BackgroundRegarding to determine pain-related anxiety of patients in clinical trials, there are sufficient number of tools in the literature (1). On the other hand there is a lack of internationally accepted measures which adapted in Turkish population to assess pain-related anxiety.ObjectivesThe aim of this study was to translate the short version of the Pain Anxiety Symptom Scale (PASS-20) into Turkish, assess its test-retest reliability and validate the use of PASS-20 among patients.Methods47 patients with different rheumatic diseases (ankylosing spondylitis, rheumatoid arthritis…) aged between 21-71 years (mean 47.91±48.00 years) participated in this study. Translation/re trans-lation of the English version of the PASS-20 was done blindly and independently by four different individuals and adapted by a team. After the translation, 34 patients was performed Turkish PASS-20 with an interval of a week for the test/retest reliability. And also, all patients were asked to fill Tampa Kinesiophobia Scale (TKS) (2)and Beck Anxiety Scale (BAS) (3)for validation.ResultsThere was no difference between test and retest results (p>0.05). The test-retest reliability was found to be 0.864 (95% CI=0.706-0.937). Cronbach's alpha was 0.864. Construct validity, tested by determining the correlation between the Turkish PASS-20 and the Turkish adaptation of the TKS (r=0.554, p<0.01), and BAS (r=0.545, p<0.01).ConclusionsTest-retest reliability of the Turkish version of the PASS-20 was found to be good in our study and it was seen that this scale could be used in clinics for patients with rheumatic diseases. This study is considered as a preliminary report in terms of validation of the PASS-20 because of the lack of participated patients number. However, pre-results indicates that PASS-20 scale is usefull for rheumatic patients with pain in Turkey.ReferencesMcCracken LM, Dhingra L. A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity. Pain research & management: the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur. 2002;7(1):45-50.Tunca Yılmaz Ö, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği'nin Türkçe versiyonu ve test-tekrar test güvenirliği Fizyoter Rehabil 2011;22(1):44-9.Ulusoy M, Sahin NH, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal of Cognitive Psychotherapy. 1998;12(2):163.Disclosure of InterestNone declared
BackgroundJuvenile idiopathic arthritis (JIA) is a chronic inflammatory childhood disease with symptoms such as joint inflammation, pain and loss of quality of life.1 Types of disease and the presence of pain can impact the child psychosocially, as well as affecting functional activity.2 ObjectivesThe aim of this study is to examine the results of functional and psychosocial status according to the disease type and the presence of pain symptoms in children with JIA.MethodsThe study included 71 children diagnosed with JIA who applied to the Hacettepe University İhsan Doğramacı Children’s Hospital Rheumatology Department. Following the collection of demographic information, functional status was assessed with the Child Health Assessment Questionnaire (CHAQ) and psychosocial and functional status was assessed with the scale developed in Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for functional and psychosocial status of children with rheumatism by Edibe Ünal.3 Children were divided into groups according to disease type as oligoarthritis or polyarthritis and the presence or absence of pain.ResultsTable 1 shows the mean age and numbers of children. There was no difference between the groups according to disease type (p>0,05). On the other hand, comparing scores for the CHAQ total, CHAQ general VAS assessment, functional and psychosocial status according to the presence or absence of pain revealed significant differences (p<0,05).Abstract AB1452HPR – Table 1Assessment values and comparison statisticsDisease TypePain Oligoarthritis(n=51)Polyarthritis(n=20) pPresent(n=21)Absent(n=50) p Age (years)10,88±3,8113,50±3,92001611,71±3,7711,58±4,120885CHAQ Total0,28±0,290,46±0,4101270,51±0,40,26±0,270012CHAQ (General VAS)2,49±2,433,93±300684,46±2,862,24±2,30002Function (range 0–30)4,72±4,855,05±6,3207667,85±6,63,54±4,020004Psychosocial (range 0–30)23±5,6714,5±5,82036316±5,7412,34±5,40012Function; Psychosocial; Functional and Psychosocial subscales of Ünal’s scale.3 ConclusionsWe conclude that pain has a greater effect on functional, psychosocial and overall disease assessment in children with JIA when compared to the disease type. Thus, it must be taken into consideration that child’s ability to cope with pain should be improved.References[1] Angelo Ravelli, Alberto Martini. Juvenile idiopathic arthritis.The Lancet2007, 369(9563); 767–778.[2] Laura E Schanberga, John C Lefebvreb, et al. Pain coping and the pain experience in children with juvenile chronic arthritis. Pain1997, 73(2); 181–189.[3] Kısacık Pınar,Ünal Edibe, et al. Juvenil İdiyopatik Artritli Hastalarda Çok Yönlü Bir Değerlendirme Sistemi Oluşturulması Delphi Çalışması. 2016, Annals Of Paediatric Rheumatology Disclosure of InterestNone declared
