| Abstract [eng] |
The main goal of the study was to examine the psychological factors of the connection between pain intensity and physical performance in rehabilitation patients. With this study had we explored changes in patients’ pain intensity and physical activity over time, evaluated their kinesiophobia level and pain coping strategies they were using in rehabilitation. Moreover we were trying to find out the relations among those variables. We had hypothesized there is a connection between pain intensity and physical performance in patients after hip replacement. Also we expected that pain coping strategies and kinesiophobia would interfere with pain intensity patients were experiencing and their physical activity in rehabilitation. The survey began after given permission to execute the research. The permission was given by administration of Vilnius Valakupiai rehabilitation center, Vilnius center of gerontology and rehabilitation, and sanatorium Pusyno kelias. The study was based on 41 patients in rehabilitation after hip replacement, comprising a total of 10 (24,4%) men and 31 (75,6%) women, age between 34–78 years (average age 62,9 years). Patients were investigated during their whole treatment period. Pain intensity and physical activity diaries were used to accomplish the research. The Coping Strategies Questionaire (Rosental, Keefe, 1983) and Tampa scale for kinesiophobia (Miller et al., 1991) were also applied in this investigation. As it was needed to evaluate the physical activity of participants, kinesiotherapists were involved in this research too. They were assessing physical activity of patients. It was found that patients experience pain intensity differently in rehabilitation treatment. There are also some differences in experience of physical activity. Received data showed that there is connection between patients’ pain intensity and physical activity in hip replacement rehabilitation. It was also found that patients use different pain coping strategies in rehabilitation. Coping strategies can be classified to rational, self-control and behavioral. The research disclosed that patients’ belief that they can control and decrease pain influence their perceived pain intensity and physical activity in rehabilitation treatment. Identified relationship between patients’ kinesiophobia level and following variables: used pain coping strategies, pain intensity, physical performance in rehabilitation. |
