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Effect of Scapular Dyskinesis on Disease Activity, Quality of Life, Level of Disability in Female Patients with Rheumatoid Arthritis

Year 2018, Volume: 6 Issue: 2, 125 - 134, 29.08.2018

Mehmet Delen Deran Oskay Songül Bağlan Zeynep Tuna Oğuzhan Mete Ahmet Gökkurt Gizem Töre Abdurrahman Tufan

https://doi.org/10.30720/ered.463651

Abstract

Purpose: The purpose of the study
was to investigate the effects of scapular dyskinesis on quality of life and
level of disability among female patients with RA. Material and Methods: 52 patients with RA were
evaluated for the study, and they were divided equally into two groups with the
following criteria: patient has scapular dyskinesis (SD) (Group 1) or patient
does not have SD (Group 2). Disability level, Quality of Life (QoL), disease
activity, scapular dyskinesis, pain level and muscle strength were assessed with
Turkish version of Disabilities of Arm, Shoulder and Hand questionnaire
(DASH-T), Rheumatoid Arthritis specific Quality of Life questionnaire
(RAQoL-T), Rheumatoid Arthritis Disease Activity Index-5 (T-RADAI-5), Lateral
Scapular Slide Test, Visual Analog Scale (VAS), manual muscle test
respectively. Results: Both groups were
similar demographically. Results of the patient with SD (Group 1) were
significantly different in a negative way than those of the patient without SD
(Group 1) in DASH (p=0,001), RADAI-5 (p<0,001), RAQoL (p<0,001), VAS
right shoulder (p=0,002) and left shoulder (p=0,001). In Group 1, asymmetric
side shoulder had less external rotation muscle strength compared to simetric
side shoulder (p=0,046). Discussion: Clinic outcomes
of RA patients with SD are worse than those of without SD. Hence, SD may be
linked to demonstration of loss of clinic outcomes. Clinicians should not
ignore SD in patients with RA.

Keywords

Scapular dyskinesis Rheumatoid artrit Quality of Life

References

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  • Electromyographic activity of selected shoulder muscles in commonly used therapeutic exercises. Phys Ther, 73(10), 668-677.
  • Ben-Yishay, A., Zuckerman, J. D., Gallagher, M., & Cuomo, F. (1994). Pain inhibition of shoulder strength in patients with impingement syndrome. Orthopedics, 17(8), 685-688.
  • Bilberg, A., Bremell, T., & Mannerkorpi, K. (2012). Disability of the Arm, Shoulder and Hand questionnaire in Swedish patients with rheumatoid arthritis: A validity study. J Rehabil Med, 44(1), 7–11.
  • Bjelle, A. (1989). Epidemiology of shoulder problems. Baillieres Clin Rheumatol, 3(3), 437-51.
  • Boström, C., Harms-Ringdahl, K., & Nordemar, R. (1991). Clinical reliability of shoulder function assessment in patients with rheumatoid arthritis. Scand J Rehabil Med, 20(1), 36-48.
  • Boström, C., Harms-Ringdahl, K., & Nordemar, R. (1995). Relationships between measurements of impairment, disability, pain, and disease activity in rheumatoid arthritis patients with shoulder problems. Scand J Rehabil Med, 24(6), 352–359.
  • Böstrom C. (2000). Shoulder rotational strength, movement, pain and joint tenderness as indicators of upper-extremity activity limitation in moderate rheumatoid arthritis. Scand J Rehabil Med, 32(3), 134–9.
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  • De Mey, K., Danneels, L., Cagnie, B.,& Cools, A. M. (2012). Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med, 40(8), 1906-1915.
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  • Kibler, B. W., & McMullen, J. (2003). Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg, 11(2), 142-151.
  • Kibler, W.B., & Sciascia, A. (2010). Current concepts: scapular dyskinesis. Br J Sports Med, 44(5), 300-305.
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Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi

