The profile beyond leg pain: In basis of central sensitization, kinesiophobia, and body awareness in patients with chronic venous disease

dc.authoridBazancir Apaydin, Zilan/0000-0001-6834-8343
dc.contributor.authorBazancir-Apaydin, Zilan
dc.contributor.authorSakizli Erdal, Elif
dc.contributor.authorKeser, Ilke
dc.contributor.authorErer, Dilek
dc.date.accessioned2025-01-21T16:55:11Z
dc.date.available2025-01-21T16:55:11Z
dc.date.issued2024
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjective: Leg pain has long been underestimated despite being one of the most important symptoms of chronic venous disease (CVD). Studies investigating leg pain and psychosocial profile in CVD are limited. The study aimed to investigate leg pain, central sensitization, kinesiophobia, and body awareness in patients with CVD. Methods: The ninety-eight patients (80 female, 18 male) diagnosed with CVD were included in the study. The severity of leg pain was evaluated with the Visual Analog Scale (VAS). The patients were assessed with the Central Sensitization Inventory (CSI-A and B) for central sensitization-related symptoms and -positivity, the Body Awareness Questionnaire (BAQ) for body awareness, and the Tampa Kinesiophobia Scale (TKS) for kinesiophobia. The cut-off score was admitted as 41 for TKS. Results: The leg pain (mean (SD) = 4.3 +/- 2) and body awareness (mean (SD) = 82.4 +/- 22) were moderate levels in patients with CVD. Nearly half of the patients (n = 46, 46.9%) had both central sensitization positivity and elevated kinesiophobia (n = 46, 47%). The CSI was correlated with the VAS (r = 0.32, p = .001), TKS (r = 0.40, p < .001), and BAQ (r = 0.20, p = .048). Significant correlations were determined between Body Mass Index and TKS (r = 0.48, p < .001) and BAQ (r = -0.31, p = .002). Also, the patients with a TKS score >= 41-points had higher CSI-A scores (p = .002) than those with a TKS score< 41. Conclusions: Leg pain, central sensitization, and kinesiophobia are commonly seen in patients with CVD, and central sensitization seems to have a negative effect on leg pain, kinesiophobia, and body awareness. The profile beyond pain should be evaluated in detail, and various rehabilitation strategies need to be developed to manage central sensitization, interoception, kinesiophobia, and weight control in patients with CVD.
dc.description.sponsorshipThe authors would like to thank all patients who participated in the study.
dc.identifier.doi10.1177/02683555241286385
dc.identifier.issn0268-3555
dc.identifier.issn1758-1125
dc.identifier.pmid39314072
dc.identifier.scopus2-s2.0-85205266041
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://doi.org/10.1177/02683555241286385
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25719
dc.identifier.wosWOS:001324544400001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Inc
dc.relation.ispartofPhlebology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20241229
dc.subjectPain; interoception; fear of movement; venous insufficiency
dc.titleThe profile beyond leg pain: In basis of central sensitization, kinesiophobia, and body awareness in patients with chronic venous disease
dc.typeArticle

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