Sağlıklı sedanter bireylerde vücut ağırlığı artışının ayak postürü ve diz ağrısı üzerine etkisi

Abstract

Amaç: Bu çalışmanın amacı, vücut ağırlığı artışının her hangi bir alt ekstremite patolojisine sahip olmayan orta yaş sağlıklı sedanter bireylerin ayak biyomekaniği ve diz ağrısı üzerine etkisiyle ilgili bilgi edinmekti.

Yöntem: Çalışmaya 45-55 yaşları arasında 75 kadın, 18 erkek toplam 93 birey alındı. Bireylerin vücut kütle indeksi (VKİ), medial longitudinal arkları (MLA) ve subtalar açıları (SA) ölçüldü. Pes planusun MLA değerlendirilmesinde Harris tabakası, diğer açısal ölçümlerde ise universal gonyometre kullanıldı. Harris tabakası ile bulunan ayak tabanı grafisini yorumlamak için Staheli indeksi kullanıldı. Vizüel analog skala ile diz ağrısı değerlendirildi. Bütün ölçümler saat 16:00 ile 18:00 arasında ve bireyler 30 dk dinlendikten sonra yapıldı. Ölçümler standart tekniklerle yapıldı ve üç kez tekrarlandı.

Bulgular: Değerlendirmelerin sonucuna göre, VKİ ile Sİ, Sİ ile SA arasındaki ilişki anlamlıydı (p< 0,05). VKİ ile SA arasında anlamlı ilişki olmadığı görüldü (p>0,05). Sİ ve SA ile ağrı arasında anlamlı ilişki bulundu (p<0,05). VKİ ile diz ağrısı arasında ise zayıf anlamlı ilişki olduğu belirlendi (p=0,049).

Tartışma: Bu çalışma, pes planus’un VKİ’den doğrudan etkilendiğini, SA’nın ise VKİ’den ayak arkının değişmesiyle dolaylı olarak etkilendiğini gösterdi. VKİ artışı ile birlikte ayak arkındaki değişikliklerin hatalı alt ekstremite dizilimi ve dizde ağrı oluşmasına neden olabileceği, bu durumun da uzun vadede alt ekstremiteye bağlı ortopedik sorunların birincil nedeni olabileceği sonucuna varıldı.

Keywords

• Vücut kütle indeksi,Pes planus,Subtalar eklem,Diz ağrısı

Effects of increased body mass index on foot posture and knee pain in healthy sedentaries

Abstract

Purpose: The aim of this study was to obtain information regarding the effect of body weight gain on the biomechanics of foot and the knee pain in middle aged healthy sedentary individuals without any lower extremity pathology. 

Methods: Seventy-five women and 18 men a total of 93 cases between the ages of 45-55 years were included in the study. Body mass index (BMI), medial longitudinal arch (MLA), and subtalar angles (SA) of participants were measured. To evaluate pes planus (medial longitudinal arch), Harris Mat was used and universal goniometer was used for angular measurements. The Staheli Index (SI) was used to interpret the graph of foot arch found using the Harris Mat. Knee pain was evaluated by Visual Analog Scale. All assessments were performed at a standard time line between 16:00 and 18.00 after resting for 30 minutes. Measurements were performed with standard techniques, and repeated for three times.

Results: According to the results of the evaluations, there were significant correlations between SI and BMI and SA (p<0.05). There was no significant difference between BMI and SA (p>0.05). There were significant correlations between the SI and SA with pain (p<0.05). There was a weak significant correlation between BMI and the knee pain (p=0.049). 

Conclusion: This study showed that foot arch (pes planus) was directly affected from BMI and SA was indirectly affected. Changes in foot arch with the increase of BMI may cause incorrect alignment of lower extremity and formation of the knee pain. It was concluded that this situation may be the primary reason for the orthopedic problems due to the lower extremities in long term.

Keywords

• Body mass index,Flatfoot,Subtalar joint,Knee pain

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