Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi

Burcu Bahar Öztürk; Bayram Ünver; Vasfi Karatosun; Cem Özcan

Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi

Abstract

Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi

Özet (≤250 KELİME)

Amaç:Bu çalışmanın amacı diz osteoartritli hastaların total diz artroplastisi (TDA) öncesi ve sonrası denge ve düşme risklerini incelemektir. Gereç ve Yöntem: İzmir Kâtip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Servisi’nde primer TDA uygulanan 46 hastanın demografik bilgileri Şubat 2017 ile Mayıs 2018 tarihleri arasında kayıt edildi. Süreli kalk yürü testi, ikili görevli süreli kalk yürü testi, kısa Balance Evaluation-Systems Test (BESTest) ve The Fall Risk for Older People in the Community (FROP-Com) (Toplum Koşullarında Yaşayan Yaşlı Bireyler için Düşme Riski) anketi ile denge ve düşme riskleri değerlendirildi. Bulgular:Çalışmada yaş ortalaması 67.96±1.01 yıl olan 46 (36 kadın, 10 erkek) hastanın verileri incelendi. Süreli kalk yürü testi, süreli kalk yürü testi motor görev, süreli kalk yürü testi bilişsel görev sürelerinin TDA sonrasında TDA öncesine göre anlamlı olarak düşük olduğu bulunmuştur (p˂.05). Kısa-BES Test değerlendirme sonuçlarının TDA sonrasında TDA öncesine göre anlamlı olarak yüksek olduğu bulunmuştur (p˂.05). TDA öncesi ve sonrası FROP-Com sonuçları ve düşme oranları arasında anlamlı fark bulunmamıştır (p˃.05). Sonuç:Diz osteoartritli hastaların TDA sonrasında dengelerinin geliştiği ve düşme risklerinin azaldığı görülmüştür. TDA öncesi düşme oranı %23.9 iken, TDA sonrası ilk üç ayda %17.4 bulunmuştur.

Anahtar Kelimeler: (3-5 Kelime): Diz osteoartriti, total diz artroplastisi, denge, düşme

Xxxxxxxx Xxxxxx Xxxxxx Xxxxx (Makale Başlığı-İngilizce)

Abstract (≤250 WORDS)

Objective:To determine balance and risk of fall of patients with knee osteoarthritis before and after total knee arthroplasty (TKA). Material and Methods:Demographic characteristics of 46 patients who were applied primary TKA at Department of Orthopedics and Traumatology at Izmir Kâtip Çelebi University Atatürk Training and Research Hospital were recordedbetween the dates of February 2017 - May 2018. Balance and risk of fall were evaluated by Time Up and Go Test, Time Up and Go Dual Task Tests, The Brief Balance Evaluation-Systems Test (BESTest), The Fall Risk for Older People in the Community (FROP-Com) questionnaire. Findings:Data of 46 patients with knee osteoarthritis (36 females and 10 males, mean age=67.96±1.01years) were examined in the study. The duration of Time Up and Go Test, Time Up and Go Test Motor Task, Time Up and Go Test Cognitive Task were significantly lower after TKA compared to before TKA (p˂.05). The results of The Brief-BESTest evaluation were significantly higher after TKA compared to before TKA (p˂.05). There were no significant differences between FROP-Com results and fall rate before and after TKA. Conclusion:Patients with knee osteoarthritis have been found to develope their balance and decrease the risk of fall after TKA. While the fall rate was 23.9% before TKA, it was 17.4% in the first three months after TKA.

Keywords: (3-5 Words): Knee osteoarthritis, total knee arthroplasty, balance, fall

