Determination of Activities of Daily Living Problems in Patients with Lateral Epicondylitis and Investigation of the Relationship between Pain and Perceived Occupational Performance and Satisfaction

Year 2022, Volume: 55 Issue: 2, 89 - 93, 31.08.2022

Berkan Torpil Özgür Kaya

https://doi.org/10.20492/aeahtd.1053581

Abstract

Aim: Lateral epicondylitis is one of the most common diseases in the upper extremity that causes pain in the elbow, negatively affects activities of daily living. This study was planned to determine the activities of daily living in adults with lateral epicondylitis and to examine the relationship between pain and perceived occupational performance and satisfaction in activities of daily living.
Materials and methods: A total of 56 individuals with a diagnosis of lateral epicondylitis, 17 males and 39 females, with a mean age of 52,18±5,92 years, completed the study. Visual Analogue Scale (VAS) was used to evaluate pain, and Canadian Occupational Performance Measure (COPM) was used to determine perceived occupational performance and satisfaction level.
Results: According to the VAS, the mean pain at rest of the participants was 2,40±0,72, and the mean of pain during activity was 6,14±1,11. According to COPM, the perceived occupational performance mean of the participants in activities of daily living was 4,13±1,04 and the mean satisfaction was 4,07±1,17. When the correlation between pain and activities of daily living was examined, there was no correlation between pain at rest and perceived occupational performance (r=-0,015, p=0,911) and satisfaction (r=-0,064, p=0,639). A moderately strong negative was found between pain during activity and perceived occupational performance (r=-0,729, p<0,001) and satisfaction (r=-0,774, p<0,001) in activities of daily living (p<0,001). It was determined that 43,37% of the participants had problems in self-care, 39,72% in productivity and 16,89% in leisure time activities.
Conclusion: It was determined that pain during activity and perceived occupational performance and satisfaction level in activities of daily living were related in individuals diagnosed with lateral epicondylitis.

Keywords

Activities of daily living, Pain, Occupational performance, Satisfaction

Supporting Institution

-

Project Number

-

Thanks

-

Lateral Epikondilit Hastalarında Günlük Yaşam Aktivite Problemlerinin Belirlenmesi ve Ağrı ile Algılanan Aktivite Performansı ve Memnuniyet İlişkisinin İncelenmesi

Abstract

Amaç: Lateral epikondilit dirsekte ağrıya neden olan, günlük yaşam aktivitelerini olumsuz yönde etkileyen ve üst ekstremitede en yaygın görülen hastalıklardandır. Bu çalışma, lateral epikondilit tanılı erişkin bireylerde günlük yaşam aktivitelerinin belirlenmesi ve ağrı ile günlük yaşam aktivitelerinde algılanan aktivite performans ve memnuniyeti arasındaki ilişkinin incelenmesi amacıyla planlandı.
Gereç ve Yöntem: Çalışmayı yaş ortalaması 52.185.92 yıl olan 17’si erkek 39’u kadın toplamda 56 lateral epikondilit tanılı birey tamamladı. Ağrının değerlendirilmesi için Visual Analog Skalası (VAS), algılanan aktivite performans ve memnuniyet düzeyinin belirlenmesi için Kanada Aktivite Performans Ölçeği (KAPÖ) Kullanıldı.
Bulgular: Katılımcıların VAS’a göre istirahatteki ağrı ortalaması 2.400.72, aktivite sırasındaki ağrı ortalaması 6.141.11 olduğu belirlendi. KAPÖ’ye göre katılımcıların günlük yaşam aktivitelerinde algılanan aktivite performans ortalaması 4.131.04 ve memnuniyet ortalaması 4.071.17 olduğu belirlendi. Katılımcıların ağrı ile günlük yaşam aktivitelerindeki ilişkisi incelendiğinde, istirahatte ağrı ile algılanan aktivite performans (r=-0.015, p=0.911) ve memnuniyet (r=-0.064, p=0.639) düzeyi arasında herhangi bir ilişki bulunmadı. Aktivite sırasındaki ağrı ile algılanan aktivite performans (r=-0.729, p<0.001) ve memnuniyet (r=-0.774, p<0.001) arasında orta derecede güçlü negatif bir ilişki bulundu (p<0.05). Katılımcıların %43.37’sinin kendine bakım, %39.72’sinin üretkenlik ve %16.89’unun serbest zaman aktivitelerinde problem yaşadığı belirlendi.
Sonuç: Lateral epikondilit tanılı bireylerde aktivite sırasında ağrı ile günlük yaşam aktivitelerinde algılanan aktivite performans ve memnuniyet düzeyinin ilişkili olduğu belirlenmiştir.

