Turkish Journal of Physical Medicine and Rehabilitation

Evaluation of the physical and emotional effects of the COVID-19 pandemic on patients with fibromyalgia and chronic low back pain: A multicenter cross-sectional controlled study

Fatih Bagcier 1 ,Sibel Kibar 2 ,Deniz Evcik 3 ,Ayşegül Ketenci 4 ,Dilşad Sindel 4 ,Birkan Sonel Tur 5 ,Zeliha Ünlü 6 ,Canan Tıkız 6 ,Dilek Keskin 7 ,Alev Alp 8 ,Saime Ay 9 ,Burcu Yanık 10 ,Duygu Geler Külcü 11 ,Merve Karakaş 12 ,Fatma Gülçin Ural Nazlıkul 13 ,Kübra Neslihan Kurt Oktay 14 ,Meliha Kasapoğlu Aksoy 15 ,Gülin Fındıkoğlu 16 ,Filiz Eser 17 ,Arzu Atıcı 18 ,Ozan Volkan Yurdakul 19 ,Fatmanur Aybala Koçak 20 ,Emine Eda Kurt 21 ,Yasemin Özkan 22 ,Şebnem Koldaş Doğan 23 ,Tuba Erdem Sultanoğlu 24 ,Banu Ordahan 25 ,Ebru Karaca Umay 26 ,Esma Demirhan 27 ,Hanife Çağlar Yağcı 28 ,Özlem Balbaloğlu 29 ,Nihal Tezel 26 ,Serap Satış 30 ,Sevgi Atar 27 ,Mazlum Serdar Akaltun 31
1 Department of Physical Therapy and Rehabilitation, Başakşehir Çam and Sakura City Hospital, Istanbul, Türkiye
2 Department of Physical Therapy and Rehabilitation, Private Medical Center, Ankara, Türkiye
3 Department of Physical Therapy and Rehabilitation, Güven Hospital, Ankara, Türkiye
4 Department of Physical Medicine and Rehabilitation, Istanbul University Faculty of Medicine, Istanbul, Türkiye
5 Department of Physical Medicine and Rehabilitation, Ankara University Faculty of Medicine, Ankara, Türkiye
6 Department of Physical Medicine and Rehabilitation, Celal Bayar University Faculty of Medicine, Manisa, Türkiye
7 Department of Physical Medicine and Rehabilitation, Kırıkkale University Faculty of Medicine, Kırıkkale, Türkiye
8 Department of Physical Medicine and Rehabilitation, Uludağ University Faculty of Medicine, Bursa, Türkiye
9 Department of Physical Medicine and Rehabilitation, Ufuk University Faculty of Medicine, Ankara, Türkiye
10 Department of Physical Therapy and Rehabilitation, Çankaya Hospital, Ankara, Türkiye
11 Department of Physical Medicine and Rehabilitation, Haydarpaşa Numune Training and Research Hospital, Istanbul, Türkiye
12 Department of Physical Therapy and Rehabilitation, Urla State Hospital, Izmir, Türkiye
13 Department of Physical Medicine and Rehabilitation, Yıldırım Bayezid University Faculty of Medicine, Ankara, Türkiye
14 Department of Physical Medicine and Rehabilitation, Yeditepe University Faculty of Medicine, Istanbul, Türkiye
15 Department of Physical Therapy and Rehabilitation, Bursa Yüksek İhtisas Training and Research Hospital, Bursa, Türkiye
16 Department of Physical Medicine and Rehabilitation, Pamukkale University Faculty of Medicine, Denizli, Türkiye
17 Department of Physical Therapy and Rehabilitation, Ankara City Hospital, Ankara, Türkiye
18 Department of Physical Therapy and Rehabilitation, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Türkiye
19 Department of Physical Medicine and Rehabilitation, Bezmialem University Faculty of Medicine, Istanbul, Türkiye
20 Department of Physical Medicine and Rehabilitation, Ahi Evran University Faculty of Medicine, Kırşehir, Türkiye
21 Department of Physical Medicine and Rehabilitation, Alaaddin Keykubat University Faculty of Medicine, Antalya, Türkiye
22 Department of Physical Medicine and Rehabilitation, Adnan Menderes University Faculty of Medicine, Aydın, Türkiye
23 Department of Physical Therapy and Rehabilitation, Antalya Training and Research Hospital, Antalya, Türkiye
24 Department of Physical Medicine and Rehabilitation, Düzce University Faculty of Medicine, Düzce, Türkiye
25 Department of Physical Therapy and Rehabilitation, Necmettin Erbakan University Faculty of Medicine, Konya, Türkiye
26 Department of Physical Therapy and Rehabilitation, Dışkapı Training and Research Hospital, Ankara, Türkiye
27 Department of Physical Therapy and Rehabilitation, Prof. Dr. Cemil Taşcıoğlu City Hospital, Istanbul, Türkiye
28 Department of Physical Medicine and Rehabilitation, Medeniyet University Faculty of Medicine, Istanbul, Türkiye
29 Department of Physical Medicine and Rehabilitation, Bozok University Faculty of Medicine, Yozgat, Türkiye
30 Department of Physical Medicine and Rehabilitation, Harran University Faculty of Medicine, Şanlıurfa, Türkiye
31 Department of Physical Medicine and Rehabilitation, Gaziantep University Faculty of Medicine, Gaziantep, Türkiye
DOI : 10.5606/tftrd.2022.10053 Objectives: This study aimed to investigate the physical and emotional effects of the coronavirus disease 2019 pandemic in patients with fibromyalgia syndrome (FMS) and chronic low back pain (CLBP) patients.

Patients and methods: The cross-sectional controlled study was performed with 1,360 participants (332 males, 1,028 females; mean age: 42.3±12.5 years; range, 18 to 65 years) between September 2020 and February 2021. The participants were evaluated in three groups: the FMS group (n=465), the CLBP group (n=455), and the healthy control group (n=440). Physical activity, pain levels, and general health status before and during the pandemic were evaluated in all participants. Stress levels were analyzed with the perceived stress scale (PSS) in all groups, and disease activity was analyzed with the fibromyalgia impact questionnaire (FIQ) in patients with FMS.

Results: Patients with FMS had worsened general health status and pain levels during the pandemic compared to the other groups (p<0.01). The FMS group showed significantly higher PSS scores than those in other groups (p<0.01). There was a weak-positive correlation between FIQ and PSS parameters in patients with FMS (p<0.05, r=0.385).

Conclusion: The general health status, pain, and stress levels of the patients with FMS and CLBP tended to worsen during the pandemic. This high-stress level appeared to affect disease activity in patients with FMS. Keywords : Chronic low back pain, coronavirus disease 2019 pandemic, fibromyalgia