الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Osteoporosis is a chronic progressive disease. It is defined as a systemic skeletal disease characterized by reduced bone density and micro architectural deterioration of the bone tissue with a consequent increase in bone fragility which significantly increases the risk of fractures. Kinesiophobia is associated with reduced physical activity in individuals with chronic pain. As a result, the risk of sedentary life style increases. Sedentary lifestyle and immobility are significant risk factors for bone loss. OP is a silent painless disease unless fragility fractures occur. However, being diagnosed with OP without a sufficient education about it might result in kinesiophobia because of an irrational belief regarding increased likelihood of falling as well as fractures during physical activities. Objectives : The aim of our study is to evaluate the relationship between the diagnosis of OP and kinesiophobia. Subjects and methods : This study included 100 subjects who were divided into two groups, (group I) included fifty patients with primary osteoporosis and (group II) included fifty healthy volunteers who were age and gender matched. Subjects of the study were submitted to the following: history taking, general examination, local (musculoskeletal) examination, radiological examination (DEXA), assessment of kinesiophobia (by the Tampa Kinesiophobia Scale), assessment of quality of life (by Quality of Life Questionnaire of the European Foundation for Osteoporosis (QUALEFFO-41)) and assessment anxiety and depression (by Hospital Anxiety and Depression Scale). Results : Cases were significantly associated with higher mean Total Kinesiophobia score when compared to control group. Cases showed significantly higher mean Total QUALEFFO-41 score when compared to control group. No significant differences were found between cases and controls regarding average and total anxiety score. Cases showed significantly higher mean average and total depression score when compared to control group. No significant association was found of Kinesiophobia score according to age, nutritional status, occupation, residence and fracture among all studied cases. No significant association was found of Total QUALEFFO-41 score according to age, nutritional status, occupation, residence and fracture among all studied cases. No significant association was found of total anxiety score according to age, nutritional status, occupation, residence and fracture among all studied cases. No significant association was found of total depression score according to age, nutritional status, occupation, residence and fracture among all studied cases. Conclusion : Patients with osteoporosis with or without fractures may have kinesiophobia that might be associated with fear of fracture. Kinesiophobia might adversely affect health related quality of life and psychological state in patients with osteoporosis.