AB1175-HPR The Effects of Clinical Pilates Exercises on Kinesophobia in Women with Osteoporosis

Background Osteoporosis (OP), is the most frequent metabolic bone disease and most common public health problem worldwide. Chronic pain is the most common complication in OP patients and causes fear-avoidance beliefs and kinesophobia (1-4). Exercise therapies and active life style were advised for management of OP (5). In literature, clinical pilates exercises were used in pain management and for improving postural/mechanical problems. Objectives The aim the study is to investigate the effects of clinical pilates exercise on kinesophobia in women with OP. Methods 47 female OP patients were included in this study, they were randomly divided into 2 groups, as there would be 23 patients in control group, 24 patients in exercise group. Patients in exercise group joined exercise program regularly that was held 3 times a week, 1 hour a day, during 6 weeks with physiotherapist. Patients in control group continued their normal daily living without doing exercise during 6 weeks. Visual Analogue Scale (VAS) was used for pain, Pain disability Index (PDI) was used for pain related disability and Tampa Kinesophobia Scale was used. Results 40 patients (control group n=20, exercise group n=20) completed study who were assessed initially and at the end of 6 weeks. According to the measurements that were taken at the end of the study, exercise group patients9 pain, disability and fear of movement level decreased when compared to the control group9s (p Conclusions This study showed that providing positive effects on kinesophobia seen on the patients9 diagnosed with OP, clinical pilates exercise training can be recommended to the patient, as a safe exercise model. References Bab, I.A., Yirmiya, R. (2010). Depression and bone mass. Annals Of The New York Academy Of Sciences, 1192, 170-175. Stalnacke, B.M. (2011). Life satisfaction in patients with chronic pain – relation to pain intensity, disability, and psychological factors. Neuropsychiatric Disease and Treatment, 7, 683-689. Tunca Yilmaz, O., Yakut, Y., Uygur, F., Ulug, N. (2011). Tampa Kinezyofobi Olcegi`nin Turkce versiyonu ve Test-tekrar Test Guvenirligi. Fizyoterapi Rehabilitasyon Dergisi, 22(1), 44-49. Heuts, P.H.T.G., Vlaeyen, J.W.S., Roelofs, J., Bie, R.A., Aretz, K., Weel, C. and others. (2004). Pain-related fear and daily functioning in patients with osteoarthritis. Pain, 110, 228–235. Hubscher, M., Vogt, L., Schmidt, K., Fink, M., Banzer, W. (2010). Perceived pain, fear of falling and physical function in women with osteoporosis. Gait & Posture, 32, 383–385. Disclosure of Interest None declared DOI 10.1136/annrheumdis-2014-eular.4796