Erdoğanoğlu Yıldız, Çalık Meryem, Vural Meltem
Department of Physiotherapy and Rehabilitation, Üsküdar University, Faculty of Health Sciences, Istanbul, Turkey.
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Bakırköy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
Turk J Phys Med Rehabil. 2021 Mar 4;67(1):56-61. doi: 10.5606/tftrd.2021.4616. eCollection 2021 Mar.
In this study, we aimed to investigate the availability of the Timed Up and Go (TUG) test in daily practice instead of the Tampa Scale for Kinesiophobia (TSK) test for the evaluation of fear of movement and to assess the functionality of the upper extremity in postmastectomy lymphedema patients.
Between March 2018 and July 2018, a total of 30 female patients (mean age 53.8±12.3 years; range, 35 to 80 years) with postmastectomy lymphedema were included in this study. The severity of lymphedema of the patients was measured circumferentially at 5-cm intervals. All patients were evaluated for upper extremity functionality using the Timed Functional Arm and Shoulder Test, hand grip strength using a hand dynamometer, and pinch strength using a pinchmeter. The TSK test was used for the evaluation of fear of movement and TUG test was used for the evaluation of functional status of lower extremity.
There was a significant difference in functionality between the affected and unaffected side of upper extremity (p<0.05). According to the TSK results, all patients described themselves as kinesiophobic, and advanced fear of movement was found in 66.67% of the patients. However, according to the TUG scores, lower extremity functionality of all patients was normal.
Our study results showed that, independently of the severity of lymphedema, fear of movement was seen in every patient and functionality of upper extremity decreased on the affected side. On the other hand, the TUG test may not be useful to asses fear of movement in daily practice regarding to functional scores of these patients.
在本研究中，我们旨在调查在日常实践中使用定时起立行走（TUG）测试而非坦帕运动恐惧量表（TSK）测试来评估运动恐惧，并评估乳房切除术后淋巴水肿患者的上肢功能。
2018年3月至2018年7月，本研究共纳入30例乳房切除术后淋巴水肿的女性患者（平均年龄53.8±12.3岁；范围35至80岁）。以5厘米间隔周向测量患者淋巴水肿的严重程度。所有患者均使用定时功能性手臂和肩部测试评估上肢功能，使用握力计评估握力，使用捏力计评估捏力。TSK测试用于评估运动恐惧，TUG测试用于评估下肢功能状态。
上肢患侧与未患侧的功能存在显著差异（p<0.05）。根据TSK结果，所有患者均表示自己有运动恐惧，66.67%的患者存在严重的运动恐惧。然而，根据TUG评分，所有患者的下肢功能均正常。
我们的研究结果表明，无论淋巴水肿的严重程度如何，每位患者均存在运动恐惧，且患侧上肢功能下降。另一方面，就这些患者的功能评分而言，TUG测试在日常实践中可能无助于评估运动恐惧。