Keywords

Diz osteoartriti,total diz artroplastisi

References

Ahmed AF. (2011). Effect of sensorimotor training on balance in elderly patients with knee osteoarthritis. Journal of Advanced Research, 2: 305–311.
Aksakoğlu G. (2001). Sağlıkta araştırma teknikleri ve analiz yöntemleri. İzmir: Dokuz Eylül Üniversitesi Yayın Komisyonu.
Chan AC, Pang MY. (2015). Assessing Balance Function in Patients With Total Knee Arthroplasty. Physical Therapy, Oct; 95(10): 1397-407.
Chan ACM, Jehu DA, Pang MYC. (2018). Falls After Total Knee Arthroplasty: Frequency, Circumstances, and Associated Factors-A Prospective Cohort Study. Physical Therapy, 98(9):767-778.
Fjeldstad C, Fjeldstad AS, Acree LS, Nickel KJ, Gardner AW. (2008). The influence of obesity on falls and quality of life. Dyn Med.27;7:4.
Freire Júnior RC, Porto JM, Marques NR, Magnani PE, Abreu DC. (2017). The effects of a simultaneous cognitive or motor task on the kinematics of walking in older fallers and non-fallers. Hum Mov Sci.51: 146-152.
Gauchard GC, Vançon G, Meyer P, Mainard D, Perrin PP. (2010). On the role of knee joint in balance control and postural strategies: effects of total knee replacement in elderly subjects with knee osteoarthritis. Gait Posture, 32(2):155-60.
Hergenroeder AL, Wert DM, Hile ES, Studenski SA, Brach JS. (2011). Association of body mass index with self-report and performancebased measures of balance and mobility. Phys Ther.91(8):1223-34.

Hill KD, Williams SB, Chen J, Moran H, Hunt S, Brand C. (2013). Balance and falls risk in women with lower limb osteoarthritis or rheumatoid arthritis.Journal of Clinical Gerontology & Geriatrics,4:22-28.
Hita-Contreras F, Martínez-Amat A, Lomas-Vega R, Álvarez P, Mendoza N, Romero-Franco N, Aránega A. (2013). Relationship of body mass index and body fat distribution with postural balance and risk of falls in Spanish postmenopausal women.Menopause.20(2):202-8.
Hoops ML, Rosenblatt NJ, Hurt CP, Crenshaw J, Grabiner MD. (2012). Does lower extremity osteoarthritis exacerbate risk factors for falls in older adults?, Womens Health (Lond Engl).8(6):685-96.
Khalaj N, Osman NAA, Mokhtar AH, Mehdikhani M, Wan Abas WAB. (2014). Balance and Risk of Fall in Individuals with Bilateral Mild and Moderate Knee Osteoarthritis. PLoS One, 9:(3).
Kwan MM, Lin SI, Chen CH, Close JC, Lord SR. (2011). Sensorimotor function, balance abilities and pain influence Timed Up and Go performance in older community-living people. Aging Clin Exp Res.23(3):196-201.
Levinger P, Menz HB, Wee E, Feller JA, Bartlett JR, BergmanNR (2011) Physiological risk factors for falls in people with kneeosteoarthritis before and early after knee replacement surgery. Knee Surg Sports Traumatol Arthrosc.19:1082–1089.
Levinger P, Menz HB, Morrow AD, Wee E, Feller JA, Bartlett JR, Bergman N. (2012). Lower limb proprioception deficits persist following knee replacement surgery despite improvements in knee extension strength. Knee Surg Sports Traumatol Arthrosc.20(6):1097-103.
Marques A, Almeida S, Carvalho J, Cruz J, Oliveira A, Jácome C. (2016). Reliability, Validity, and Ability to Identify Fall Status of the Balance Evaluation Systems Test, Mini–Balance Evaluation Systems Test, and Brief–Balance Evaluation Systems Test in Older People Living in the Community. Archives of Physical Medicine and Rehabilitation, 97(12): 2166-2173.
Matsumoto H, Okuno M, Nakamura T, Yamamoto K, Hagino H. (2012). Fall incidence and risk factors in patients after total knee arthroplasty. Arch Orthop TraumaSurg.132(4):555-63.
Moutzouri M, Gleeson N, Billis E, Tsepis E, Panoutsopoulou I, Gliatis J. (2017). The effect of total knee arthroplasty on patients’ balance and incidence of falls: a systematic review. Knee Surg Sports Traumatol Arthrosc.25(11):3439-3451.
Muir-Hunter SW, Wittwer JE. (2016). Dual-task testing to predict falls in community-dwelling older adults: a systematic review. Physiotherapy, 102(1):29-40.
Padgett PK, Jacobs JV, Kasser SL. (2012). Is the BESTest at its best? A suggested brief version based on interrater reliability, validity, internal consistency, and theoretical construct. Physical Therapy,92(9):1197-207.
Piva SR, Gil AB, Almeida GJM, DiGioia AM, Levison TJ, Fitzgerald GK. (2010). A Balance Exercise Program Appears to Improve Function for Patients With Total Knee Arthroplasty: A Randomized Clinical Trial.Physical Therapy, 90(6): 880–894.
Russell MA, Hill KD, Blackberry I, Day LM, Dharmage SC. (2008). The reliability and predictive accuracy of the falls risk for older people in the community assessment(FROP-Com) tool. Age Ageing, 37(6):634-9.
Russell MA, Hill KD, Day LM, Blackberry I, Gurrin LC, Dharmage SC. (2009). Development of the Falls Risk for Older People in the Community (FROP-Com) screening tool. Age Ageing,38(1):40-6.
Si H, Zeng Y, Zhong J, Zhou Z, Lu Y, Cheng J, Ning N, Shen B. (2017). The effect of primary total knee arthroplasty on the incidence of falls and balance-related functions in patients with osteoarthritis. Scientific Reports.7(1).
Stan G, Orban H, Orban C, Petcu D, Gheorghe P. (2013). The influence of total knee arthroplasty on postural control. Chirurgia (Bucur),108(6):874-8.
Swinkels A, Newman JH, Allain TJ. (2009). A prospective observational study of falling before and after knee replacement surgery. Age Ageing, 38(2):175-81.
Tsonga T, Michalopoulou M, Kapetanakis S, Giovannopoulou E, Malliou P, Godolias G, Soucacos P. (2016). Reduction of Falls and Factors Affecting Falls a Year After Total Knee Arthroplasty in Elderly Patients with Severe Knee Osteoarthritis. Open Orthop J. 10: 522–531.
Wegener L, Kisner C, Nichols D. (1997). Static and dynamic balance responses in persons with bilateral knee osteoarthritis. J Orthop Sports Physical Therapy,25(1):13-8.
Zasadzka E, Borowicz AM, Roszak M, Pawlaczyk M. (2015).Assessment of the risk of falling with the use of timed up and go test in the elderly with lower extremity osteoarthritis. Clin Interv Aging. 10:1289-98.

