Covid-19 pandemisinde idyopatik skolyozlu bireylerde azalmış rehabilitasyon uyumu, fiziksel aktivite ve yaşam kalitesi

Abstract

Amaç: Bu çalışmanın amacı, COVID-19 pandemisi sırasında ve öncesinde idyopatik skolyozlu (İS) bireylerin rehabilitasyona uyumunu, fiziksel aktivite (FA) düzeylerini ve yaşam kalitesini karşılaştırmaktı. Yöntem: Bu çalışma, 9-18 yaşları arasında İS tanılı 74 bireyi içeriyordu. Egzersiz tedavisi protokollerine uyumu değerlendirmek için; Egzersize Uyumu Derecelendirme Ölçeği (EUDÖ), FA düzeylerini değerlendirmek için; Uluslararası Fiziksel Aktivite Anketi (UFAA), yaşam kalitesini değerlendirmek için ise; Skolyoz Araştırma Derneği-22 Hasta Anketi (SRS-22) kullanıldı. Bulgular: Bireylerin pandemide EUDÖ Bölüm B puanı azalırken (p=0,041) Bölüm C (p=0,636) ve toplam puanları (p=0,54) değişmedi. Ayrıca FA düzeyleri azaldı (p=0,001), oturma saatleri arttı (p<0,001). Beden imajı, ağrı ve tedaviden memnuniyet puanları değişmezken, fonksiyon, mental sağlık, ara toplam ve toplam puanlarında (sıra ile p=0,876, p=0,092, p=0,224, p=0,008, p<0,001, p<0,001, p<0,001) azalma görüldü. Sonuç: Pandemi sürecinde İS'li bireylerin rehabilitasyon uyumu olumsuz etkilenmiş, FA seviyeleri düşmüş, sedanter davranış artmış ve yaşam kaliteleri azalmıştır. İS'li bireylerde pandemi döneminde diğer faktörlerin yanı sıra, FA düzeylerinin azalması da yaşam kalitesini ve rehabilitasyon sürecini olumsuz etkilemiş olabilir. Yapılacak çalışmalar ışığında İS'li bireylerin rehabilitasyonunda diğer faktörlerin yanında fiziksel aktiviteye de önem verilmesi önerilebilir.
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Keywords

• COVID-19 pandemisi
• Skolyoz
• Fiziksel aktivite
• Tedaviye uyum
• Sağlıkla ilgili yaşam kalitesi
• COVID-19 Pandemic
• Scoliosis
• Physical Activity
• Treatment Adherence
• Health-Related Quality of Life.

Decreased rehabilitation adherence, physical activity, and quality of life in individuals with idiopathic scoliosis in the COVID-19 Pandemic

Abstract

Purpose: This study compares the rehabilitation adherence, physical activity (PA) levels, and quality of life (QoL) of individuals with idiopathic scoliosis (IS) during and before the COVID-19 Pandemic. Methods: This study included 74 individuals with IS between the ages of 9 and 18 years. The Exercise Adherence Rating Scale (EARS) was used to assess adherence to exercise therapy protocols, the International Physical Activity Questionnaire Short Form (IPAQ) was used to evaluate PA levels, and the Scoliosis Research Society-22 Patient Questionnaire (SRS-22) was used to measure QoL. Results: Section B score of the EARS decreased (p=0.041), while Section C (p=0.636) and summed scores (p=0.54) did not change during the pandemic. The PA of the participants decreased (p=0.001), hours of sitting increased (p<0.001). While the body image, pain, and treatment satisfaction scores did not change; the function, mental health, subtotal, and total scores of the participants (respectively p=0.876, p=0.092, p=0.224, p=0.008, p<0.001, p<0.001, p<0.001) decreased. Conclusion: The rehabilitation adherence in individuals with IS was affected negatively, PA levels decreased, sedentary behaviors increased, and QoL of participants decreased during the pandemic. In addition to other factors, the decreased PA levels in the pandemic period may have negatively affected QoL and rehabilitation process in participants with IS. In the light of future studies, it may be recommended to give importance to physical activity as well as other factors in the rehabilitation of individuals with IS.

Keywords

• COVID-19 Pandemic
• Scoliosis
• Physical Activity
• Treatment Adherence
• Health-Related Quality of Life.

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