR, Selda BAŞAR, Erdinç ESEN, Baybars ATAOGLU, Sacit TURANLI

The Relationship of Kinesiophobia and Pain Catastrophizing with Pain, Range of Motion, Muscle Strength and Function in Osteoarthritis

Objective: This study aimed to investigate the relationship between kinesiophobia and pain catastrophizing with pain, range of motion, muscle strength, and function in patients with knee osteoarthritis. Methods: 18 female knee osteoarthritis patients between the ages of 50-70 who were found to have kinesiophobia and pain catastrophizing were included in the study. Kinesiophobia, pain catastrophizing, pain, range of motion, muscle strength, and functional status were evaluated within the scope of the study. Results: A statistically significant strong positive correlation between kinesiophobia and pain intensity during activity (r=0.80, p<0.001); a statistically significant moderate negative correlation between kinesiophobia and active knee flexion angle (r=-0.48, p<0.05); a statistically significant moderate positive correlation between kinesiophobia and the Five Times Sit to Stand Test time and the Stair Climb Test time (r=0.51, p<0.05; r=0.67, p<0.05, respectively) was found. A statistically significant moderate positive correlation between pain catastrophizing and resting pain intensity, pain intensity at night, pain intensity during activity, and passive knee extension angle (r=0.66, p<0.01; r=0.61, p<0.01; r=0.47, p<0.05; r=0.48, p<0.05, respectively); a statistically significant moderate negative correlation between pain catastrophizing and active knee flexion angle (r=-0.49, p<0.05) was found. Conclusions: It was determined that as kinesiophobia increased in patients with knee osteoarthritis, pain, range of motion, muscle strength, and functional status worsened, and the increase in pain catastrophizing was associated with worsening in pain and range of motion. Therefore, it was concluded that reducing kinesiophobia, and pain catastrophizing levels would contribute to improving functions in patients with knee osteoarthritis

Keywords:

