Abstract

Aim: This study was carried out to investigate the effect of conventional physiotherapy (CPT) and median nerve radiofrequency therapy (MNRFT) on kinesiophobia in patients with lumbar facet syndrome (LFS).

Methods: The sample of this study consisted of 60 patients over 18 with facet joint pain persisting for at least 3 months and unresponsive to medical treatment were included in the study. The patients were divided into CPT and MNRFT groups of 30 patients each according to the treatment they received. The patients were evaluated for pain severity, kinesiophobia, sleep quality, functional status, and depression both before the treatment and one month after the treatment using the Visual Analogue Scale (VAS), Tampa Scale for Kinesiophobia (TKS), Pittsburgh Sleep Quality Index (PSQI), Oswestry Disability Index (ODI) and Beck’s Depression Inventory (BDI), respectively.

Results: There was a significant difference between the pre- and post-treatment VAS, PSQI, ODI, and BDE scores in both the CPT and MNRFT groups. Additionally, there was a significant difference between the pre- and post-treatment TKS scores in the RFT group, but not in the CPT group. There was no significant difference between the groups in any of the pre-treatment scores. There was also no significant difference between the groups in the post-treatment scores, except for the TKS scores.

Conclusion: The study findings indicated that MNRFT and median nerve blockade reduced kinesiophobia more than CPT.

Keywords: radiofrequency, kinesiophobia, physical therapy, facet joint, pain, depression, oswestry

Copyright and license

Copyright © 2024 The Author(s). This is an open-access article published by Bolu İzzet Baysal Training and Research Hospital under the terms of the Creative Commons Attribution License (CC BY) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Ege F, Ege FÇ. The effect of conventional physiotherapy and median nerve radiofrequency therapy on kinesiophobia in lumbar facet syndrome. Northwestern Med J. 2024;4(1):14-21. https://doi.org/10.54307/2024.NWMJ.83

