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ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI

Year 2020, Volume: 31 Issue: 2, 148 - 155, 28.08.2020
https://doi.org/10.21653/tjpr.515870

Abstract

Amaç: Çalışmanın amacı, erken evre (1-2) diz osteoartriti (OA) olan hastalarda sağlıklı bireylere göre dengenin etkilenip etkilenmediğinin incelenmesi ve erken evre diz OA olan hastalarda denge ile diz fonksiyonu, ağrı şiddeti ve vücut kütle indeksi arasındaki ilişkinin araştırılmasıydı. Yöntem: Bu çalışma, 20 kadın ve dokuz erkek olmak üzere 29 diz OA’lı hastanın katılımı ile gerçekleşti. Sağlıklı kontrol grubu ise, 24 kadın, altı erkek olmak üzere 30 asemptomatik bireyden oluştu. Çalışmaya katılan bireylerin dengesi Biodex Denge Sistemi (BDS) kullanılarak, ağrı şiddeti Vizüel Analog Skalası (VAS) ile, diz fonksiyonları ise, Westhern Ontario Osteoartrit İndeksi (WOMAC) ile değerlendirildi. Sonuçlar: Her iki grubun gözler açık pozisyonda postüral stabilite test sonuçlarının benzer olduğu bulundu (p>0,05). Gözler kapalı pozisyonda ise, diz OA olan hastaların anterioposterior (p=0,013), mediolateral (p=0,024) ve toplam (p=0,001) postüral stabilite test puanlarının kontrol grubuna göre arttığı bulundu. Diz OA olan hastalarda gözler kapalı pozisyonda mediolateral postüral stabilite test puanı ile WOMAC arasında ilişki olduğu bulundu (r=0,687-0,615, p<0,05). VAS ve vücut kütle indeksi ile postüral stabilite test puanları arasında ilişki bulunmadı (p>0,05). Tartışma: Erken evre diz OA olan bireylerde gözler kapalı pozisyonda postüral salınım miktarı sağlıklı bireylere göre artar ve bu artış fonksiyonel düzeydeki kayıpla ilişkilidir. Diz OA’da erken dönemden itibaren denge etkilenmeye başlar ve bu yüzden dengeyi geliştirmeye yönelik girişimler tedavi programına dahil edilmelidir.

