Background Ankylosing spondylitis (AS) is a chronic, inflammatory disorder characterized by pain and stiffness especially on back and sacroiliac joint. Pain, reduced spine mobility, and decreased physical functioning are the major manifestations of AS. In the literature, the role of kinesiophobia in musculoskeletal pain disorders has been examined in studies of acute and chronic back pain, osteoarthritis and fibromyalgia. The results of these studies tend to support the important contribution of fear of movement in the evaluation of pain, disability, function and QoL and treatment of musculoskeletal disorders.
Objectives To investigate the effects of kinesiophobia on quality of life (QoL), functional ftatus, disease activity and depression of AS patients.
Methods 163 participants (18 men, 18 women) who were under a regular follow-up protocol in Gazi University Rheumatology Clinic and Rheumatologic Rehabilitation Unit with the diagnosis of AS. Primary outcome measure was kinesiophobia. Evaluation was done using the The Tampa Scale of Kinesiophobia (TSK). Exploratory measures were Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), BECK Depression Inventory (BDI) and AS quality of life questionnaire (ASQOL). Pearson's correlation test was used to verify correlations.
Results Kinesiophobia was found to be very common in AS affecting 66.6% of patients. There were correlation found between TSK and BASDAI pain, BASFI, ASQOL, BDI scores (Respectively, r=.259, r=.294, r=.392, r=.398; p<.05). There were no correlations found between TSK and BASDAI total and BASMI scores (Respectively, r=.142, r=.198; p>.05).
Conclusions Our study is the first clinical study designed to investigate the relationship of kinesiophobia with the other clinical measurements in AS patients. Their pain levels and psychological states have an impact on fear of movement. In relation, functional status and quality of life of them affected negatively.
Burwinkle T, Robinson JP, Turk DC. Fear of Movement:FactorStructure of the Tampa Scale of Kinesiophobia in Patients With Fibromyalgia Syndrome. The Journal of Pain, Vol 6, No 6 (June), 2005: pp 384-391.
Vlaeyen JW, Kole-Snijders AM, Boeren RG, et al. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995; 62: 363-372.
Dagfinrud H, Kvien TK, Hagen KB, Nghien FT, Donohue JT. Physiotherapy interventions for ankylosing spondylitis. Dochrana Databased System Reviews. 2008; 23(1): CD002822.
Disclosure of Interest None declared