Year 2018, Volume: 6 Issue: 2, 125 - 134, 29.08.2018

Mehmet Delen Deran Oskay Songül Bağlan Zeynep Tuna Oğuzhan Mete Ahmet Gökkurt Gizem Töre Abdurrahman Tufan

https://doi.org/10.30720/ered.463651

Abstract

Amaç: Bu çalışmanın amacı romatoid artrit (RA) tanısı olan kadın hastalarda
skapular diskinezinin (SD) hastalık aktivitesi, yaşam kalitesi ve engel
seviyesi üzerine etkisini araştırmaktır. Gereç
ve Yöntem: Çalışmaya RA tanısı konmuş 52 kadın hasta dâhil edildi. Hastalar
SD olan (Grup 1) ve olmayan (Grup 2) şeklinde 26'şar kişilik iki gruba ayrıldı.
Hastaların hastalık aktivitesi Romatoid Artrit Hastalık Aktivitesi Endeksi-5
(T-RADAI-5) anketi, engel seviyesi Kol, Omuz ve El Engel Anketi (DASH-T), ağrı
düzeyi Görsel Analog Skalası (VAS), omuz çevresi kas kuvveti manuel kas kuvveti
testi, SD’leri gözlemsel skapular diskinezi değerlendirmesi ve Lateral skapular
kaydırma testi (LSKT), yaşam kaliteleri Romatoid Artrit Yaşam Kalitesi Anketi
(RAQoL-T) ile değerlendirildi. Tüm anketlerin Türkçe versiyonları kullanıldı. Sonuçlar: İki grup da demografik açıdan
birbirine benzer bulundu. SD’si olan RA'lı hastaların DASH (p=0,001), RADAI-5
(p<0,001), RAQoL (p<0,001), VAS sağ (p=0,002) ve sol (p=0,001) skorları
ile diğer grubun skorları arasında istatistiksel olarak Grup 2 lehine anlamlı
fark bulundu. Grup 1 hastalarının SD’li taraf omuz eksternal rotasyon kas
kuvveti, diğer omzun eksternal rotasyon kas kuvvetinden istatistiksel olarak
anlamlı derecede düşük bulundu (p=0,046). Tartışma:
SD’si olan RA hastalarında klinik bulguları SD’si olmayan gruba göre daha
kötüdür. Bu nedenle SD bulgusu bu hastalarda klinik bulgulardaki kayıpların
göstergesi olabilir. Klinisyenler tarafından SD gözardı edilmemelidir.