References

  • Kaynakça
  • 1. Favero M, Ramonda R, Goldring MB, Goldring SR, Punzi L. Early knee osteoarthritis. RMD Open. 2015;1:e000062.
  • 2. Luyten FP, Denti M, Filardo G, Kon E, Engebretsen L. Definition and classification of early osteoarthritis of the knee. Knee Surgery, Sports Traumatology, Arthroscopy. 2012;20(3):401-6.
  • 3. Duffell LD, Southgate DF, Gulati V, McGregor AH. Balance and gait adaptations in patients with early knee osteoarthritis. Gait & Posture. 2014;39(4):1057-61.
  • 4. Hassan B, Doherty S, Mockett S, Doherty M. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Annals of the Rheumatic Diseases. 2002;61(5):422-8.
  • 5. Wegener L, Kisner C, Nichols D. Static and dynamic balance responses in persons with bilateral knee osteoarthritis. Journal of Orthopaedic Sports Physical Therapy 1997;25(1):13-8.
  • 6. Hassan B, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Annals of the Rheumatic Diseases. 2001;60(6):612-8.
  • 7. Khalaj N, Osman NAA, Mokhtar AH, Mehdikhani M, Abas WABW. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PloS one. 2014;9(3):e92270.
  • 8. Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali Ro, et al. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis and Cartilage. 2003;11(8):551-60.
  • 9. Cachupe WJ, Shifflett B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Measurement in physical education exercise science. 2001;5(2):97-108.
  • 10. Baert IA, Mahmoudian A, Nieuwenhuys A, Jonkers I, Staes F, Luyten FP, et al. Proprioceptive accuracy in women with early and established knee osteoarthritis and its relation to functional ability, postural control, and muscle strength. Clinical rheumatology. 2013;32(9):1365-74.
  • 11. Hurley MV, Scott DL, Rees J, Newham DJ. Sensorimotor changes and functional performance in patients with knee osteoarthritis. Annals of the Rheumatic Diseases. 1997;56(11):641-8.
  • 12. Duffell LD, Gulati V, Southgate DF, McGregor AH. Measuring body weight distribution during sit-to-stand in patients with early knee osteoarthritis. Gait & Posture. 2013;38(4):745-50.
  • 13. Taglietti M, Bela LFD, Dias JM, Pelegrinelli ARM, Nogueira JF, Júnior JPB, et al. Postural sway, balance confidence, and fear of falling in women with knee osteoarthritis in comparison to matched controls. PM&R. 2017;9(8):774-80.
  • 14. Messier SP. Osteoarthritis of the knee and associated factors of age and obesity: effects on gait. Medicine and science in sports and exercise. 1994;26(12):1446-52.
  • 15. Fingleton C, Smart K, Moloney N, Fullen B, Doody C. Pain sensitization in people with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthritis and Cartilage. 2015;23(7):1043-56.
  • 16. Paradowski PT, Englund M, Lohmander LS, Roos EM. The effect of patient characteristics on variability in pain and function over two years in early knee osteoarthritis. Health quality of life outcomes. 2005;3(1):59.
  • 17. Ünver B. DİZ OSTEOARTRİTLİ HASTALARDA KLİNİK BULGULAR İLE YAŞ, CİNSİYET, VÜCUT KÜTLESİ VE RADYOLOJİK ŞİDDET ARASINDAKİ İLİŞKİNİN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2015;26(2):59-66.
  • 18. Şen T, Esmer AF, Tekdemir İ. Patellofemoral eklem anatomisi. Türk Ortopedi ve Travmatloji Derneği Birliği Dergisi. 2012;11(4):265-8.
  • 19. Cheung R, Ho K, Au I, An W, Zhang J, Chan Z, et al. Immediate and short-term effects of gait retraining on the knee joint moments and symptoms in patients with early tibiofemoral joint osteoarthritis: a randomized controlled trial. Osteoarthritis cartilage. 2018;26(11):1479-86.
  • 20. Blagojevic M, Jinks C, Jeffery A, Jordan K. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage. 2010;18(1):24-33.
  • 21. Peeler J, Christian M, Cooper J, Leiter J, MacDonald P. Managing knee osteoarthritis: the effects of body weight supported physical activity on joint pain, function, and thigh muscle strength. Clinical Journal of Sport Medicine. 2015;25(6):518-23.
  • 22. Pereira C, da Silva RA, de Oliveira MR, Souza RD, Borges RJ, Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging clinical and experimental research. 2018;30(5):441-7.
  • 23. Thorstensson C, Henriksson M, von Porat A, Sjödahl C, Roos E. The effect of eight weeks of exercise on knee adduction moment in early knee osteoarthritis–a pilot study. Osteoarthritis and Cartilage. 2007;15(10):1163-70.
  • 24. Eyigör S, Karapolat H, Ibisoglu U, Durmaz B. Does transcutaneous electrical nerve stimulation or therapeutic ultrasound increase the effectiveness of exercise for knee osteoarthritis: a randomized controlled study. AĞRI. 2008;20(1):32-40.
  • 25. Hinman R, Bennell K, Metcalf B, Crossley K. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002;41(12):1388-94.
  • 26. Chang A, Hayes K, Dunlop D, Song J, Hurwitz D, Cahue S, et al. Hip abduction moment and protection against medial tibiofemoral osteoarthritis progression. Arthritis & Rheumatism. 2005;52(11):3515-9.
  • 27. Gök H, Ergin S, Yavuzer G. Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. Acta Orthopaedica Scandinavica. 2002;73(6):647-52.
  • 28. Ding C, Jones G, Wluka AE, Cicuttini F. What can we learn about osteoarthritis by studying a healthy person against a person with early onset of disease? Current opinion in rheumatology. 2010;22(5):520-7.

A COMPARISON OF POSTURAL STABILITY IN PATIENTS WITH EARLY KNEE OSTEOARTHRITIS AND HEALTHY INDIVIDUALS

Year 2020, Volume: 31 Issue: 2, 148 - 155, 28.08.2020
https://doi.org/10.21653/tjpr.515870

Abstract

Purpose: The study aimed to analyze whether the balance is affected in early stage (1-2) knee osteoarthritis (OA) as compared to healthy individuals and to investigate the relationship between balance and knee function, pain intensity, and body mass index in early-stage knee OA. Methods: This study was carried out with the participation of 29 knee OA patients, including 20 females and nine males. The healthy control group consisted of 30 asymptomatic individuals, including 24 females and six males. The balance of the participants was evaluated using the Biodex Balance System (BDS), the pain intensity was assessed using Visual Analogue Scale (VAS), and the knee function was determined using the Western Ontario Osteoarthritis Index (WOMAC). Results: Postural stability test results in eyes open position were similar between the groups (p>0.05). In the eyes closed position, anteroposterior (p=0.013), mediolateral (p=0.024) and total (p=0.001) scores of OA patients increased as compared to the control group. Postural stability test scores of patients with knee OA were found increased compared to the control group. A correlation was found between WOMAC and mediolateral postural stability test score in eyes closed position (r=0.687-0.615, p<0.05) in patients with knee OA. No correlation was found between the VAS, body mass index, and postural stability test scores (p>0.05). Conclusion: The amount of postural oscillation in early knee OA patients in eyes closed position is increased compared to healthy individuals, and this increase is associated with the loss in functional level. Balance begins to be affected from the early stage of knee OA, and therefore attempts oriented to improve the balance should be included in the treatment program.

