Evaluation of Adherence to Walking Prescriptions of Women with Fibromyalgia and Factors Predicting Adherence to Walking Prescriptions: A Cross-Sectional Study Fibromiyaljili Kadınların Yürüme Reçetelerine Uyumunun ve Yürüme Reçetelerine Uyumu Öngören Faktörlerin Değerlendirilmesi: Kesitsel Bir Çalışma
Turkiye Klinikleri Journal of Medical Sciences, cilt.44, sa.2, ss.53-59, 2024 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 44 Sayı: 2
- Basım Tarihi: 2024
- Doi Numarası: 10.5336/medsci.2024-101536
- Dergi Adı: Turkiye Klinikleri Journal of Medical Sciences
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.53-59
- Anahtar Kelimeler: Exercise, fibromyalgia, walking
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: There is limited data on compliance with unsupervised walking recommendations as physical exercise in patients with fibromyalgia (FM). The aims of this study were 1) to evaluate whether walking for exercise was recommended by their physiatrist in a sample of Turkish women with FM who received pharmacological treatment, 2) to determine the frequency of patients who walk for exercise, 3) to clinically compare patients who walk for exercise and those who do not, and 4) to identify factors associated with adherence to walking prescriptions. Material and Methods: 100 female patients with FM were included in this cross-sectional study. Walking for exercise was evaluated according to a specific criterion. The patients were categorized as “walking for exercise” and “not walking for exercise”. Outcome measures included Fibromyalgia Impact Questionnaire, visual analogue scale (VAS), Tampa Kinesiophobia Scale (TKS) and the Pain Catastrophizing Scale (PCS). Results: Walking for exercise was recommended by their physiatrist to 77% of women with FM. 26% of the patients were determined as “walking for exercise”. The rate of adherence to walking prescriptions was 32.47%. VAS at movement (p=0.030), PCS (p=0.019) and TKS (p=0.012) scores were statistically significantly lower in the “walking for exercise” group than in the “not walking for exercise” group. Logistic regression analysis showed that the decrease in TKS score independently contributed to adherence to walking prescriptions. Conclusion: Our results suggest that clinical interventions aiming to reduce fear of movement would help increase adherence to walking prescriptions.