J Back Musculoskelet Rehabil. 2024;37(2):285-294. doi: 10.3233/BMR-220365.
Low back pain is an important widespread health problem that can occur at any age, causing serious socioeconomic losses.
The objective of this study is to investigate the relationship between kinesiophobia severity and pain severity, depression, and quality of life in patients with mechanical low back pain.
The study sample consisted of 155 patients, of whom 72 were female and 83 were male, aged between 18 and 75 years with mechanical low back pain. Quality of life was assessed with the 36-Item Short Form Health Survey (SF-36), pain intensity with the Visual Analogue Scale (VAS), kinesiophobia with the Tampa Kinesiophobia Scale (TKS), and depression with the Beck Depression Inventory (BDI). Patients were divided into the low (TKS ⩽ 37) and high kinesiophobia (TKS > 37) groups according to the scores they obtained from TKS.
VAS-pain severity and BDI scores were significantly higher in the high kinesiophobia group than in the low kinesiophobia group (p< 0.001). On the other hand, the SF-36 subscale scores were significantly higher in the low kinesiophobia group than in the high kinesiophobia group (p< 0.001). The TKS scores were moderately correlated with VAS-pain severity (r= 0.470; p< 0.001) and BDI scores (r= 0.584; p< 0.001) in the positive direction, and strongly correlated with all sub-parameters of quality of life in the negative direction (p< 0.001).
The results indicated that the severity of kinesiophobia in patients with non-inflammatory low back pain is associated with pain severity, depression, and poor quality of life.
下背痛是一种重要的广泛存在的健康问题，可发生于任何年龄段，导致严重的社会经济损失。
本研究旨在探讨机械性下背痛患者的恐动症严重程度与疼痛严重程度、抑郁和生活质量之间的关系。
研究样本包括 155 名患者，其中 72 名为女性，83 名为男性，年龄在 18 至 75 岁之间，患有机械性下背痛。生活质量采用 36 项简明健康调查问卷（SF-36）评估，疼痛强度采用视觉模拟评分（VAS），恐动症采用坦帕恐动症量表（TKS），抑郁采用贝克抑郁量表（BDI）评估。根据 TKS 得分，患者被分为低恐动症（TKS ⩽ 37）和高恐动症（TKS > 37）组。
高恐动症组的 VAS 疼痛严重程度和 BDI 评分显著高于低恐动症组（p< 0.001）。另一方面，低恐动症组的 SF-36 各亚量表评分显著高于高恐动症组（p< 0.001）。TKS 评分与 VAS 疼痛严重程度（r= 0.470；p< 0.001）和 BDI 评分（r= 0.584；p< 0.001）呈正相关，与生活质量各亚参数呈负相关（r= 0.584；p< 0.001）。
这些结果表明，非炎症性下背痛患者的恐动症严重程度与疼痛严重程度、抑郁和生活质量差有关。
