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PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS

Year 2018, Volume: 29 Issue: 2, 11 - 17, 27.08.2018
https://doi.org/10.21653/tjpr.453714

Abstract











Purpose: Patients with rheumatoid arthritis (RA) frequently have experience difficulties during daily activities since decrease in upper and lower extremity functions. The aim of this study was to investigate the association between fear of movement and age, upper and lower extremity function and functional disability in patients with RA.

Methods: A total of 88 patients (mean age: 56.01±11.51 years) with RA participated in the study. Disease activity was assessed using the Disease Activity Score in 28 joints (DAS28). Functional disability was assessed using the Health Assessment Questionnaire-Disability Index (HAQ-DI). The Disabilities of the Arm, Shoulder and Hand Score (QuickDASH) was used to assess upper extremity function. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) was used to evalute the lower extremity function. The Tampa Scale for Kinesiophobia (TSK) was used to assess pain-related fear of movement. The multiple stepwise linear regression model with R-square (r2) was used to compare across the models and explain the total variance.

Results: Eight independent variables namely, age (r=0.215, p=0.044), QuickDASH (r=0.504, p<0.001), HAQ-DI (r=0.315, p=0.003), WOMAC Pain (r=0.512, p<0.001), WOMAC Stiffness (r=0.419, p<0.001), WOMAC Function (r=0.398, p<0.001), WOMAC Total (r=0.429, p<0.001), WOMAC range (r=0.419, p<0.001), demonstrated significant correlations with TSK. Besides, there were correlations between two independent variables (QuickDASH, p=0.013, WOMAC Pain, p=0.034) and TSK (r2=0.293).

Conclusion: The results of the study suggested that fear of movement was likely to be associated with poorer upper extremity functional disability and lower extremity pain levels in spite of varied drug therapies in patients with RA. Therefore, assessment of upper and lower extremity function and related factors should be a part of rehabilitation process for a complimentary treatment.

