Sari Ilker Fatih, Tatli Samet, Ilhanli Ilker, Er Evren, Kasap Zerrin, Çilesizoğlu Yavuz Nurçe, Kulakli Fazil
Physical Medicine and Rehabilitation, Giresun University Faculty of Medicine, Giresun, TUR.
Physical Medicine and Rehabilitation, Bingöl State Hospital, Bingöl, TUR.
Cureus. 2023 Jul 27;15(7):e42528. doi: 10.7759/cureus.42528. eCollection 2023 Jul.
Objective The aim of this study is to determine the presence of kinesiophobia in patients with ankylosing spondylitis (AS) and to examine the factors affecting kinesiophobia. Materials and methods Sixty patients with AS participated in the study. Kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia (TSK). Disease activity was assessed using the Bath AS Disease Activity Index (BASDAI) and AS Disease Activity Score with C-reactive protein (ASDAS-CRP), functional status using the Bath AS Functional Index (BASFI), spinal mobility using the Bath AS Metrology Index (BASMI), and quality of life using the AS Quality of Life Questionnaire (ASQoL). Those with a TSK score of >37 were classified as patients with high kinesiophobia, while those with a score of ≤37 as patients with low kinesiophobia. Results High kinesiophobia was detected in 29 (48.3%) patients. Age, disease duration, BASDAI, ASDAS-CRP, BASFI, ASQoL, and BASMI values were higher in these patients. The TSK scores correlated with age, duration of disease, ASDAS-CRP, BASFI, BASMI, and ASQoL (r = 0.697, r = 0.600, r = 0.410, r = 0.690, r = 0.889, and r = 0.576, respectively). As a result of the multivariate binary logistic regression analysis, BASMI was found to be the only statistically significant factor for high kinesiophobia (OR 5.338, 95% CI: 1.133-25.159, p = 0.034). Conclusion Kinesiophobia is seen at a high rate in patients with AS. In this study, the most important risk factor for kinesiophobia is found to be decreased spinal mobility. To prevent kinesiophobia - which prevents exercise, the cornerstone of AS treatment - patients should be encouraged to exercise and be active.
目的 本研究旨在确定强直性脊柱炎（AS）患者中运动恐惧的存在情况，并探讨影响运动恐惧的因素。材料与方法 60例AS患者参与了本研究。使用坦帕运动恐惧量表（TSK）评估运动恐惧。采用巴斯强直性脊柱炎疾病活动指数（BASDAI）和C反应蛋白强直性脊柱炎疾病活动评分（ASDAS-CRP）评估疾病活动度，使用巴斯强直性脊柱炎功能指数（BASFI）评估功能状态，使用巴斯强直性脊柱炎测量指数（BASMI）评估脊柱活动度，使用强直性脊柱炎生活质量问卷（ASQoL）评估生活质量。TSK评分>37分者被归类为高运动恐惧患者，而评分≤37分者为低运动恐惧患者。结果 29例（48.3%）患者存在高运动恐惧。这些患者的年龄、病程、BASDAI、ASDAS-CRP、BASFI、ASQoL和BASMI值较高。TSK评分与年龄、病程、ASDAS-CRP、BASFI、BASMI和ASQoL相关（r分别为0.697、0.600、0.410、0.690、0.889和0.576）。多因素二元逻辑回归分析结果显示，BASMI是高运动恐惧的唯一具有统计学意义的因素（比值比5.338，95%置信区间：1.133 - 25.159，p = 0.034）。结论 AS患者中运动恐惧发生率较高。在本研究中，发现运动恐惧的最重要危险因素是脊柱活动度降低。为预防运动恐惧（运动恐惧会阻碍作为AS治疗基石的运动），应鼓励患者进行运动并保持积极活动。
