Ağrısı ve Kinezyofobisi Olmayan Ortez Kullanan Bireylerin Fiziksel Aktivite Düzeylerinin Sağlıklı Kontrollerle ve Kendi Içinde Karşılaştırılması

Abstract

Purpose: Using orthosis due to orthopedic problems are common in adults. Positive effects of orthoses are correcting existing deformities, preventing progression and immobilizing a weak/injured segment. However, the effect of orthosis on level of physical activity in pain-free individuals has not been investigated. This controlled trial investigated the level of physical activity of individuals without pain and kinesiophobia who use orthoses and compared the results with healthy individuals. Material and Methods: 244 participants (94 using orthoses, 150 healthy individuals) who were 18-65 years old participated in this study. Individuals who were painless according to the Nordic Musculoskeletal Questionnaire and without kinesiophobia according to the Tampa Kinesiophobia Scale were included in the study. Physical activity was measured with The International Physical Activity Questionnaire (IPAQ). Results: The IPAQ scores showed that healthy individuals had a statistically higher level of physical activity compared to those who used orthotic devices for any part of their body (p<0.001). When the orthosis subgroups were analyzed, there was no statistically significant difference in physical activity amongst the subgroups (p=0.906, p=0.819, p=0.537). Discussion: This study shows that in addition to the clinical benefits provided by orthoses, they can lead to complications such as significant decrease in physical activity in individuals. Raising awareness that physical activity may decrease in patients using orthoses, and therefore increasing physical activity levels, should become an important part of rehabilitation.