Keywords

Romatoid Artrit Skapular diskinezi Yaşam kalitesi Engel seviyesi

References

  • Ahlmén, M., Nordenskiöld, U., Archenholtz, B., Thyberg, I., Rönnqvist, R., Lindén, L., Andersson, A. K., & Mannerkorpi, K. (2005). Rheumatology outcomes: the patient's perspective. A multicentre focus group interview study of Swedish rheumatoid arthritis patients. Rheumatology (Oxford), 44(1), 105-110.
  • Ballantyne, B.T., O'Hare, S.J., Paschall, J. L., Pavia-Smith, M. M., Pitz, A. M., Gillon, J. F., & Soderberg., G. L. (1993).
  • Electromyographic activity of selected shoulder muscles in commonly used therapeutic exercises. Phys Ther, 73(10), 668-677.
  • Ben-Yishay, A., Zuckerman, J. D., Gallagher, M., & Cuomo, F. (1994). Pain inhibition of shoulder strength in patients with impingement syndrome. Orthopedics, 17(8), 685-688.
  • Bilberg, A., Bremell, T., & Mannerkorpi, K. (2012). Disability of the Arm, Shoulder and Hand questionnaire in Swedish patients with rheumatoid arthritis: A validity study. J Rehabil Med, 44(1), 7–11.
  • Bjelle, A. (1989). Epidemiology of shoulder problems. Baillieres Clin Rheumatol, 3(3), 437-51.
  • Boström, C., Harms-Ringdahl, K., & Nordemar, R. (1991). Clinical reliability of shoulder function assessment in patients with rheumatoid arthritis. Scand J Rehabil Med, 20(1), 36-48.
  • Boström, C., Harms-Ringdahl, K., & Nordemar, R. (1995). Relationships between measurements of impairment, disability, pain, and disease activity in rheumatoid arthritis patients with shoulder problems. Scand J Rehabil Med, 24(6), 352–359.
  • Böstrom C. (2000). Shoulder rotational strength, movement, pain and joint tenderness as indicators of upper-extremity activity limitation in moderate rheumatoid arthritis. Scand J Rehabil Med, 32(3), 134–9.
  • Buckelew, S. P., & Parker, J. C. (1989). Coping with arthritis pain: A review of the literature. Arthritis Care Res, 2(4), 136-145. Burkhart, S. S., Morgan, C. D., & Kibler, W. B. (2000). Shoulder injuries in overhead athletes. The ‘‘dead arm’’ revisited. Clin Sports Med, 19(1), 125-58.
  • Chipchase, L. S., O’Connor, D. A., Costi, J. J., & Krishnan, J. (2000). Shoulder impingement syndrome: preoperative health status. J Shoulder Elbow Surg, 9(1), 12-5.
  • Clarke G. R., Willis L. A., Fish W. W., & Nichols P. J. (1975). Preliminary studies in measuring range of motion in normal and painful stiff shoulders. Rheumatol Rehabil, 14(1), 39-46.
  • De Mey, K., Danneels, L., Cagnie, B.,& Cools, A. M. (2012). Scapular muscle rehabilitation exercises in overhead athletes with impingement symptoms effect of a 6-week training program on muscle recruitment and functional outcome. Am J Sports Med, 40(8), 1906-1915.
  • Downie, W.W., Leatham, P. A., Rhind, V. W., Wright, V., Branco, J. A., & Anderson, J. A. (1978). Studies with pain rating scales. Ann Rheum Dis, 37(4), 378–381.
  • Duger, T., Yakut, E., Oksuz, C., Yorukan, S., Bilgutay, B. S., Ayhan, Ç., Leblebicioğlu, G., Kayıhan, H., Kırdı, N., Yakut, Y., & Güler, Ç. (2006). Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire. Fizyoterapi Rehabilitasyon, 17(3), 99-107.
  • Ekblom, B., Lovgren, O., Alderin, M., Fridstrom, M., & Satterstrom, G. (1974). Physical performance in patients with rheumatoid arthritis. Scand J Rheumatol, 3(3), 121–5.
  • Ekdahl, C., & Broman, G. (1992). Muscle strength, endurance, and aerobic capacity in rheumatoid arthritis: a comparative study with healthy subjects. Ann Rheum Dis, 51(1), 35–40.
  • Elliott, B., Fleisig, G., Nicholls, R., & Escamilia, R. (2003). Technique effects on upper limb loading in the tennis serve. J Sci Med Sport, 6(1), 76-87.
  • Erol, Ö., Özçakar, L., & Çeliker, R. (2008). Shoulder rotator strength in patients with stage I-II subacromial impingement: Relationship to pain, disability, and quality of life. J Shoulder Elbow Surg, 17(6), 893-7.
  • Guillemin, F., Briancon, S.,& Pourel, J. (1992). Functional disability in rheumatoid arthritis: two different models in early and established disease. J Rheumatol, 19(3), 366–9.
  • Heigberg, T., & Kvien, T. K.(2002). Preferences for improved health examined in 1024 patients with rheumatoid arthritis: pain has the highest priority. Arthritis Rheum , 47(4), 391-397.
  • Helmick, C. G., Felson, D. T., Lawrence, R. C., Gabriel, S., Hirsh R., & Kwoh, K. (2008). National Arthritis Data Workgroup. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Arthritis Rheum, 58(1), 15–25. Kelly, I. G., Foster, R. S., & Fisher, W. D. (1987). Neer total shoulder replacement in rheumatoid arthritis. J Bone Joint Surg Br, 69(5), 723-726.
  • Kibler, W. B.(1998). The role of the scapula in athletic shoulder function. Am J Sports Med, 26(2), 325–337.
  • Kibler, B. W., & McMullen, J. (2003). Scapular dyskinesis and its relation to shoulder pain. J Am Acad Orthop Surg, 11(2), 142-151.
  • Kibler, W.B., & Sciascia, A. (2010). Current concepts: scapular dyskinesis. Br J Sports Med, 44(5), 300-305.
  • Kibler, W.B., Ludewig, P.M., McClure, P.W., Michener, L.A., Bak, K., & Sciascia, A.D. (2013). Clinical implications of scapular dyskinesis in shoulder injury: the 2013 consensus statement from the ‘Scapular Summit’. Br J Sports Med, 47(14), 877-85.
  • Krabben, A., Huizinga, T.W.,& van der Helm-van Mil, A.H. (2012). Undifferentiated arthritis characteristics and outcomes when applying the 2010 and 1987 criteria for rheumatoid arthritis. Ann Rheum Dis, 71(2), 238-41.
  • Kutlay, S., Küçükdeveci, A. A., Gönül, D., & Tennant, A. (2003). Adaptation and validation of the Turkish version of the Rheumatoid Arthritis Quality of Life Scale. Rheumatol Int, 23(1), 21-26.
  • Leeb, B. F., Haindl, P. M., Maktari, A., Nothnagl, T., & Rintelen, B. (2008). Patient-centered rheumatoid arthritis disease activity assessment by a modified RADAI. J Rheumatol, 35, 1294–9.
  • Lefebvre, J. C., & Keefe, F. J. (2002). Memory for pain: the relationship of pain catastrophizing to the recall of daily rheumatoid arthritis pain. Clin J Pain, 18(1), 56-63.
  • Liao, K.P., & Karlson, E.W. (2015). Classification and epidemiology of rheumatoid arthritis. In M.C. Hochberg, A.J. Silman, J.S. Smolen, M.E. Weinblatt, & M.H. Weisman (Eds.), Rheumatology (6th Edition, pp. 691-697). Philadelphia: Mosby Elsevier.
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There are 66 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Mehmet Delen This is me 0000-0002-0693-8046