BackgroundStudies show that patients’ biopsychosocial characteristics may be affected by various factors such as inpatient, outpatients, exercise intervention regularly. [1]. No studies have been found to examine this situation in the literature.ObjectivesThe aim of this study was to investigate the biopsychosocial characteristics of patients with rheumatic diseases who were inpatients, outpatients and participated in an exercise intervention regularly.MethodsA total of 105 patients were included in the study (inpatient, outpatient, exercise intervention) (Table 1). For exercise intervention group, BETY as a biopsychosocial exercise model was applied 3 days a week for 3 months [2]. Biopsychosocial characteristics of the patients included in the study were evaluated by BETY- Biopsychosocial Questionnaire (BETY-BQ) [3]. In addition to the total score of BETY-BQ, the same time pain, functionality and fatigue, sexuality, emotional status and socialization subcategory of this questionnaire were evaluated on item basis among each patients.ResultsThe demographics variables and BETY-BQ scores of the patients were shown in Table 1. There were a statistically significant differences among three groups. After post-hoc analysis, it was determined that there is no difference between the BETY-BQ scores of the outpatients and inpatients (p> 0.05), whereas the BETY-BQ scores of the patients who participated in the group exercise were lower (p<0.05). When the items were analyzed, it was found that pain (items 2, 3, 5, and 12), functionality and fatigue (items 6, 7, 11, 26, and 28), emotional status (items 16 and 17), and sleep (item 30) subcategory scores were also lower in patients who participated in BETY programme (p<0.05).Abstract Table 1 Demographic statistics and BETY-BQ scores Inpatient (n= 30) Outpatıent (n= 44) Exercıse ınterventıon (BETY) (n= 31) Female Male Female Male Female Male Gender (%) 61.337.887.212.853.77.4 XSD XSD XSD Age (year) 46.3514.5646.0613.2648.67 11.89 BMI (kg/m2) 24.19 5.1728.98 18.8526.94 3.84 BETY-BQ (0- 120) p XSD XSD XSD 0.027 49.1017.9445.6427.9333.8121.73ConclusionIt is surprising that the biopsychosocial characteristics of the inpatients and outpatients were similar. According to this result, inpatients shouldnt be thought as worse than outpatients. On the other hand, the patients who participated in exercise intervention were improved in terms of biopsychosocial aspects. The positive effects of the BETY program on the biopsychosocial status of individuals have been demonstrated formerly [4]. It was concluded that inpatients should be supported to exercise in terms of their biopsychosocial needs during hospitalization period as well as rheumatic outpatients need.References[1] Saketkoo, L.A. and J.D. Pauling, Qualitative methods to advance care, diagnosis, and therapy in rheumatic diseases. Rheumatic Disease Clinics of North America, 2018.[2] Kisacik, P., et al., Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female pa...
We studied the intra- and inter-rater reliability of muscle thickness and cross-sectional area measurements of thenar muscles with a water bath ultrasonography technique in eight healthy volunteers and 16 patients with trapeziometacarpal osteoarthritis. Thickness and cross-sectional area of the opponens pollicis, abductor pollicis brevis, flexor pollicis brevis, first dorsal interosseous and adductor pollicis muscle were measured. The results showed changes in the morphometric properties of the thenar muscles in patients with trapeziometacarpal osteoarthritis (TMC OA) compared with the healthy volunteers. In the dominant-sided patients ( n = 14), there were lower cross-sectional area values for the abductor pollicis brevis and opponens pollicis muscles. In the non-dominant-sided patients ( n = 10), there were lower cross-sectional area values for the abductor pollicis brevis and flexor pollicis brevis and lower muscle thickness of the abductor pollicis brevis. The water bath ultrasonography technique could be used to diagnose and treat diseases where changes in thenar muscle thickness and cross-sectional area can be expected. Level of evidence: III
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