Osteoarthritis, kinesiophobia, pain catastrophizing, pain, function,

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Abramoff, B., & Caldera, F. E. (2020). Osteoarthritis: pathology, diagnosis, and treatment options. Medical Clinics, 104(2), 293-311.
Alaca, N. (2019). The relationships between pain beliefs and kinesiophobia and clinical parameters in Turkish patients with chronic knee osteoarthritis: a cross-sectional study. J Pak Med Assoc, 69(6), 823-827.
Ayhan, Y., Karadağ Çaman, Ö., Karahan, S., Kıran, S., Saka, E., Barışkın, E., & Bilir, N. (2018). A Population-Based Study for the Standardization of the Turkish Version of the Modified Mini Mental State Examination (3MS) and Assessment of Certain Environmental Risk Factors for Dementia: Methodology and Sample Characteristics. Turkish Journal of Psychiatry, 29(4):238-47.
Aykut Selçuk, M., & Karakoyun, A. (2020). Is There a Relationship Between Kinesiophobia and Physical Activity Level in Patients with Knee Osteoarthritis? Pain Medicine, 21(12), 3458-3469.
Behan, F. P., Maden-Wilkinson, T. M., Pain, M. T., & Folland, J. P. (2018). Sex differences in muscle morphology of the knee flexors and knee extensors. PloS one, 13(1), e0190903.
Bennell, K., Dobson, F., & Hinman, R. (2011). Measures of physical performance assessments: Self‐Paced walk test (SPWT), stair climb test (SCT), Six‐Minute walk test (6MWT), chair stand test (CST), timed up & go (TUG), sock test, lift and carry test (LCT), and car task. Arthritis care & research, 63(S11), S350-S370.
Bijlsma, J. W., Berenbaum, F., & Lafeber, F. P. (2011). Osteoarthritis: an update with relevance for clinical practice. The Lancet, 377(9783), 2115-2126.
Briggs, M., & Closs, J. S. (1999). A descriptive study of the use of visual analogue scales and verbal rating scales for the assessment of postoperative pain in orthopedic patients. Journal of pain and symptom management, 18(6), 438-446.
Coderre, T. J., Katz, J., Vaccarino, A. L., & Melzack, R. (1993). Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain, 52(3), 259-285. Csuka, M., & McCarty, D. J. (1985). Simple method for measurement of lower extremity muscle strength. The American journal of medicine, 78(1), 77-81.
DeLoach, L. J., Higgins, M. S., Caplan, A. B., & Stiff, J. L. (1998). The visual analog scale in the immediate postoperative period: intrasubject variability and correlation with a numeric scale. Anesthesia & Analgesia, 86(1), 102-106.
Domenech, J., Sanchis-Alfonso, V., López, L., & Espejo, B. (2013). Influence of kinesiophobia and catastrophizing on pain and disability in anterior knee pain patients. Knee Surgery, Sports Traumatology, Arthroscopy, 21(7), 1562-1568.
Felson, D. T., Lawrence, R. C., Dieppe, P. A., Hirsch, R., Helmick, C. G., Jordan, J. M., . . . Zhang, Y. (2000). Osteoarthritis: new insights. Part 1: the disease and its risk factors. Annals of internal medicine, 133(8), 635-646.
Felson, D. T., Zhang, Y., Hannan, M. T., Naimark, A., Weissman, B. N., Aliabadi, P., & Levy, D. (1995). The incidence and natural history of knee osteoarthritis in the elderly, the framingham osteoarthritis study. Arthritis & Rheumatism, 38(10), 1500-1505.
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3), 189-198.
Gustavson, A. M., Wolfe, P., Falvey, J. R., Eckhoff, D. G., Toth, M. J., & Stevens-Lapsley, J. E. (2016). Men and women demonstrate differences in early functional recovery after total knee arthroplasty. Archives of physical medicine and rehabilitation, 97(7), 1154-1162.
Güngen, C., Ertan, T., Eker, E., Yaşar, R., & Engin, F. (2002). The validity and reliability of the standardized mini mental test in the diagnosis of mild dementia in the Turkish population. Turkish Journal of Psychiatry, 13(4), 273-281.
Hunter, D. J., & Bierma-Zeinstra, S. M. (2019). Osteoarthritis. The Lancet, 393, 1745-1759.
Jakobsen, T. L., Christensen, M., Christensen, S. S., Olsen, M., & Bandholm, T. (2010). Reliability of knee joint range of motion and circumference measurements after total knee arthroplasty: does tester experience matter? Physiotherapy Research International, 15(3), 126-134.
James, S. L., Abate, D., Abate, K. H., Abay, S. M., Abbafati, C., Abbasi, N., . . . Abdelalim, A. (2018). Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 392(10159), 1789-1858.
Jensen, M. P., & McFarland, C. A. (1993). Increasing the reliability and validity of pain intensity measurement in chronic pain patients. Pain, 55(2), 195-203.
Kacar, C., Gilgil, E., Urhan, S., Arıkan, V., Dündar, Ü., Öksüz, M., Bütün, B. (2005). The prevalence of symptomatic knee and distal interphalangeal joint osteoarthritis in the urban population of Antalya, Turkey. Rheumatology international, 25(3), 201-204.
