Fibromiyalji Tanılı Hastalarda Denge ve Postürün Değerlendirilmesi

Öz

Denge sorunları son zamanlarda Fibromiyalji (FMS)’li hastalarda dikkat çeken semptomlar arasında gösterilmiştir. Bu çalışmada fibromiyalji hastalarında denge ve postürün değerlendirilmesini, bu durumların varlığı ile fibromiyalji şiddeti arasındaki ilişkiyi değerlendirme amaçlanmıştır. Çalışmaya TÜTF Hastanesi Fizik Tedavi ve Rehabilitasyon polikliniğine başvuran FMS tanılı 30-55 yaş aralığındaki 45 birey ve kontrol grubu olarak 44 birey dahil edildi. Olguların sosyo-demografik özellikleri, şikâyet ve tanı süresi kaydedildi. Vizüel analog skala (VAS) ile ağrı şiddeti, Fonksiyonel durum için Fibromiyalji Etki Skalası (FEA), Fibromiyalji Semptom Şiddet Skalası, Yaygın Ağrı İndeksi sorgulanarak kaydedildi. Olguların dinamik dengeleri Berg denge testi, statik dengeleri ise tek bacak üstünde durma testi ile değerlendirildi. Zebris CMS-20P-2 cihazı ile bilgisayar ortamında üç boyutlu ultrasonik sistem ile omurga postür analizi yapıldı. FMS grubunda sağ ve sol tek ayak üzerinde durma süreleri ile toplam Berg Denge Ölçeği sonuçlarının anlamlı derecede daha düşük bulunmuştur. Berg Denge Skoru ile Toplam FEA skoru, Semptom Şiddet Skalası skoru A, Fibromiyalji Şiddet skoru ve Total Gövde İnklinasyon Açısı arasında ters yönde ve orta düzeyde anlamlı ilişki olduğu bulduk. Omurga postür analizi ile hasta ve kontrol grupları arasındaki postür analizi sonuçlarının farklı saptanmamıştır. Sonuç olarak FMS’li hastalarda denge bozukluğunun sağlıklı bireylere göre daha sık rastlandığını tespit ettik. Postür analizinde her iki grup arasında anlamlı fark saptayamadık. Özellikle postür srunlarını ortaya koyabilmek için büyük popülasyonlu çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Fibromiyalji Sendromu
• Postür
• Denge.

Evaluation of Balance and Posture in Patients with Fibromyalgia Diagnosis

Öz

Balance problems recently have been indicated as one of the notable symptoms in fibromyalgia patients. In this study, it is aimed to evaluate posture and balance in fibromyalgia patients and association between presence of these conditions and fibromyalgia severity. 45 individuals diagnosed with FMS diagnose and 44 individuals of control group between the age of 30 and 55 who attended Trakya University, Faculty of Medicine, Department of Physical Therapy and Rehabilitation were included in the study. Socio-demographic features of cases, complaints and time of diagnoses was recorded. Pain intensity with visual analog scale (VAS), fibromyalgia impact questionnaire (FIQ) for functional condition, fibromyalgia symptome intensity scale, extensive pain index were used for patient records. Dynamical balances of cases were assessed with Berg balance test and statical balance was assessed with one leg stand test. Vertebrate posture analysis was performed with Zebris CMS-20P-2 device by using virtual 3D ultrasonic system. Durations of right and left one leg stand and Berg balance test results were significantly lower in FMS group. We also found that there is a moderately significant and inverse correlation between Berg Balance score and total FIQ scores, symptom intensity scale scores A, fibromyalgia intensity scores and Total Body Inclination Angle. Comparison of Vertebrate posture analizys with 3D-USG system scores of patients and control group did not show a statistically significant difference. In conclusion, we found that balance disorders are more commonly encountered in FMS patients compared to healthy people. We could not detect a significant difference between two groups in posture analysis. When preparing a treatment planning for FMS patient, possibility of balance disorders should be taken into consideration and an appropriate treatment should be planned in this light.

Anahtar Kelimeler

• Fibramyalgia Syndrome
• Posture
• Balance.

Kaynakça

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