Özet:

Purpose: The aim of this study is to examine the relationship between kinesophobia, pain, functional status and self-efficacy in patients with knee osteoarthritis of different severity. Material and Methods: The study included 72 individuals with stage 2 and 3 knee osteoarthritis according to the Kellgren Lawrence classification. Tampa Kinesiophobia Scale (TSK) for kinesiophobia; Visual Analogue Scale (VAS) for pain, Western Ontario and McMaster Universities Arthritis Index (WOMAC) for functional status, Self-Efficacy Scale for Arthritis (ASES) for self-efficacy were used, respectively. Results: Positive correlations were found between WOMAC and TSK of stage 2 and 3(p=0.048; r=0.332, p=0.024; r=0.376). In both phases, ASES and TSK (p=0.002; r=0.449, p=0.016; r=0.390) and ASES and WOMAC were moderately negatively correlated (p=0.000; r=0.580, p=0.010; r=0.426). It was observed that stage 3 had lower self-efficacy (p=0.011) and higher kinesiophobia compared to stage 2 (p=0.009) patients. While there was no correlation between VAS and WOMAC of stage 2 (p=0.281; r=0.184), moderate positive correlation was found in stage 3 (p=0.017; r=0.397). Discussion: In patients with knee osteoarthritis, it was determined that kinesiophobia and self-belief that one can do the activity were the markers affecting the functional status and these parameters were related to radiological severity. Therefore, it is thought that attention should be paid to these parameters in the evaluation and treatment programs of these individuals.

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