Deran Oskay This is me

Songül Bağlan This is me

Zeynep Tuna This is me

Oğuzhan Mete This is me

Ahmet Gökkurt This is me

Gizem Töre This is me

Abdurrahman Tufan This is me

Publication Date August 29, 2018
Published in Issue Year 2018 Volume: 6 Issue: 2

Cite

APA Delen, M., Oskay, D., Bağlan, S., Tuna, Z., et al. (2018). Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi. Ergoterapi Ve Rehabilitasyon Dergisi, 6(2), 125-134. https://doi.org/10.30720/ered.463651
AMA Delen M, Oskay D, Bağlan S, Tuna Z, Mete O, Gökkurt A, Töre G, Tufan A. Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi. Ergoterapi ve Rehabilitasyon Dergisi. August 2018;6(2):125-134. doi:10.30720/ered.463651
Chicago Delen, Mehmet, Deran Oskay, Songül Bağlan, Zeynep Tuna, Oğuzhan Mete, Ahmet Gökkurt, Gizem Töre, and Abdurrahman Tufan. “Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi Ve Engel Seviyesine Etkisi”. Ergoterapi Ve Rehabilitasyon Dergisi 6, no. 2 (August 2018): 125-34. https://doi.org/10.30720/ered.463651.
EndNote Delen M, Oskay D, Bağlan S, Tuna Z, Mete O, Gökkurt A, Töre G, Tufan A (August 1, 2018) Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi. Ergoterapi ve Rehabilitasyon Dergisi 6 2 125–134.
IEEE M. Delen, D. Oskay, S. Bağlan, Z. Tuna, O. Mete, A. Gökkurt, G. Töre, and A. Tufan, “Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi”, Ergoterapi ve Rehabilitasyon Dergisi, vol. 6, no. 2, pp. 125–134, 2018, doi: 10.30720/ered.463651.
ISNAD Delen, Mehmet et al. “Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi Ve Engel Seviyesine Etkisi”. Ergoterapi ve Rehabilitasyon Dergisi 6/2 (August 2018), 125-134. https://doi.org/10.30720/ered.463651.
JAMA Delen M, Oskay D, Bağlan S, Tuna Z, Mete O, Gökkurt A, Töre G, Tufan A. Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi. Ergoterapi ve Rehabilitasyon Dergisi. 2018;6:125–134.
MLA Delen, Mehmet et al. “Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi Ve Engel Seviyesine Etkisi”. Ergoterapi Ve Rehabilitasyon Dergisi, vol. 6, no. 2, 2018, pp. 125-34, doi:10.30720/ered.463651.
Vancouver Delen M, Oskay D, Bağlan S, Tuna Z, Mete O, Gökkurt A, Töre G, Tufan A. Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi. Ergoterapi ve Rehabilitasyon Dergisi. 2018;6(2):125-34.

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