Fizyolojik Pes Planus Görülen Çocuklarda Sağlıkla İlgili Yaşam Kalitesi ile Alt Ekstremite Biyomekaniksel Özellikleri Arasındaki İlişkinin İncelenmesi – Pilot Çalışma

Abstract

Amaç:Bu pilot çalışmanın amacı, fizyolojik pes planus görülen çocukların, sağlıkla ilgili yaşam kaliteleri ile alt ekstremitenin biyomekaniksel karakteristikleri arasında ilişkinin araştırılmasıydı. Gereç ve Yöntemler:Bu çalışma kapsamında, yaşları ortalama 8,47±2,94 yıl olan, 8 kız ve 8 erkek olmak üzere 16 fizyolojik pes planusu olan çocuğun 32 alt ekstremitesi incelendi. Olguların alt ekstremitelerine ait biyomekaniksel özelliklerinin ortaya konabilmesi amacıyla, metatarsal esneklik (ME), ağırlıklı topuk-bacak açısı (TBA-WB), navikular düşme testi (NDT), Ayak Postür İndeksi (FPI), ayak bileği plantar fleksor kas kısalığı, popliteal açı (PA) ve Beighton Skoru (BS) değerlendirildi. Sağlıkla ilgili yaşam kalitesinin değerlendirmesinde, Çocuklar için Yaşam Kalitesi Ölçeği ÇİYKÖ-Çocuk Formu kullanıldı. Çalışma kapsamında ayrıca, ebeveynlerin çocuklarının sağlıkla ilgili yaşam kalitelerine bakış açısını değerlendiren ÇİYKÖ-Ebeveyn Formu uygulandı. Bulgular:Olguların ÇİYKÖ-Çocuk formunun fiziksel, sosyal, emosyonel, okul, psikososyal sağlık özet skoru ve toplam skorlar ile ME, TBA-WB, FPI, plantar fleksor kas kısalığı, PA ve BS verileri arasında anlamlı ilişki bulunmadı (p>0,05). ÇİYKÖ-Ebeveyn formuna göre ise, fiziksel skor ile sağ alt ekstremite PA (r= 0,535; p= 0,048), sosyal skoru ile sol PA (r= 0,537; p= 0,048) ve ÇİYKÖ toplam skoru ile sol PA verileri arasında pozitif ve anlamlı ilişki bulundu (r= 0,702; p= 0,005). Sonuç:Fizyolojik pes planus görülen çocukların, sağlıkla ilgili yaşam kaliteleri ile alt ekstremitenin biyomekaniksel karakteristikleri arasındaki ilişkiyi araştırdığımız pilot çalışmamızın sonuçlarına göre, çalışma içinde değerlendirilen parametreler açısından klinik öneme sahip herhangi bir ilişkiyi işaret etmemiştir. Daha fazla sayıda ve farklı şiddetlerdeki patolojilere göre gruplanmış olgu sayısının dahil edildiği, görülen patolojilerin bireyin yaşam kalitesine etkisini kendi algısı ve ebeveyn algının karşılaştırıldığı çalışmalara gereksinim duyulmaktadır.

Keywords

• Biyomekani
• çocuk
• pes planus
• yaşam kalitesi

The Relationship Between Health-Related Quality Of Life And Lower Extremity Biomechanical Features In Children With Physiological Pes Planus – A Pilot Study

Abstract

Aim: The aim of this study was to investigate the relationship between the health related quality of life and biomechanical characteristics of the lower extremity in children with physiological pes planus.Materials and methods:In this study, 32 lower extremities of 16 children with physiological pes planus (8 girls and 8 boys) with an average age of 8.47 ± 2.94 years were examined. Metatarsal flexibility (ME), weighted heel-leg angle (TBA-WB), navicular drop test (NDT), Foot Posture Index (FPI), ankle plantar flexor muscle shortness, popliteal angle (PA) and Beighton Score (BS) were used to evaluate the anthropometric properties of the lower extremities.The Pediatric Quality of Life Inventory (PedsQL)-Child Form was used to evaluate health-related quality of life.The PedsQL-Parent Form, which evaluates the parents' perspective on their children's health-related quality of life, was also applied.Results:There was no significant relationship between the physical, social, emotional, school, psychosocial health summary score and total scores of the PedsQL-Child form of the cases and the data of ME, TBA-WB, FPI, plantar flexor muscle shortness, PA, and BS (p>0.05).According to the PedsQL-Parent form, there was a positive and significant relationship between physical score and right lower extremity PA(r=0.535; p=0.048), social score and left PA (r=0.537; p=0.048), and PedsQL total score and left PA(r=0.702; p=0.005).Conclusion:The results of our study, the relationship between the health-related quality of life and the biomechanical characteristics of the lower extremity in children with physiological pes planus did not indicate any clinical significance in terms of evaluated parameters.There is a need for studies with a larger number of cases grouped according to pathologies of different severity and the effects of pathologies seen on the individual’s quality of life, and comparison of child’s own and parental perception.

Keywords

• Biomechanics
• child
• pes planus
• quality of life

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