Diz Osteoartriti Olan Hastalarda Yaşam Kalitesi ile Klinik Parametreler Arasındaki İlişki

Abstract

Amaç: Yaşam kalitesi (YK) sağlık durumuna ait kişisel değerlendirmeyi içermekte ve diz osteoartritli (OA) hastalarda azalmaktadır. Bu çalışma diz OA'lı hastalarda YK ile klinik parametreler arasındaki ilişkiyi değerlendirmek amacıyla planlandı. Gereç ve Yöntem: Çalışmaya evre 2-3 diz OA'lı (ortalama yaş 56,5±5,84 yıl) 42 kadın hasta katıldı. Yaşam kalitesi (SF-12 fiziksel ve mental bileşen puanları), vücut kütle indeksi (VKİ), ağrı şiddeti (VAS), izokinetik diz ekstansör ve fleksör kas kuvveti, denge, eklem pozisyon hissi (EPH), fonksiyonel performans, WOMAC ve ultrasonografik vastus lateralis (VL) kas mimarisi değerlendirmeleri yapıldı. Verilerin analizinde korelasyon testleri ve regresyon analizi kullanıldı. Bulgular: SF-12 fiziksel bileşen puanı ile WOMAC (tutukluk, fiziksel fonksiyon, toplam) puanları arasında zayıf (p<0,05); 20° ve 70° diz fleksiyonunda EPH sapma açısı arasında orta düzeyde (p<0,01); SF-12 mental bileşen puanı ile WOMAC (ağrı, fiziksel fonksiyon, toplam) puanları arasında zayıf (p<0,05); gözler-kapalı denge sonuçları arasında orta düzeyde ilişki olduğu saptandı (p<0,01). Yaş, VKİ, VAS, izokinetik kas kuvvetleri, gözler-açık denge, fonksiyonel performans ve VL kas mimarisi değerlendirme sonuçları ile SF-12 puanları arasında ise bir ilişki gözlenmedi (p> 0,05). Tek değişkenli ve çoklu doğrusal regresyon analizleri sonucunda da EPH, WOMAC puanı, gözler-kapalı denge sonuçları ve VL kalınlığının YK üzerinde etki oluşturduğu belirlendi. Sonuç: Çalışma sonunda; diz OA’lı hastalarda yaşam kalitesinin kas yapısı, propriyosepsiyon, WOMAC skoru gibi bir çok faktör ile ilişkili olabileceği, aynı zamanda bu ilişkiyi, diğer parametreler arasındaki etkilenimlerin de etkileyebileceği, diz OA’lı hastalarla çalışan profesyonellerin hastaların YK’lerinin yönetiminde çok yönlü, çok faktörlü çalışmaların yapılmasına ihtiyaçları olduğu, bu çalışmanın bu alandaki çalışmalara yol gösterici olacağı sonucuna varılmıştır.

Keywords

• osteoartrit
• propriyosepsiyon
• kas mimarisi
• yaşam kalitesi

The Relationship Between Quality of Life and Clinical Parameters in Patients with Knee Osteoarthritis

Abstract

Objectives: Quality of life (QoL) involves personal evaluation of health status, and is reduced in patients with knee osteoarthritis (OA). This study was planned to evaluate the relationship between QOL and clinical parameters in patients with knee OA. Materials and Methods: A total of 42 patients with stage 2-3 knee OA (mean age of 56.5±5.84 years) participated in the study. Quality of life (SF-12 physical and mental score), body mass index (BMI), pain severity (visual analog scale-VAS), isokinetic knee extensor and flexor muscle strength, balance, proprioception, functional performance, WOMAC and ultrasonographically measured vastus lateralis (VL) muscle architecture evaluations were made. Correlation tests and regression analysis were used to analyze the data. Results: With the SF-12 physical component score, there were weak correlations between WOMAC (stiffness, physical function, total) scores (p<0,05); moderate correlation between proprioceptive deviation angle at 20° and 70°knee flexion (p<0,01); SF-12 mental component score, there were weak negative correlations between WOMAC (pain, physical function, total) scores (p<0,05); moderate correlation between eyes-closed balance assessment (p<0,01). No relationship was observed between SF-12 and age, BMI, VAS, isokinetic muscle strength, eyes-open balance, functional performance and VL muscle architecture evaluations (p>0.05). As a result of our univariate and multiple linear regression analyses, it was determined that JPS, WOMAC score, eyes-closed balance results and VL thickness had an impact on QoL. Conclusion: At the end of the study; It was concluded that QoL in patients with knee OA may be related to many factors such as muscle structure, proprioception, WOMAC score, and this relationship may also be affected by interactions between other parameters, professionals working with patients with knee OA needed to be done multifaceted, multifafactorial studies in the management of patients' QoL, and this study will guide studies in this field.

Keywords

• osteoarthritis
• proprioception
• muscle architecture
• quality of life

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