Kehlet, H., Jensen, T. S., & Woolf, C. J. (2006). Persistent postsurgical pain: risk factors and prevention. The Lancet, 367(9522), 1618-1625.
Kori, S. (1990). Kinisophobia: a new view of chronic pain behavior. Pain Manage, 35-43.
Leeuw, M., Goossens, M. E., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. (2007). The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. Journal of Behavioral Medicine, 30(1), 77-94.
Lespasio, M. J., Piuzzi, N. S., Husni, M. E., Muschler, G. F., Guarino, A., & Mont, M. A. (2017). Knee osteoarthritis: a primer. The Permanente Journal, 21.
Loeser Jr, R. F. (2000). Aging and the etiopathogenesis and treatment of osteoarthritis. Rheumatic Disease Clinics of North America, 26(3), 547-567.
Luque-Suarez, A., Martinez-Calderon, J., & Falla, D. (2019). Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. British journal of sports medicine, 53(9), 554-559.
Odole, A., Ekediegwu, E., Ekechukwu, E., & Uchenwoke, C. (2019). Correlates and predictors of pain intensity and physical function among individuals with chronic knee osteoarthritis in Nigeria. Musculoskeletal Science and Practice, 39, 150-156.
Ong, W. J., Kwan, Y. H., Lim, Z. Y., Thumboo, J., Yeo, S. J., Yeo, W., Leung, Y. Y. (2021). Measurement properties of Pain Catastrophizing Scale in patients with knee osteoarthritis. Clinical rheumatology, 40(1), 295-301.
Perrot, S., Trouvin, A.-P., Rondeau, V., Chartier, I., Arnaud, R., Milon, J.-Y., & Pouchain, D. (2018). Kinesiophobia and physical therapy-related pain in musculoskeletal pain: A national multicenter cohort study on patients and their general physicians. Joint Bone Spine, 85(1), 101-107.
Rejeski, W. J., Ettinger Jr, W. H., Schumaker, S., James, P., Burns, R., & Elam, J. T. (1995). Assessing performance-related disability in patients with knee osteoarthritis. Osteoarthritis and Cartilage, 3(3), 157-167.
Schaubert, K. L., & Bohannon, R. W. (2005). Reliability and validity of three strength measures obtained from community-dwelling elderly persons. Journal of strength and conditioning research, 19(3), 717.
Shumway-Cook, A., Brauer, S., & Woollacott, M. (2000). Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Physical therapy, 80(9), 896-903.
Steffen, T. M., Hacker, T. A., & Mollinger, L. (2002). Age-and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Physical therapy, 82(2), 128-137.
Steultjens, M., Dekker, J. v., Van Baar, M., Oostendorp, R., & Bijlsma, J. (2000). Range of joint motion and disability in patients with osteoarthritis of the knee or hip. Rheumatology, 39(9), 955-961.
Streiner, D. L., Norman, G. R., & Cairney, J. (2015). Health measurement scales: a practical guide to their development and use: Oxford University Press, USA.
Sullivan, M., Tanzer, M., Stanish, W., Fallaha, M., Keefe, F. J., Simmonds, M., & Dunbar, M. (2009). Psychological determinants of problematic outcomes following total knee arthroplasty. Pain, 143(1-2), 123-129.
Sullivan, M. J. (2009). The pain catastrophizing scale: user manual. Montreal: McGill University, 1-36.
Sullivan, M. J., Bishop, S. R., & Pivik, J. (1995). The pain catastrophizing scale: development and validation. Psychological assessment, 7(4), 524.
Tiedemann, A., Shimada, H., Sherrington, C., Murray, S., & Lord, S. (2008). The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age and ageing, 37(4), 430-435.
Ugurlu, M., Karakas Ugurlu, G., Erten, S., & Caykoylu, A. (2017). Validity of Turkish form of Pain Catastrophizing Scale and modeling of the relationship between pain-related disability with pain intensity, cognitive, and emotional factors. Psychiatry and Clinical Psychopharmacology, 27(2), 189-196.
Vlaeyen, J. W., Kole-Snijders, A. M., Boeren, R. G., & Van Eek, H. (1995). Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain, 62(3), 363-372.
Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain, 85(3), 317-332.
Watkins, M. A., Riddle, D. L., Lamb, R. L., & Personius, W. J. (1991). Reliability of goniometric measurements and visual estimates of knee range of motion obtained in a clinical setting. Physical therapy, 71(2), 90-96.
Woolf, A. D., & Pfleger, B. (2003). Burden of major musculoskeletal conditions. Bulletin of the world health organization, 81, 646-656.
Woolf, C. J., & Salter, M. W. (2000). Neuronal plasticity: increasing the gain in pain. science, 288(5472), 1765-1768.
Yilmaz, Ö. T., Yakut, Y., Uygur, F., & Uluğ, N. (2011). Turkish version of Tampa Kinesiophobia Scale and test-retest reliability. Physiotherapy Rehabilitation, 22(1), 44-49.
Zhang, Y., & Jordan, J. M. (2010). Epidemiology of osteoarthritis. Clinics in geriatric medicine, 26(3), 355-369.