References

  • 1. Garip Y, Eser F, Bodur H. Comorbidities in Turkish patients with rheumatoid arthritis: association with the health-related quality of life in terms of disease activity, functional and radiological status, severity of pain, and social and emotional functioning. Acta Reumatol Port. 2016;41(4):344-9. 2. Wan SW, He H-G, Mak A, Lahiri M, Luo N, Cheung PP, et al. Health-related quality of life and its predictors among patients with rheumatoid arthritis. Appl Nurs Res. 2016;30:176-83. 3. Nicassio PM, Kay MA, Custodio MK, Irwin MR, Olmstead R, Weisman MH. An evaluation of a biopsychosocial framework for health-related quality of life and disability in rheumatoid arthritis. J Psychosom Res. 2011;71(2):79-85. 4. Rupp I, Boshuizen H, Dinant H, Jacobi C, Van den Bos G. Disability and health-related quality of life among patients with rheumatoid arthritis: association with radiographic joint damage, disease activity, pain, and depressive symptoms. Scand J Rheumatol. 2006;35(3):175- 81. 5. Lööf H, Demmelmaier I, Welin Henriksson E, Lindblad S, Nordgren B, Opava C, et al. Fear-avoidance beliefs of physical activity in adults with rheumatoid arthritis. Scand J Rheumatol. 2015;44(2):93-9. 6. Eurenius E, Stenström CH. Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis. Arthritis Rheum. 2005;53(1):48-55. 7. Stenström CH, Minor MA. Evidence for the benefit of aerobic and strengthening exercise in rheumatoid arthritis. Arthritis Rheum. 2003;49(3):428-34. 8. Courvoisier DS, Agoritsas T, Glauser J, Michaud K, Wolfe F, Cantoni E, et al. Pain as an important predictor of psychosocial health in patients with rheumatoid arthritis. Arthritis Care Res. 2012;64(2):190- 6. 9. Karimi S, Yarmohammadian MH, Shokri A, Mottaghi P, Qolipour K, Kordi A, et al. Predictors and effective factors on quality of life among Iranian patients with rheumatoid arthritis. Mater Sociomed. 2013;25(3):158-62. 10. Groessl EJ, Ganiats TG, Sarkin AJ. Sociodemographic differences in quality of life in rheumatoid arthritis. Pharmacoeconomics. 2006;24(2):109-21. 11. Matcham F, Scott IC, Rayner L, Hotopf M, Kingsley GH, Norton S, et al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: a systematic review and meta-analysis. Semin Arthritis Rheum. 2014;44(2):123-30. 12. Sánchez-Herán Á, Agudo-Carmona D, Ferrer-Peña R, López-de-Uralde- Villanueva I, Gil-Martínez A, Paris-Alemany A, et al. Postural stability in osteoarthritis of the knee and hip: analysis of association with pain catastrophizing and fear-avoidance beliefs. PM&R. 2016; 8(7):618-28. 13. Kinikli GI, Sahin A, Guney H, Yuksel I, Kinikli G. Investigation of grip strength and upper extremity functional disability in patients with rheumatoid arthritis. J Exerc Ther Rehabil. 2016;3(2):60-5. 14. Hart HF, Collins NJ, Ackland DC, Crossley KM. Is impaired knee confidence related to worse kinesiophobia, symptoms, and physical function in people with knee osteoarthritis after anterior cruciate ligament reconstruction? J Sci Med Sport. 2015;18(5):512-7. 15. Yilmaz OT, Yakut Y, Uygur F, Ulug N. Turkish Version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turk J Physiother Rehabil.2011;22(1):44-9. 16. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315-24. 17. Prevoo M, Van't Hof M, Kuper H, Van Leeuwen M, Van De Putte L, Van Riel P. Modified disease activity scores that include twenty-eight joint counts development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum. 1995;38(1):44-8. 18. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum. 2004;51(1):14-9. 19. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay B, Ayhan Ç. Reliability and validity of the Turkish version of the Disabilities of the Arm. Shoulder and Hand (DASH) Questionnaire. Turk J Physiother Rehabil. 2006;17(3):99-107. 20. Craig C, Carroll M. Validation of the Quickdash in the Assessment of Rheumatoid Arthritis Disease Activity. Arthritis Rheum. 2015; 67(suppl 10). 21. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinioally important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833-40. 22. Wolfe F. Determinants of WOMAC function, pain and stiffness scores: evidence for the role of low back pain, symptom counts, fatigue and depression in osteoarthritis, rheumatoid arthritis and fibromyalgia. Rheumatology (Oxford). 1999;38(4):355-61. 23. Tüzün E, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13(1):28- 33. 24. Chopra A, Saluja M, Patil P, Tandale H. Pain and disability, perceptions and beliefs of a rural Indian population: a WHO-ILAR COPCORD study. WHO-International league of associations for rheumatology. community oriented program for control of rheumatic diseases. J Rheumatol. 2002; 29(3):614–21. 25. Güney-Deniz H, Kınıklı GI, Çağlar Ö, Atilla B, Yüksel İ. Does kinesiophobia affect the early functional outcomes following total knee arthroplasty? Physiother Theory Pract. 2017;33(6):448-53. 26. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30(1):77–94.
Year 2018, Volume: 29 Issue: 2, 11 - 17, 27.08.2018
https://doi.org/10.21653/tjpr.453714