References

  • Kaynakça
  • 1. Favero M, Ramonda R, Goldring MB, Goldring SR, Punzi L. Early knee osteoarthritis. RMD Open. 2015;1:e000062.
  • 2. Luyten FP, Denti M, Filardo G, Kon E, Engebretsen L. Definition and classification of early osteoarthritis of the knee. Knee Surgery, Sports Traumatology, Arthroscopy. 2012;20(3):401-6.
  • 3. Duffell LD, Southgate DF, Gulati V, McGregor AH. Balance and gait adaptations in patients with early knee osteoarthritis. Gait & Posture. 2014;39(4):1057-61.
  • 4. Hassan B, Doherty S, Mockett S, Doherty M. Effect of pain reduction on postural sway, proprioception, and quadriceps strength in subjects with knee osteoarthritis. Annals of the Rheumatic Diseases. 2002;61(5):422-8.
  • 5. Wegener L, Kisner C, Nichols D. Static and dynamic balance responses in persons with bilateral knee osteoarthritis. Journal of Orthopaedic Sports Physical Therapy 1997;25(1):13-8.
  • 6. Hassan B, Mockett S, Doherty M. Static postural sway, proprioception, and maximal voluntary quadriceps contraction in patients with knee osteoarthritis and normal control subjects. Annals of the Rheumatic Diseases. 2001;60(6):612-8.
  • 7. Khalaj N, Osman NAA, Mokhtar AH, Mehdikhani M, Abas WABW. Balance and risk of fall in individuals with bilateral mild and moderate knee osteoarthritis. PloS one. 2014;9(3):e92270.
  • 8. Salaffi F, Leardini G, Canesi B, Mannoni A, Fioravanti A, Caporali Ro, et al. Reliability and validity of the Western Ontario and McMaster Universities (WOMAC) Osteoarthritis Index in Italian patients with osteoarthritis of the knee. Osteoarthritis and Cartilage. 2003;11(8):551-60.
  • 9. Cachupe WJ, Shifflett B, Kahanov L, Wughalter EH. Reliability of biodex balance system measures. Measurement in physical education exercise science. 2001;5(2):97-108.
  • 10. Baert IA, Mahmoudian A, Nieuwenhuys A, Jonkers I, Staes F, Luyten FP, et al. Proprioceptive accuracy in women with early and established knee osteoarthritis and its relation to functional ability, postural control, and muscle strength. Clinical rheumatology. 2013;32(9):1365-74.
  • 11. Hurley MV, Scott DL, Rees J, Newham DJ. Sensorimotor changes and functional performance in patients with knee osteoarthritis. Annals of the Rheumatic Diseases. 1997;56(11):641-8.
  • 12. Duffell LD, Gulati V, Southgate DF, McGregor AH. Measuring body weight distribution during sit-to-stand in patients with early knee osteoarthritis. Gait & Posture. 2013;38(4):745-50.
  • 13. Taglietti M, Bela LFD, Dias JM, Pelegrinelli ARM, Nogueira JF, Júnior JPB, et al. Postural sway, balance confidence, and fear of falling in women with knee osteoarthritis in comparison to matched controls. PM&R. 2017;9(8):774-80.
  • 14. Messier SP. Osteoarthritis of the knee and associated factors of age and obesity: effects on gait. Medicine and science in sports and exercise. 1994;26(12):1446-52.
  • 15. Fingleton C, Smart K, Moloney N, Fullen B, Doody C. Pain sensitization in people with knee osteoarthritis: a systematic review and meta-analysis. Osteoarthritis and Cartilage. 2015;23(7):1043-56.
  • 16. Paradowski PT, Englund M, Lohmander LS, Roos EM. The effect of patient characteristics on variability in pain and function over two years in early knee osteoarthritis. Health quality of life outcomes. 2005;3(1):59.
  • 17. Ünver B. DİZ OSTEOARTRİTLİ HASTALARDA KLİNİK BULGULAR İLE YAŞ, CİNSİYET, VÜCUT KÜTLESİ VE RADYOLOJİK ŞİDDET ARASINDAKİ İLİŞKİNİN İNCELENMESİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi. 2015;26(2):59-66.
  • 18. Şen T, Esmer AF, Tekdemir İ. Patellofemoral eklem anatomisi. Türk Ortopedi ve Travmatloji Derneği Birliği Dergisi. 2012;11(4):265-8.
  • 19. Cheung R, Ho K, Au I, An W, Zhang J, Chan Z, et al. Immediate and short-term effects of gait retraining on the knee joint moments and symptoms in patients with early tibiofemoral joint osteoarthritis: a randomized controlled trial. Osteoarthritis cartilage. 2018;26(11):1479-86.
  • 20. Blagojevic M, Jinks C, Jeffery A, Jordan K. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthritis and Cartilage. 2010;18(1):24-33.
  • 21. Peeler J, Christian M, Cooper J, Leiter J, MacDonald P. Managing knee osteoarthritis: the effects of body weight supported physical activity on joint pain, function, and thigh muscle strength. Clinical Journal of Sport Medicine. 2015;25(6):518-23.
  • 22. Pereira C, da Silva RA, de Oliveira MR, Souza RD, Borges RJ, Vieira ER. Effect of body mass index and fat mass on balance force platform measurements during a one-legged stance in older adults. Aging clinical and experimental research. 2018;30(5):441-7.
  • 23. Thorstensson C, Henriksson M, von Porat A, Sjödahl C, Roos E. The effect of eight weeks of exercise on knee adduction moment in early knee osteoarthritis–a pilot study. Osteoarthritis and Cartilage. 2007;15(10):1163-70.
  • 24. Eyigör S, Karapolat H, Ibisoglu U, Durmaz B. Does transcutaneous electrical nerve stimulation or therapeutic ultrasound increase the effectiveness of exercise for knee osteoarthritis: a randomized controlled study. AĞRI. 2008;20(1):32-40.
  • 25. Hinman R, Bennell K, Metcalf B, Crossley K. Balance impairments in individuals with symptomatic knee osteoarthritis: a comparison with matched controls using clinical tests. Rheumatology. 2002;41(12):1388-94.
  • 26. Chang A, Hayes K, Dunlop D, Song J, Hurwitz D, Cahue S, et al. Hip abduction moment and protection against medial tibiofemoral osteoarthritis progression. Arthritis & Rheumatism. 2005;52(11):3515-9.
  • 27. Gök H, Ergin S, Yavuzer G. Kinetic and kinematic characteristics of gait in patients with medial knee arthrosis. Acta Orthopaedica Scandinavica. 2002;73(6):647-52.
  • 28. Ding C, Jones G, Wluka AE, Cicuttini F. What can we learn about osteoarthritis by studying a healthy person against a person with early onset of disease? Current opinion in rheumatology. 2010;22(5):520-7.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Ayşenur Gökşen 0000-0003-2273-5908