Details

Primary Language

Turkish

Subjects

-

Journal Section

Research Article

Authors

Burcu Bahar Öztürk ^*

Bayram Ünver This is me

Vasfi Karatosun This is me

Cem Özcan This is me

Publication Date

May 31, 2019

Submission Date

December 28, 2018

Acceptance Date

-

Published in Issue

Year 2019 Volume: 4 Number: 2

IZ

https://izlik.org/JA39NH46GX

Cite

RIS / Bibtex

APA

Öztürk, B. B., Ünver, B., Karatosun, V., & Özcan, C. (2019). Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 4(2), 45-49. https://izlik.org/JA39NH46GX

AMA

1.Öztürk BB, Ünver B, Karatosun V, Özcan C. Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi. İKÇÜSBFD. 2019;4(2):45-49. https://izlik.org/JA39NH46GX

Chicago

Öztürk, Burcu Bahar, Bayram Ünver, Vasfi Karatosun, and Cem Özcan. 2019. “Total Diz Artroplastisi Öncesi Ve Sonrası Denge Ve Düşme Riskinin Değerlendirilmesi”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 4 (2): 45-49. https://izlik.org/JA39NH46GX.

EndNote

Öztürk BB, Ünver B, Karatosun V, Özcan C (May 1, 2019) Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 4 2 45–49.

IEEE

[1]B. B. Öztürk, B. Ünver, V. Karatosun, and C. Özcan, “Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi”, İKÇÜSBFD, vol. 4, no. 2, pp. 45–49, May 2019, [Online]. Available: https://izlik.org/JA39NH46GX

ISNAD

Öztürk, Burcu Bahar - Ünver, Bayram - Karatosun, Vasfi - Özcan, Cem. “Total Diz Artroplastisi Öncesi Ve Sonrası Denge Ve Düşme Riskinin Değerlendirilmesi”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 4/2 (May 1, 2019): 45-49. https://izlik.org/JA39NH46GX.

JAMA

1.Öztürk BB, Ünver B, Karatosun V, Özcan C. Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi. İKÇÜSBFD. 2019;4:45–49.

MLA

Öztürk, Burcu Bahar, et al. “Total Diz Artroplastisi Öncesi Ve Sonrası Denge Ve Düşme Riskinin Değerlendirilmesi”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 4, no. 2, May 2019, pp. 45-49, https://izlik.org/JA39NH46GX.

Vancouver

1.Burcu Bahar Öztürk, Bayram Ünver, Vasfi Karatosun, Cem Özcan. Total Diz Artroplastisi Öncesi ve Sonrası Denge ve Düşme Riskinin Değerlendirilmesi. İKÇÜSBFD [Internet]. 2019 May 1;4(2):45-9. Available from: https://izlik.org/JA39NH46GX