Abstract

References

  • 1. Garip Y, Eser F, Bodur H. Comorbidities in Turkish patients with rheumatoid arthritis: association with the health-related quality of life in terms of disease activity, functional and radiological status, severity of pain, and social and emotional functioning. Acta Reumatol Port. 2016;41(4):344-9. 2. Wan SW, He H-G, Mak A, Lahiri M, Luo N, Cheung PP, et al. Health-related quality of life and its predictors among patients with rheumatoid arthritis. Appl Nurs Res. 2016;30:176-83. 3. Nicassio PM, Kay MA, Custodio MK, Irwin MR, Olmstead R, Weisman MH. An evaluation of a biopsychosocial framework for health-related quality of life and disability in rheumatoid arthritis. J Psychosom Res. 2011;71(2):79-85. 4. Rupp I, Boshuizen H, Dinant H, Jacobi C, Van den Bos G. Disability and health-related quality of life among patients with rheumatoid arthritis: association with radiographic joint damage, disease activity, pain, and depressive symptoms. Scand J Rheumatol. 2006;35(3):175- 81. 5. Lööf H, Demmelmaier I, Welin Henriksson E, Lindblad S, Nordgren B, Opava C, et al. Fear-avoidance beliefs of physical activity in adults with rheumatoid arthritis. Scand J Rheumatol. 2015;44(2):93-9. 6. Eurenius E, Stenström CH. Physical activity, physical fitness, and general health perception among individuals with rheumatoid arthritis. Arthritis Rheum. 2005;53(1):48-55. 7. Stenström CH, Minor MA. Evidence for the benefit of aerobic and strengthening exercise in rheumatoid arthritis. Arthritis Rheum. 2003;49(3):428-34. 8. Courvoisier DS, Agoritsas T, Glauser J, Michaud K, Wolfe F, Cantoni E, et al. Pain as an important predictor of psychosocial health in patients with rheumatoid arthritis. Arthritis Care Res. 2012;64(2):190- 6. 9. Karimi S, Yarmohammadian MH, Shokri A, Mottaghi P, Qolipour K, Kordi A, et al. Predictors and effective factors on quality of life among Iranian patients with rheumatoid arthritis. Mater Sociomed. 2013;25(3):158-62. 10. Groessl EJ, Ganiats TG, Sarkin AJ. Sociodemographic differences in quality of life in rheumatoid arthritis. Pharmacoeconomics. 2006;24(2):109-21. 11. Matcham F, Scott IC, Rayner L, Hotopf M, Kingsley GH, Norton S, et al. The impact of rheumatoid arthritis on quality-of-life assessed using the SF-36: a systematic review and meta-analysis. Semin Arthritis Rheum. 2014;44(2):123-30. 12. Sánchez-Herán Á, Agudo-Carmona D, Ferrer-Peña R, López-de-Uralde- Villanueva I, Gil-Martínez A, Paris-Alemany A, et al. Postural stability in osteoarthritis of the knee and hip: analysis of association with pain catastrophizing and fear-avoidance beliefs. PM&R. 2016; 8(7):618-28. 13. Kinikli GI, Sahin A, Guney H, Yuksel I, Kinikli G. Investigation of grip strength and upper extremity functional disability in patients with rheumatoid arthritis. J Exerc Ther Rehabil. 2016;3(2):60-5. 14. Hart HF, Collins NJ, Ackland DC, Crossley KM. Is impaired knee confidence related to worse kinesiophobia, symptoms, and physical function in people with knee osteoarthritis after anterior cruciate ligament reconstruction? J Sci Med Sport. 2015;18(5):512-7. 15. Yilmaz OT, Yakut Y, Uygur F, Ulug N. Turkish Version of the Tampa Scale for Kinesiophobia and its test-retest reliability. Turk J Physiother Rehabil.2011;22(1):44-9. 16. Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, et al. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum. 1988;31(3):315-24. 17. Prevoo M, Van't Hof M, Kuper H, Van Leeuwen M, Van De Putte L, Van Riel P. Modified disease activity scores that include twenty-eight joint counts development and validation in a prospective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum. 1995;38(1):44-8. 18. Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in cross-cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum. 2004;51(1):14-9. 19. Düger T, Yakut E, Öksüz Ç, Yörükan S, Bilgütay B, Ayhan Ç. Reliability and validity of the Turkish version of the Disabilities of the Arm. Shoulder and Hand (DASH) Questionnaire. Turk J Physiother Rehabil. 2006;17(3):99-107. 20. Craig C, Carroll M. Validation of the Quickdash in the Assessment of Rheumatoid Arthritis Disease Activity. Arthritis Rheum. 2015; 67(suppl 10). 21. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinioally important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833-40. 22. Wolfe F. Determinants of WOMAC function, pain and stiffness scores: evidence for the role of low back pain, symptom counts, fatigue and depression in osteoarthritis, rheumatoid arthritis and fibromyalgia. Rheumatology (Oxford). 1999;38(4):355-61. 23. Tüzün E, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis Cartilage. 2005;13(1):28- 33. 24. Chopra A, Saluja M, Patil P, Tandale H. Pain and disability, perceptions and beliefs of a rural Indian population: a WHO-ILAR COPCORD study. WHO-International league of associations for rheumatology. community oriented program for control of rheumatic diseases. J Rheumatol. 2002; 29(3):614–21. 25. Güney-Deniz H, Kınıklı GI, Çağlar Ö, Atilla B, Yüksel İ. Does kinesiophobia affect the early functional outcomes following total knee arthroplasty? Physiother Theory Pract. 2017;33(6):448-53. 26. Leeuw M, Goossens ME, Linton SJ, Crombez G, Boersma K, Vlaeyen JW. The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med. 2007;30(1):77–94.
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Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Gizem İrem Kınıklı

