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Biopsychosocial Approach in Identifying Risk Factors of Kinesiophobia in Persons with Subacromial Pain Syndrome and Developing a Clinical Prediction Tool        
Yazarlar
Dr. Öğr. Üyesi Caner KARARTI
Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Hakkı Çağdaş BASAT
Kırşehir Ahi Evran Üniversitesi, Türkiye
İsmail Özsoy
Selçuk Üniversitesi, Türkiye
Arş. Gör. Fatih ÖZYURT
Kırşehir Ahi Evran Üniversitesi, Türkiye
Gülşah Özsoy
Türkiye
Dr. Öğr. Üyesi Muhammed İhsan KODAK
Kırşehir Ahi Evran Üniversitesi, Türkiye
Doç. Dr. Anıl ÖZÜDOĞRU
Kırşehir Ahi Evran Üniversitesi, Türkiye
İlyas Uçar
Türkiye
Özet
Introduction: Although the negative effects of kinesiophobia on functional status in subacromial pain syndrome (SAPS) patients are clearly demonstrated, no study examines the risk factors of kinesiophobia in individuals with SAPS from a biopsychosocial perspective. The present study aims to determine the risk factors of kinesiophobia in individuals with SAPS using a biopsychosocial approach. This study also aims to explore the compounding effects of multiple associative risk factors by developing a clinical prediction tool to identify SAPS patients at higher risk for kinesiophobia. Materials and methods: This cross-sectional study included 549 patients who were diagnosed with SAPS. The Tampa-Scale of Kinesiophobia (TSK) was used to assess kinesiophobia. Visual analog scale (VAS), The Shoulder Pain and Disability Index (SPADI), Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, the presence of metabolic syndrome, using any non-steroidal anti-inflammatory drugs, Pain Catastrophizing Scale (PCS), Illness Perception Questionnaire-revised (IPQ-R), Hospital Anxiety and Depression Scale (HADS), behavioral pattern of the patient, sociodemographic characteristics, and treatment expectancy were outcome measures. Results: Thirteen significant risk factors of having kinesiophobia were: VASat rest (≥ 5.2), VASduring activity (≥ 7.1), DASH (≥ 72.1), presence of metabolic syndrome, PCShelplessness (≥ 16.1), IPQ-Rpersonal control (≤ 17.1), IPQ-Rtreatment control (≤ 16.3), HADSdepression (≥ 7.9), avoidance behavior type, being female, educational level (≤ high school), average hours of sleep (≤ 6.8), and treatment expectancy (≤ 6.6). The presence of seven or more risk factors increased the probability of having high level of kinesiophobia from 34.3 to 51%. Conclusions: It seems necessary to address these factors, increase awareness of health practitioners and individuals. Level of evidence: Level IV.
Anahtar Kelimeler
Biopsychosocial models | Painful shoulder | Shoulder | Subacromial pain syndrome
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Indian Journal of Orthopaedics
Dergi ISSN 0019-5413
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 11-2023
Cilt No 57
Sayı 1
Sayfalar 124 / 136
Doi Numarası 10.1007/s43465-022-00781-7
Makale Linki http://dx.doi.org/10.1007/s43465-022-00781-7