Pelvik Kuşak Ağrısında Klinik Testler ile Hasta Bildirimli ve Performansa Dayalı Sonuç Ölçümleri

Year 2021, Volume: 4 Issue: 3, 321 - 327, 01.09.2021

Semiha Yenişehir

https://doi.org/10.19127/bshealthscience.875304

Abstract

Pelvik kuşak ağrısı (PKA) yaygın olarak görülen bir kas-iskelet sistemi hastalığıdır. Gebelik, travma, artrit ve osteoartrit ile ilişkili olarak artan PKA, hormonal, biyomekanik, travmatik, metabolik, genetik, psikolojik, nörofizyolojik ve dejeneratif faktörlere bağlı olarak ortaya çıkmaktadır. PKA ağrı ve aktivite limitasyonu gibi durumlara yol açarak yaşam kalitesinde azalmaya yol açmaktadır. PKA’lı bireylerde açığa çıkan bu durumların hasta bildirimli ve performansa yönelik sonuç ölçümleriyle değerlendirilmesi, tedavi programının planlaması ve etkinliğinin gösterilmesi açısından önemli rol oynamaktadır. Bu çalışmanın amacı PKA’lı bireylerin tanı ve değerlendirilmesinde kullanılan klinik testleri ile hasta bildirimli ve performansa dayalı sonuç ölçümlerini derlemektir. Bu amaçla PubMed, Google Scholar ve ScienceDirect veri tabanlarında ilgili anahtar sözcükler kullanılarak 1 Aralık 2020 tarihine kadar yayımlanmış olan çalışmalarda tarama yapılmıştır. PKA’lı bireylerin tanısında kullanılan klinik testler ve değerlendirilmesinde kullanılan hasta bildirimli ve performansa dayalı sonuç ölçümleri psikometrik analizlerle sunulmuş, gerek performansa dayalı sonuç ölçümleri ve gerekse bunların karşılaştırıldığı çalışmaların oldukça az sayıda olduğu görülmüştür. Bu derlemenin bulgularının PKA’lı bireylerle çalışan tüm sağlık profesyonelleri ve araştırmacılar için yol gösterici olacağı düşünülmektedir.

Keywords

Pelvik kuşak ağrısı, Posterior pelvik ağrı, Tanısal testler, Fiziksel performans, Hasta bildirimli sonuç ölçümleri

Clinical Tests and Patient-Reported and Performance-Based Outcome Measures in Pelvic Girdle Pain

Abstract

Pelvic girdle pain (PGP) is a common musculoskeletal disease. PGP, which increases in relation to pregnancy, trauma, arthritis and osteoarthritis, arises due to hormonal, biomechanical, traumatic, metabolic, genetic, psychological, neurophysiological and degenerative factors. PGP causes a decrease in quality of life by causing conditions such as pain and activity limitation. Assessment of these conditions in individuals with PGP by patient notification and performance-based outcome measurements play an important role in terms of planning the treatment program and its effectiveness. This study aimed to compile clinical tests and outcome measures used in the diagnosis and evaluation of individuals with PGP. For this aim, the studies published in PubMed, Google Scholar, and ScienceDirect databases were searched using the relevant keywords 1 December 2020. The clinical tests used for diagnosis and patient-reported and performance-based outcome measures used in the evaluation of individuals with PGP have been presented with psychometric analysis, and it has been observed that there are very few studies that compared both performance-based outcome measures and these. It is thought that the findings of this review will be a guide for all health professionals and researchers working with individuals with PGP.

Keywords

Pelvic girdle pain, Posterior pelvic pain, Diagnostic tests, Physical performance, Patient reported outcome measures

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