Ağrısı ve Kinezyofobisi Olmayan Ortez Kullanan Bireylerin Fiziksel Aktivite Düzeylerinin Sağlıklı Kontrollerle ve Kendi Içinde Karşılaştırılması

Abstract

Amaç: Ortopedik problemler nedeniyle ortez kullanımı yetişkin popülasyonda oldukça yaygındır. Ortezlerin olumlu etkileri, mevcut deformiteleri düzeltmesi, ilerlemesini engellemesi ve zayıf/yaralı bir segmenti hareketsiz hale getirmesidir. Ancak ortez kullanan ağrısız bireylerde ortezin fiziksel aktivite düzeyine etkileri henüz araştırılmamıştır. Bu kontrollü çalışma, ortez kullanan ağrısız ve kinezyofobisi olmayan bireylerin fiziksel aktivite düzeylerini araştırmış ve sonuçları sağlıklı bireylerle karşılaştırmıştır. Gereç ve Yöntem: Bu çalışmaya 18-65 yaş arası toplam 244 birey (94 ortez kullanan, 150 sağlıklı birey) katılmıştır. Nordic Kas İskelet Sistemi Anketi’ne göre ağrısız olan ve Tampa Kinesiyofobi Ölçeği'ne göre kinezyofobisi olmayan olgular çalışmaya dâhil edildi. Fiziksel aktivite, Uluslararası Fiziksel Aktivite Anketi (IPAQ) ile ölçüldü. Sonuçlar: IPAQ skorlarına göre, sağlıklı bireylerin, vücutlarının herhangi bir yerinde ortez kullananlara kıyasla istatistiksel olarak daha yüksek fiziksel aktivite düzeyine sahip olduğunu bulundu (p<0,001). Ortez alt grupları incelendiğinde; fiziksel aktivite düzeyleri açısından alt gruplar arasında istatistiksel olarak anlamlı bir fark olmadığı görüldü (p=0,906, p=0,819, p=0,537).Tartışma: Bu çalışma, ortezlerin sağladığı klinik yararların yanında bireylerde fiziksel aktivitenin önemli ölçüde azalması gibi bir komplikasyona yol açabileceğini göstermektedir. Ortez kullanan hastalarda fiziksel aktivitenin azalabileceğinin farkındalığını yaratmak ve dolayısıyla fiziksel aktivite düzeylerini artırmak rehabilitasyonun önemli bir parçası haline gelmelidir.

Keywords

• Ortez cihazları
• Fiziksel aktivite
• Alt ekstremite
• Üst ekstremite
• Omurga

Comparison of Physical Activity Levels of Individuals Using Orthosis Without Pain and Kinesiophobia with Healthy Controls and within Themselves

Abstract

Purpose: Using orthosis due to orthopedic problems are common in adults. Positive effects of orthoses are correcting existing deformities, preventing progression and immobilizing a weak/injured segment. However, the effect of orthosis on level of physical activity in pain-free individuals has not been investigated. This controlled trial investigated the level of physical activity of individuals without pain and kinesiophobia who use orthoses and compared the results with healthy individuals. Material and Methods: 244 participants (94 using orthoses, 150 healthy individuals) who were 18-65 years old participated in this study. Individuals who were painless according to the Nordic Musculoskeletal Questionnaire and without kinesiophobia according to the Tampa Kinesiophobia Scale were included in the study. Physical activity was measured with The International Physical Activity Questionnaire (IPAQ). Results: The IPAQ scores showed that healthy individuals had a statistically higher level of physical activity compared to those who used orthotic devices for any part of their body (p<0.001). When the orthosis subgroups were analyzed, there was no statistically significant difference in physical activity amongst the subgroups (p=0.906, p=0.819, p=0.537). Discussion: This study shows that in addition to the clinical benefits provided by orthoses, they can lead to complications such as significant decrease in physical activity in individuals. Raising awareness that physical activity may decrease in patients using orthoses, and therefore increasing physical activity levels, should become an important part of rehabilitation.

Keywords

• Orthotic devices
• Physical activity
• Lower extremity
• Upper extremity
• Spine

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