Keywords

Günlük yaşam aktiviteleri, Ağrı, Aktivite performansı, Memnuniyet

Project Number

-

References

• 1- Day JM, Lucado AM, Uhl TL. A Comprehensive Rehabilitation Program for Treating Lateral Elbow Tendinopathy Int J Sports Phys Ther. 2019; 14: 818–829.
• 2- Cohen M, da Rocha Motta Filho G. Lateral Epicondylitis of The Elbow. Rev Bras Ortop. 2015; 47: 414–420.
• 3- Thiele S,Thiele R, Gerdesmeyer L. Lateral epicondylitis: this is still a main indication for extracorporeal shockwave therapy. Int J Surg. 2015; 24: 165-70.
• 4- Morrey BF. The elbow and its disorders: Elsevier Health Sciences; 2009. 626-56 p.
• 5- Alizadehkhaiyat O, Frostick SP. Electromyographic assessment of forearm muscle function in tennis players with and without Lateral Epicondylitis. J Electromyogr Kinesiol J Electromyogr Kines. 2015; 25: 876–886.
• 6- Ma KL, Wang HQ. Management of Lateral Epicondylitis: A Narrative Literature Review. Pain Res Manag. 2020; 6965381.
• 7- Smidt N, van der Windt DA. Tennis elbow in primary care. BMJ. 2006; 333; 927-928.
• 8- Brummel J, Baker CL, Hopkins R, et al. Epicondylitis: lateral. Sports Med Arthrosc Rev. 2014; 22: e1–e6.
• 9- Vaquero-Picado A, Barco R, Antuña SA. Lateral Epicondylitis of the Elbow. EFORT Open Rev. 2017; 1: 391–397.
• 10- Duncan J, Duncan R, Bansal S, et al. Lateral epicondylitis: the condition and current management strategies. Br J Hosp Med. 2019; 80:647-651.
• 11- Lenoir H, Mares O, Carlier Y. Management of lateral epicondylitis. Orthop Traumatol Surg Res. 2019; 105: 241-246.
• 12- Folstein MF, Robins LN, Helzer JE. The mini-mental state examination. Arch Gen Psychiatry. 1983; 40: 812– 812.
• 13- Güngen C, Ertan T, Eker E, et al. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turkish Journal of Psychiatry. 2002; 13: 273–281.
• 14- Law M, Baptiste S, Anne C, et al. The Canadian Occupational Performance Measure. 5th ed. Canada. Canadian Association of Occupational Therapy; 2014.
• 15- Torpil B, Ekici Çağlar G, Bumin G, et al. Validity and Reliability of the Turkish Canadian Occupational Performance Measure (COPM-TR) for People with Multiple Sclerosis. Occup Ther Health Care. 2021; 35: 306– 317.
• 16- Crichton N. Visual analogue scale (VAS). J Clin Nurs, 2001; 10: 697-706.
• 17- Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990; 13: 227–236.
• 18- Yürük ZÖ, Kırdı N, Şimşek N. Effects of Radial Extracorporeal Shock Wave Therapy on Pain, Grip Strength, and Functionality in Patients with Lateral Epicondylitis: A Randomized Controlled Study. Clin Exp Health Sci. 2016; 6: 107-115.
• 19- Eraslan L, Yuce D, Erbilici A, et al. (2018). Does Kinesiotaping improve pain and functionality in patients with newly diagnosed lateral epicondylitis?. Knee Surg Sports Traumatol Arthrosc. 2018; 26: 938-945.
• 20- Sayegh ET, Strauch RJ. Does nonsurgical treatment improve longitudinal outcomes of lateral epicondylitis over no treatment? A meta-analysis. Clin Orthop Relat Res. 2015; 473: 1093-1107.
• 21- Murrell WD, Tulpule S, Yurdi NA, et al. Orthobiologics for the Treatment of Tennis Elbow. In Orthobiologics. Springer, Cham; 2022.p.191-204.
• 22- Tyler TF, Thomas GC, Nicholas SJ, et al. Addition of isolated wrist extensor eccentric exercise to standard treatment for chronic lateral epicondylosis: a prospective randomized trial. J Shoulder Elb Surg. 2010; 19: 917-922.
• 23- Hamill J, Knutzen KM. Biomechanical basis of human movement. 3rd ed. Lippincott Williams & Wilkins; 2010.
• 24- Ian B, Maitin EC. Lange Current Tanı ve Tedavi Fiziksel Tıp ve Rehabilitasyon. Prof. Dr. Ayşegül Ketenci PDDE, Prof. Dr. Alp Çetin, Prof. Dr. Ömer Faruk Şendur, editor. Türkiye: Ema Tıp Kitapevi; 2017.p.47-61.
• 25- Lai WC, Erickson BJ, Mlynarek RA, et al. Chronic lateral epicondylitis: challenges and solutions. Open Access J Sports Med. 2018; 9: 243.
• 26- Hsu SH, Moen TC, Levine WN. Physical examination of the athlete’s elbow. Am J Sports Med. 2021; 40: 699–708.
• 27- Ahmad Z, Siddiqui N, Malik SS. Lateral epicondylitis: a review of pathology and management. Bone Jt J. 2013; 95:1158–1164.
• 28- Clinton RE, Murthi AM. Lateral epicondylitis. Curr Orthop Pract. 2008; 19: 612-615.
• 29- Vicenzino B, Cleland JA, Bisset L. Joint manipulation in the management of lateral epicondylalgia: a clinical commentary. J Man Manip Ther. 2007; 15: 50-56.
• 30- Waugh EJ, Jaglal SB, Davis AM, et al. Factors associated with prognosis of lateral epicondylitis after 8 weeks of physical therapy. Arch Phys Med Rehabil. 2004; 85: 308-318.
• 31- Marik TL, Roll SC. Effectiveness of occupational therapy interventions for musculoskeletal shoulder conditions: a systematic review. Am J Occup Ther. 2017; 71: 7101180020p1-7101180020p11.
• 32- Shiri R, Viikari-Juntura E. Lateral and medial epicondylitis: role of occupational factors. Best Pract Res Clin Rheumatol. 2011; 25: 43-57.
• 33- Bretschneider SF, Los FS, Eygendaal D, et al. Work‐relatedness of lateral epicondylitis: Systematic review including meta‐analysis and GRADE work‐relatedness of lateral epicondylitis. Am J Ind Med. 2022; 65: 41–50.