Adölesan İdiyopatik Skolyozlu Bireylerde Posteriyor Enstrümantasyon Füzyon Cerrahisi Sonrası Gövde Kas Enduransı, Esneklik ve Yaşam Kalitesinin İncelenmesi

Year 2019, Volume: 6 Issue: 3, 491 - 500, 01.10.2019

Ferhat Öztürk Hande Güney-deniz Mehmet Ayvaz Gökhan Demirkıran Hasan Kılınç Gizem İrem Kınıklı

Abstract

DOI: 10.5152/hsp.2019.493167

Amaç: Bu çalışmanın amacı, Adölesan İdiyopatik
Skolyozlu (AİS) bireylerde Posteriyor Enstrümantasyon Füzyon (PEF) cerrahisi
sonrası gövde kas enduransı, esneklik ve yaşam kalitesini sağlıklı bireylerle
karşılaştırmaktı.

Gereç ve Yöntem: Çalışmaya 10-18 yaşları
arasında cerrahiden sonra 1-3 yıl süre geçmiş 20 AİS’li ve 20 sağlıklı
birey dahil edildi. Bireylerin lumbal bölge, eklem hareket açıklığı, esneklik ölçümleri,
gövde ekstansör kas enduransı, gövde fleksör kas enduransı ve yaşam kalitesi değerlendirildi.
Ayrıca kas enduranslarının eklem hareket açıklığı ve yaşam kalitesi ile ilişkisi
incelendi.

Bulgular: Lumbal bölge fleksiyon (AİS:73°, Kontrol: 84°), ekstansiyon
(AİS: 24°,
Kontrol: 37°) sağ
lateral fleksiyon (AİS: 24°, Kontrol:
46°), sol lateral
fleksiyon (AİS: 25°,
Kontrol: 45°),
sağ rotasyon (AİS: 29°,
Kontrol: 45°),
sol rotasyon (AİS: 31°,
Kontrol: 52°),
otur uzan testi (AİS: -18±9,82
cm, Kontrol: -3±8,52
cm), yana eğilme (AİS: 12±3,65
cm, Kontrol: 21±3,64
cm), ekstansör kas enduransı (AİS: 30 sn, Kontrol: 61 sn), fleksör kas enduransı
(AİS: 19 sn, Kontrol: 66 sn) ve KF-12 fiziksel bileşen skoru (AİS: 49.15±5.77, Kontrol:
54.49±3.55) sonuçları
istatistiksel olarak kontrol grubu lehineydi (p<0,001). Ek olarak gövde kas
enduransı ile ekstansiyon hareket açıklığı (r=0,721) ve sağ rotasyon arasında
(r=0,718) güçlü; gövde fleksiyon (r=0,414) ve sol lateral fleksiyon arasında
(r=0,581) orta derecede ilişki varken; gövde ekstansör kas enduransı ile yaşam
kalitesi arasında da anlamlı ilişki vardı (p<0,001).

Sonuç: Sonuçlar, cerrahi sonrasında AİS’li bireylerin yaşam
kalitesini, hareket açıklıklarını, esnekliklerinin ve kas enduranslarının sağlıklı
bireylere göre düşük olduğunu, ayrıca bireylerin kas enduranslarının yaşam kalitesi
ve mobilite ile ilişkisi olduğunu gösterdi. 

Cite this article as: Öztürk F, Güney Deniz
H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Examination of Trunk Muscle
Endurance, Flexibility, and Quality of Life After Posterior Instrumentation
Fusion Surgery in Adolescent Idiopathic Scoliosis Patients. Journal of Health
Science and Profession 2019; 6(2): XXXX

Keywords

adölesan idiyopatik skolyoz, gövde, kas enduransı, esneklik, yaşam kalitesi

Examination of Trunk Muscle Endurance, Flexibility, and Quality of Life After Posterior Instrumentation Fusion Surgery in Adolescent Idiopathic Scoliosis Patients

Abstract

DOI: 10.5152/hsp.2019.493167

Objective: The aim of this study was to
compare trunk muscle endurance, flexibility, and quality of life in adolescent
idiopathic scoliosis (AIS) patients with healthy peers following fusion (PIF)
surgery with posterior instrumentation.

Materials and Methods: Twenty patients aged
between 10-18 years who underwent PIF surgery in last 1-3 years and 20 healthy
peers were included. The lumbar range of motion (ROM), flexibility, trunk
extensor, flexor muscle endurance, and the quality of life (QoL) were assessed
in both groups.

Results: Lumbar flexion (AIS: 73°, Control: 84°), extension
(AIS: 24°,
Control: 37°),
right lateral flexion (AIS: 24°,
Control: 46°),
left lateral flexion (AIS: 25°,
Control: 45°),
right rotation (AIS: 29°,
Control: 45°)
left rotation ROM (AIS: 31°,
Control: 52°),
flexibility in sit and reach (AIS: -18±9.82 cm, Control: -3±8.52
cm), in lateral bending (AIS: 12±3.65 cm, Control: 21±3.64
cm), trunk extension (AIS: 30s, Control: 61s), flexion muscle endurance (AIS:
19s, Control: 66s) comprised the physical component score on the SF-12 scale,
which showed significantly better results in the healthy group (p<0.001). In
addition, there was a strong correlation between trunk muscle endurance and
extension ROM (r=0.721), right rotation ROM (r=0.718), moderate correlation
with trunk flexion ROM (r=0.414), left lateral flexion ROM (r=0.581), and there
was a strong correlation between trunk extensor muscle endurance and QoL in AIS
patients (p<0.001).

Conclusion: The results showed that there
was lower quality of life, range of motion, flexibility, and muscle endurance
in AIS patients as compared to healthy individuals. Additionally, muscle
endurance was related to the quality of life and mobility in AIS patients after
surgery.

Cite this article as: Öztürk F, Güney Deniz
H, Ayvaz M, Demirkıran G, Kılınç H, Kınıklı Gİ. Examination of Trunk Muscle
Endurance, Flexibility, and Quality of Life After Posterior Instrumentation
Fusion Surgery in Adolescent Idiopathic Scoliosis Patients. Journal of Health
Science and Profession 2019; 6(2): XXXX

Keywords

Adolescent Idiopathic Scoliosis, Endurance;, Trunk, Quality of life

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