Hande Güney Deniz

Sevilay Karahan

Aşkın Ateş

Murat Turgay This is me

Gülay Kınıklı This is me

Publication Date August 27, 2018
Published in Issue Year 2018 Volume: 29 Issue: 2

Cite

APA Kınıklı, G. İ., Güney Deniz, H., Karahan, S., Ateş, A., et al. (2018). PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Fizyoterapi Rehabilitasyon, 29(2), 11-17. https://doi.org/10.21653/tjpr.453714
AMA Kınıklı Gİ, Güney Deniz H, Karahan S, Ateş A, Turgay M, Kınıklı G. PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Fizyoterapi Rehabilitasyon. August 2018;29(2):11-17. doi:10.21653/tjpr.453714
Chicago Kınıklı, Gizem İrem, Hande Güney Deniz, Sevilay Karahan, Aşkın Ateş, Murat Turgay, and Gülay Kınıklı. “PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS”. Fizyoterapi Rehabilitasyon 29, no. 2 (August 2018): 11-17. https://doi.org/10.21653/tjpr.453714.
EndNote Kınıklı Gİ, Güney Deniz H, Karahan S, Ateş A, Turgay M, Kınıklı G (August 1, 2018) PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Fizyoterapi Rehabilitasyon 29 2 11–17.
IEEE G. İ. Kınıklı, H. Güney Deniz, S. Karahan, A. Ateş, M. Turgay, and G. Kınıklı, “PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS”, Fizyoterapi Rehabilitasyon, vol. 29, no. 2, pp. 11–17, 2018, doi: 10.21653/tjpr.453714.
ISNAD Kınıklı, Gizem İrem et al. “PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS”. Fizyoterapi Rehabilitasyon 29/2 (August 2018), 11-17. https://doi.org/10.21653/tjpr.453714.
JAMA Kınıklı Gİ, Güney Deniz H, Karahan S, Ateş A, Turgay M, Kınıklı G. PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Fizyoterapi Rehabilitasyon. 2018;29:11–17.
MLA Kınıklı, Gizem İrem et al. “PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS”. Fizyoterapi Rehabilitasyon, vol. 29, no. 2, 2018, pp. 11-17, doi:10.21653/tjpr.453714.
Vancouver Kınıklı Gİ, Güney Deniz H, Karahan S, Ateş A, Turgay M, Kınıklı G. PREDICTORS OF FEAR OF MOVEMENT IN PATIENTS WITH RHEUMATOID ARTHRITIS. Fizyoterapi Rehabilitasyon. 2018;29(2):11-7.