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Determining the relationship of kinesiophobia with respiratory functions and functional capacity in ankylosing spondylitis.

Abstract Ankylosing spondylitis (AS) is a common inflammatory rheumatic disease that affects the axial skeleton, causes inflammatory lower back pain, and structural and functional disorders, which affect quality of life negatively.The purpose of this study is to investigate the effects of kinesiophobia in AS on pulmonary function tests (PFTs) and functional performance.Thirty-one individuals with AS (n = 19 male, n = 12 female) who were suitable on the basis of the Modified New York (MNY) criteria were included in the study. The participants were given the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing Spondylitis Functional Index (BASFI), the Bath Ankylosing Spondylitis Metrology Index (BASMI), in addition to the Tampa Scale for Kinesiophobia (TKS), PFTs, respiratory muscle strength, pain evaluation, and 6-minute walking test (6MWT).The mean values were found as the following: TKS, 41.65 ± 7.59; pain visual analog scale (VAS) score, 6.23 ± 2.86; forced vital capacity (%) (FVC), 75.35% ± 17.92%; forced expiratory volume in first second (%) (FEV1), 73.45% ± 17.20%; FEV1/FVC (%), 75.58% ± 15.99%; peak expiratory flow (%) (PEF), 54,90% ± 20.21%; forced expiratory flow at 25% to 75% (FEF25-75), 77.71% ± 27.05%; maximal inspiratory pressure (MIP), 62.06 ± 31.68; maximal expiratory pressure (MEP), 95.94 ± 36.60; 6MWT, 445.88 ± 99.48. The scores obtained in TKS were found related to the values of FVC (%), FEV1 (%), chest expansion, BASFI, modified Schober test, lumbar lateral flexion, cervical rotation, and total BASMI score (r = -0.43, -0.36, -0.41, 0.42, -0.49, -0.56, -0.52, 0.56, respectively; P < .05).Kinesiophobia is a condition that may arise in individuals with AS, which has negative effects. Physiotherapists have a responsibility to eliminate kinesiophobia beliefs and prefer therapy method in line with this responsibility.
PMID
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Authors

Mayor MeshTerms

Fear

Movement

Pain

Respiration

Keywords
Journal Title medicine
Publication Year Start




PMID- 28723759
OWN - NLM
STAT- MEDLINE
DA  - 20170720
DCOM- 20170728
LR  - 20170801
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 29
DP  - 2017 Jul
TI  - Determining the relationship of kinesiophobia with respiratory functions and
      functional capacity in ankylosing spondylitis.
PG  - e7486
LID - 10.1097/MD.0000000000007486 [doi]
AB  - Ankylosing spondylitis (AS) is a common inflammatory rheumatic disease that
      affects the axial skeleton, causes inflammatory lower back pain, and structural
      and functional disorders, which affect quality of life negatively.The purpose of 
      this study is to investigate the effects of kinesiophobia in AS on pulmonary
      function tests (PFTs) and functional performance.Thirty-one individuals with AS
      (n = 19 male, n = 12 female) who were suitable on the basis of the Modified New
      York (MNY) criteria were included in the study. The participants were given the
      Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), the Bath Ankylosing 
      Spondylitis Functional Index (BASFI), the Bath Ankylosing Spondylitis Metrology
      Index (BASMI), in addition to the Tampa Scale for Kinesiophobia (TKS), PFTs,
      respiratory muscle strength, pain evaluation, and 6-minute walking test
      (6MWT).The mean values were found as the following: TKS, 41.65 +/- 7.59; pain
      visual analog scale (VAS) score, 6.23 +/- 2.86; forced vital capacity (%) (FVC), 
      75.35% +/- 17.92%; forced expiratory volume in first second (%) (FEV1), 73.45%
      +/- 17.20%; FEV1/FVC (%), 75.58% +/- 15.99%; peak expiratory flow (%) (PEF),
      54,90% +/- 20.21%; forced expiratory flow at 25% to 75% (FEF25-75), 77.71% +/-
      27.05%; maximal inspiratory pressure (MIP), 62.06 +/- 31.68; maximal expiratory
      pressure (MEP), 95.94 +/- 36.60; 6MWT, 445.88 +/- 99.48. The scores obtained in
      TKS were found related to the values of FVC (%), FEV1 (%), chest expansion,
      BASFI, modified Schober test, lumbar lateral flexion, cervical rotation, and
      total BASMI score (r = -0.43, -0.36, -0.41, 0.42, -0.49, -0.56, -0.52, 0.56,
      respectively; P &lt; .05).Kinesiophobia is a condition that may arise in individuals
      with AS, which has negative effects. Physiotherapists have a responsibility to
      eliminate kinesiophobia beliefs and prefer therapy method in line with this
      responsibility.
FAU - Er, Goktug
AU  - Er G
AD  - Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences,
      Famagusta, Turkey.
FAU - AngIn, Ender
AU  - AngIn E
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Fear
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Movement
MH  - Muscle Strength
MH  - *Pain
MH  - Pain Measurement
MH  - Psychiatric Status Rating Scales
MH  - *Respiration
MH  - Respiratory Function Tests
MH  - Respiratory Muscles/physiopathology
MH  - Severity of Illness Index
MH  - Spondylitis, Ankylosing/*physiopathology/*psychology
MH  - Walk Test
MH  - Young Adult
PMC - PMC5521899
EDAT- 2017/07/21 06:00
MHDA- 2017/07/29 06:00
CRDT- 2017/07/21 06:00
AID - 10.1097/MD.0000000000007486 [doi]
AID - 00005792-201707210-00024 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Jul;96(29):e7486. doi: 10.1097/MD.0000000000007486.