References

  1. Cohen SP, Raja SN. Pathogenesis, diagnosis, and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology. 2007; 106(3): 591-614. https://doi.org/10.1097/00000542-200703000-00024
  2. Tüzüner F. Anestezi Yoğun Bakım Ağrı. Ankara: Nobel Tıp Kitapevleri; 2010: 1677.
  3. Erdine S. Ağrı. 3rd ed. İstanbul: Nobel Tıp Kitabevleri; 2007: 436-7.
  4. Turk DC, Wilson HD. Fear of pain as a prognostic factor in chronic pain: conceptual models, assessment, and treatment implications. Curr Pain Headache Rep. 2010; 14(2): 88-95. https://doi.org/10.1007/s11916-010-0094-x
  5. Luque-Suarez A, Martinez-Calderon J, Falla D. Role of kinesiophobia on pain, disability and quality of life in people suffering from chronic musculoskeletal pain: a systematic review. Br J Sports Med. 2019; 53(9): 554-9. https://doi.org/10.1136/bjsports-2017-098673
  6. Vlaeyen JW, Kole-Snijders AM, Boeren RG, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995; 62(3): 363-72. https://doi.org/10.1016/0304-3959(94)00279-N
  7. Tunca Yılmaz Ö, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi ölçeği'nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoter Rehabil. 2011; 22: 44-9.
  8. Yakut E, Düger T, Oksüz C, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004; 29(5): 581-5. https://doi.org/10.1097/01.brs.0000113869.13209.03
  9. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4: 561-71. https://doi.org/10.1001/archpsyc.1961.01710120031004
  10. Falco FJ, Manchikanti L, Datta S, et al. An update of the effectiveness of therapeutic lumbar facet joint interventions. Pain Physician. 2012; 15: 909-53. https://doi.org/10.36076/ppj.2012/15/E909
  11. Datta S, Lee M, Falco FJ, Bryce DA, Hayek SM. Systematic assessment of diagnostic accuracy and therapeutic utility of lumbar facet joint interventions. Pain Physician. 2009; 12: 437-60. https://doi.org/10.36076/ppj.2009/12/437
  12. Kulaber A, Yilmaz H, Yavuzer M. Kronik Bel ağrılı Hastalarda Fizyoterapi Uygulamalarının Etkinliği. Haliç Üniversitesi Sağlık Bilimleri Dergisi. 2019; 2(1): 17-28.
  13. Ebadi S, Ansari NN, Naghdi S, et al. The effect of continuous ultrasound on chronic non-specific low back pain: a single blind placebo-controlled randomized trial. BMC Musculoskelet Disord. 2012; 13: 192. https://doi.org/10.1186/1471-2474-13-192
  14. Ferah İÖ. Kronik bel ağrısı olan hastalarda lomber dinamik stabilizasyon egzersizleri ve bu egzersizlere eklenen sürekli, kesikli ve plasebo ultrason tedavisinin etkinliği [dissertation]. Dokuz Eylül Univeresity; 2011.
  15. Buchmuller A, Navez M, Milletre-Bernardin M, et al. Value of TENS for relief of chronic low back pain with or without radicular pain. Eur J Pain. 2012; 16(5): 656-65. https://doi.org/10.1002/j.1532-2149.2011.00061.x
  16. Şahin N, Albayrak İ, Karahan AY, Uğurlu H. Kronik bel ağrılı hastalarda fizik tedavinin etkinliği. Genel Tıp Dergisi. 2011; 21(1): 17-20.
  17. Tomé-Bermejo F, Barriga-Martín A, Martín JLR. Identifying patients with chronic low back pain likely to benefit from lumbar facet radiofrequency denervation: a prospective study. J Spinal Disord Tech. 2011; 24(2): 69-75. https://doi.org/10.1097/BSD.0b013e3181dc9969
  18. Tekin I, Mirzai H, Ok G, Erbuyun K, Vatansever D. A comparison of conventional and pulsed radiofrequency denervation in the treatment of chronic facet joint pain. Clin J Pain. 2007; 23(6): 524-9. https://doi.org/10.1097/AJP.0b013e318074c99c
  19. van Wijk RM, Geurts JW, Wynne HJ, et al. Radiofrequency denervation of lumbar facet joints in the treatment of chronic low back pain: a randomized, double-blind, sham lesion-controlled trial. Clin J Pain. 2005; 21(4): 335-44. https://doi.org/10.1097/01.ajp.0000120792.69705.c9
  20. Marty M, Rozenberg S, Duplan B, et al. Quality of sleep in patients with chronic low back pain: a case-control study. Eur Spine J. 2008; 17(6): 839-44. https://doi.org/10.1007/s00586-008-0660-7
  21. Karaman S, Karaman T, Dogru S, et al. Prevalence of sleep disturbance in chronic pain. Eur Rev Med Pharmacol Sci. 2014; 18(17): 2475-81.
  22. O'Donoghue GM, Fox N, Heneghan C, Hurley DA. Objective and subjective assessment of sleep in chronic low back pain patients compared with healthy age and gender matched controls: a pilot study. BMC Musculoskelet Disord. 2009; 10: 122. https://doi.org/10.1186/1471-2474-10-122
  23. França VL, Koerich MHAdL, Nunes GS. Sleep quality in patients with chronic low back pain. Fisioterapia em Movimento. 2015; 28(4): 803-10. https://doi.org/10.1590/0103-5150.028.004.AO17
  24. Wolfe F, Hawley DJ, Wilson K. The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol. 1996; 23(8): 1407-17.
  25. Fritz JM, George SZ, Delitto A. The role of fear-avoidance beliefs in acute low back pain: relationships with current and future disability and work status. Pain. 2001; 94(1): 7-15. https://doi.org/10.1016/S0304-3959(01)00333-5
  26. Vlaeyen JWS, Linton SJ. Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain. 2000; 85(3): 317-32. https://doi.org/10.1016/S0304-3959(99)00242-0
  27. Altuğ F, Ünal A, Kilavuz G, Kavlak E, Çitişli V, Cavlak U. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain. J Back Musculoskelet Rehabil. 2016; 29(3): 527-31. https://doi.org/10.3233/BMR-150653
  28. Antunes RS, de Macedo BG, Amaral TDS, Gomes HDA, Pereira LSM, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta Ortop Bras. 2013; 21(1): 27-9. https://doi.org/10.1590/S1413-78522013000100005
  29. Uluğ N, Yakut Y, Alemdaroğlu İ, Yılmaz Ö. Comparison of pain, kinesiophobia and quality of life in patients with low back and neck pain. J Phys Ther Sci. 2016; 28(2): 665-70. https://doi.org/10.1589/jpts.28.665
  30. Doğuş Kayali R. Kronik bel ağrili hastalarda konvansiyonel fizik tedavinin kinezyofobi, depresyon ve uyku kalitesi üzerine erken dönem etkisi [dissertation]. Abant İzzet Baysal University; 2017.
  31. Vezina MJ, Hubley-Kozey CL. Muscle activation in therapeutic exercises to improve trunk stability. Arch Phys Med Rehabil. 2000; 81(10): 1370-9. https://doi.org/10.1053/apmr.2000.16349
  32. Choi S, Nah S, Jang HD, Moon JE, Han S. Association between chronic low back pain and degree of stress: a nationwide cross-sectional study. Sci Rep. 2021; 11(1): 14549. https://doi.org/10.1038/s41598-021-94001-1
  33. Adilay U, Guclu B, Goksel M, Keskil S. The Correlation of SCL-90-R Anxiety, Depression, Somatization Subscale Scores with Chronic Low Back Pain. Turk Neurosurg. 2018; 28(3): 434-8. https://doi.org/10.5137/1019-5149.JTN.19318-16.2
  34. Manchikanti L, Pampati V, Fellows B, et al. Influence of psychological factors on the ability to diagnose chronic low back pain of facet joint origin. Pain Physician. 2001; 4(4): 349-57. https://doi.org/10.36076/ppj.2001/4/349