Filiz Can

Serkan Taş This is me

Feza Korkusuz

Publication Date August 28, 2020
Published in Issue Year 2020 Volume: 31 Issue: 2

Cite

APA Gökşen, A., Can, F., Taş, S., Korkusuz, F. (2020). ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 31(2), 148-155. https://doi.org/10.21653/tjpr.515870
AMA Gökşen A, Can F, Taş S, Korkusuz F. ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI. Turk J Physiother Rehabil. August 2020;31(2):148-155. doi:10.21653/tjpr.515870
Chicago Gökşen, Ayşenur, Filiz Can, Serkan Taş, and Feza Korkusuz. “ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 31, no. 2 (August 2020): 148-55. https://doi.org/10.21653/tjpr.515870.
EndNote Gökşen A, Can F, Taş S, Korkusuz F (August 1, 2020) ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31 2 148–155.
IEEE A. Gökşen, F. Can, S. Taş, and F. Korkusuz, “ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI”, Turk J Physiother Rehabil, vol. 31, no. 2, pp. 148–155, 2020, doi: 10.21653/tjpr.515870.
ISNAD Gökşen, Ayşenur et al. “ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31/2 (August 2020), 148-155. https://doi.org/10.21653/tjpr.515870.
JAMA Gökşen A, Can F, Taş S, Korkusuz F. ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI. Turk J Physiother Rehabil. 2020;31:148–155.
MLA Gökşen, Ayşenur et al. “ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 31, no. 2, 2020, pp. 148-55, doi:10.21653/tjpr.515870.
Vancouver Gökşen A, Can F, Taş S, Korkusuz F. ERKEN EVRE DİZ OSTEOARTRİTLİ HASTALARDA POSTÜRAL STABİLİTENİN SAĞLIKLI BİREYLER İLE KARŞILAŞTIRILMASI. Turk J Physiother Rehabil. 2020;31(2):148-55.