INVESTIGATION OF MODIFIABLE RISK FACTORS IN PATIENTS WITH PATELLOFEMORAL PAIN SYNDROME

Öz

AİM: Patellofemoral pain syndrome is a knee problem, especially frequent in physically active young individuals. Patellofemoral pain syndrome is a set of symptoms rather than a specific diagnosis. It adversely affects both the quality of life and the functional activities of the patients. The aim of this study was to provide researchers and clinicians with an information concerning modifiable predictive variables for patellofemoral pain syndrome, to aid the development of preventative interventions. MATERİAL AND METHOD: A total of 130 patients with complaints of anterior knee pain and subsequently diagnosed as having patellofemoral pain syndrome and 100 healthy individuals without anterior knee pain were included in the study. All individuals were assessed in terms of shortness in soft tissues, muscle weakness, lower extremity alignment disorders, pain levels and functional levels. RESULTS: The patients with patellofemoral pain syndrome and asymptomatic subjects included in the study were similar in terms of age, gender and body mass index. In the comparison between patients with patellofemoral pain syndrome and asymptomatic subjects, J finding, one-legged hop test positivity, quadriceps atrophy, trendelenburg test positivity, iliotibial band tightness, patellar tilt, patellar hypermobility, patellar edge sensitivity, genu recurvatum, differences in leg length and external tibial torsion findings were significantly higher in patients with PFPS (p<0.05). CONCLUSİON: Due to the multifactorial nature of patellofemoral pain syndrome, numerous risk factors may play a role in the development of patellofemoral pain syndrome. While many risk factors have been reported, only some of them may be modifiable. Therefore, we think it makes sense to investigate these modifiable risk factors in patients with patellofemoral pain syndrome and to correct or replace them, if any.

Anahtar Kelimeler

• patellofemoral pain syndrome
• risk factors
• kujala score
• anterior knee pain

PATELLOFEMORAL AĞRI SENDROMLU HASTALARDA MODİFİYE EDİLEBİLİR RİSK FAKTÖRLERİNİN ARAŞTIRILMASI

Öz

AMAÇ: Patellofemoral ağrı sendromu, özellikle fiziksel olarak aktif genç bireylerde sık görülen bir diz problemidir. Hastaların hem yaşam kalitesini hem de fonksiyonel aktivitelerini olumsuz etkiler. Bu çalışmanın amacı, önleyici müdahalelerin geliştirilmesine yardımcı olmak için araştırmacılara ve klinisyenlere patellofemoral ağrı sendromu için değiştirilebilir risk faktörleri hakkında bilgi sağlamaktır. GEREÇ VE YÖNTEM: Çalışmaya ön diz ağrısı şikayeti olan ve ardından patellofemoral ağrı sendromu tanısı alan 130 hasta ve ön diz ağrısı olmayan 100 sağlıklı birey dahil edildi. Tüm bireyler yumuşak dokularda kısalık, kas güçsüzlüğü, alt ekstremite dizilim bozuklukları, ağrı düzeyleri ve fonksiyonel düzeyler açısından değerlendirildi. BULGULAR: Patellofemoral ağrı sendromlu hastalar ve asemptomatik bireyler yaş, cinsiyet ve vücut kitle indeksi açısından benzerdi. Patellofemoral ağrı sendromlu hastalar ile asemptomatik bireyler karşılaştırıldığında, J bulgusu, tek bacaklı atlama testi pozitifliği, kuadriseps atrofisi, trendelenburg testi pozitifliği, iliotibial bant gerginliği, patellar tilt, patellar hipermobilite, patellar kenar duyarlılığı, genu rekurvatum, bacak uzunluk farkı ve eksternal tibial torsiyon PFAS'lı hastalarda anlamlı olarak yüksekti (p <0.05). SONUÇ: Patellofemoral ağrı sendromunun çok faktörlü doğası düşünüldüğünde, hastalığın gelişiminde çok sayıda risk faktörü rol oynayabilir. Birçok risk faktörü rapor edilmiş olsa da bunlardan sadece bazıları değiştirilebilir. Bu nedenle, patellofemoral ağrı sendromlu hastalarda bu değiştirilebilir risk faktörlerini araştırmanın, eğer varsa bunları düzeltmenin veya değiştirmenin mantıklı olduğunu düşünüyoruz.

Anahtar Kelimeler

• patellofemoral ağrı sendromu
• risk faktörleri
• kujala skoru
• ön diz ağrısı

Kaynakça

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