Background: Studies has demonstrated the development of Kinesiophobia in Low Back Pain (LBP) and identified as one of the risk factor for chronicity in LBP. In addition to deconditioning effect, Kinesiophobia also install functional disability and does that affect quality of life? Literatures had exposed the association of Kinesiophobia in chronic and acute low back pain separately but paucity in estimating their quality of life thus this study aims to explore the impact of Kinesiophobia on the quality of life in LBP.Materials and Methods: One hundred and twenty study participants were recruited by convenient sampling method between 18 -60 years of age. Data were collected by using Tampa scale of Kinesiophobia, Numerical Pain Rating Scale, SF-36 Health Status Questionnaire and Modified Oswestry Disability Questionnaire for LBP. Secured scores were analysed in SPSS software to identify the association between Kinesiophobia and other functional scales.Results: Mean age of the study participant was 39.79±11.22 years. Prevalence rate of high degree of Kinesiophobia was found as to be 58.33% (n=70). As the intensity of pain increases in LBP, the development of Kinesiophobia also increased and its association exhibited as weak positive linear correlation (r=0.256, p=0.032). Development of Kinesiophobia has demonstrated increased functional disability where correlation between Kinesiophobia and Oswestry disability shows moderate positive correlation (r = 0.495, p=0.000) simultaneously correlation between Kinesiophobia and SF-36 shows moderate negative correlation (r = -0.420, p=0.000) indicating decreased Quality of Life.Conclusions: It has been found that there is a direct relationship between the pain and the development of Kinesiophobia in LBP which in turn increase in the development of functional disability thus marking decreased QOL.
Introduction: Hip fracture is a major public health problem because of its prevalence, economic costs, and health conse quences. Intertrochanteric hip fractures account for approxi mately half of the hip fractures in the elderly; out of this more than 50% fractures are unstable. Displacement and stability of an intertrochanteric fracture are an important determinant of treatment. Aims and objectives:To find out the level of recovery in diffe rent types of intertrochanteric hip fractures and to assess the functional capacity of patients who had an intertrochanteric hip fractures of different types. Materials and methods:Fourteen subjects who underwent hip surgery for stable or unstable intertrochanteric fracture with internal fixation since 6 months to 1 year in the age group of 40 to 60 years were analyzed using the Harris hip score (HHS) to assess the level of recovery of the patient.Results: Fourteen subjects with intertrochanteric fracture were recruited for the study. The pain component of HHS depicts that stable type of an intertrochanteric fracture displays a better mean pain score of 40.00 (SD = 0.00) compared to unstable type with a mean score of 36.29 (SD = 6.05) and the score for activity limitation concludes that there is less activity limitation in stable type compared to the unstable type of an intertrochanteric fracture with a mean score of 34.86 (SD = 6.69) and 23.86 (SD = 14.06) respectively. Deformity infers that stable type of intertrochanteric fracture shows less defor mity at a score of 0.000 as compared to unstable type at 0.571 (SD = 1.51) and score for range of motion (ROM) is limited in stable type with a score of 3.86 (SD = 0.72) compared to 4.13 (SD = 0.55) scored by unstable type of intertrochanteric fracture group. The results for HHS shows stable type of intertrochanteric fracture displays a better HHS at 78.71 (SD = 6.18) compared to 64.85 (SD = 16.33) scored by unstable type group. A statistical
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