CHEVRON OSTEOTOMİSİ GEÇİREN HALLUKS VALGUSLU KADINLARDA FONKSİYONEL DURUM, DENGE VE KİNEZYOFOBİNİN İNCELENMESİ: PİLOT ÇALIŞMA

Abstract

Amaç: Bu çalışmanın amacı, Halluks Valgus’lu (HV) kadınların Chevron osteotomisi sonrası fonksiyonel durumunu, dengesini ve kinezyofobisini HV tanılı cerrahi geçirmemiş kadınlarla karşılaştırmalı olarak incelemekti. Yöntem: Çalışmaya 20-70 yaşları arasında, cerrahi sonrası ortalama 28 ay süre geçmiş 19 HV’li kadın ve cerrahi geçirmemiş HV tanılı 19 kadın olmak üzere toplam 38 birey dahil edildi. Bireylerin ağrı şiddeti (Vizüel Analog Skalası), başparmak eklem hareket açıklığı (universal gonyometre), statik dengesi (Tek Bacak Üzerinde Durma Testi), dinamik dengesi (Zamanlı Kalk Yürü Testi), fonksiyonel durumu ve kozmetik kaygısı (Çok Boyutlu Nil Halluks Valgus Ölçeği), kinezyofobisi (Tampa Kinezyofobi Ölçeği) değerlendirildi. Sonuçlar: Cerrahi geçiren HV’li kadınların ağrı şiddeti, kozmetik kaygısı, başparmak toplam eklem hareket açıklığı ve HV açısı cerrahi geçirmeyen HV’li kadınlara oranla daha düşüktü (p<0,001); fonksiyonel skorları ise cerrahi geçirmeyen HV’li kadınlara göre daha iyi durumdaydı (p<0,05). Denge ve kinezyofobi skorları her iki grupta benzerdi (p>0,05). Ancak her iki grubun da ortalama kinezyofobi puanları (cerrahi olan: 36,20 ± 5,35; cerrahi olmayan: 36,44 ± 5,40), ölçeğin ortalama puanının üstündeydi. Cerrahi grubunun HV ve 1-2 intermetatarsal açısı, cerrahi öncesindeki değerlere göre anlamlı iyileşme gösterdi (p<0,001). Tartışma: Bu çalışmanın sonuçları, HV’li kadınlarda cerrahi sonrası uzun dönemde başparmak toplam eklem hareket açıklığının kısıtlandığını ve kinezyofobinin varlığını göstermektedir. Bu bireylerde kapsamlı bir değerlendirme için, cerrahi öncesinde ve sonrasında eklem hareketlerinin ve kinezyofobi değerlendirmelerinin de fizyoterapi ve rehabilitasyon programlarına eklenmesinin gerektiği göz önünde bulundurulmalıdır.

Keywords

• Ayak
• Halluks Valgus
• Kinezyofobi
• Postüral Denge

INVESTIGATION OF FUNCTIONAL STATUS, BALANCE AND KINESIOPHOBIA IN WOMEN WITH HALLUX VALGUS UNDERWENT CHEVRON OSTEOTOMY, A PILOT STUDY

Abstract

Purpose: The aim of this study, was to investigate functional status, balance and kinesiophobia after Chevron osteotomy in women with Hallux Valgus (HV) in comparison to non-surgical women with HV. Methods: A total of 38 individuals were included in the study, including those aged 20-70 years 19 women with an average of 28 months after surgery, and 19 HV women diagnosed with non-surgical. Individuals' pain intensity (Visual Analogue Scale), thumb joint range of motion (ROM) (universal goniometer), static balance (Single-Leg-Stance Test), dynamic balance (Timed Up and Go Test), functional status, and cosmetic concern (Multidimensional Nil Hallux Valgus Scale), kinesiophobia (Tampa Kinesiophobia Scale) was evaluated. Results: Pain severity, cosmetic concern, range of motion of the thumb, and HV angle (HVA) were lower in women with HV following surgery than non-surgical HV women (p<0.001); functional scores were better than women with non-surgical HV (p<0.05). Balance and kinesiophobia scores were similar in both groups (p> 0.05). However, the average kinesiophobia scores in both groups (surgical: 36.20 ± 5.35; non-surgical: 36.44 ± 5.40) were above the mean score of the scale. HVA and 1-2 intermetatarsal angle (IMA) of the surgical group showed significant improvement compared to the values before surgery (p <0.001). Conclusion: The results of this study showed that the total ROM of thumb is limited and the presence of kinesiophobia in the long-term postoperative period in women with HV. For a comprehensive evaluation of these individuals, it should be taken into consideration that joint movements and kinesiophobia evaluations should be added to physiotherapy and rehabilitation programs before and after surgery.

Keywords

• Foot
• Hallux Valgus
• Kinesiophobia
• Postural Balance

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