Halluks valgus deformitesinin yaşam kalitesi üzerine etkisi

Öz

Bu çalışmanın amacı halluks valgus (HV) şiddetinin genel ve ayağa özel sağlıkla ilgili yaşam kalitesi üzerine etkisini incelemekti. Çalışmaya yaşları 16-80 yıl arasında değişen, halluks valguslu toplam 263 (139 kadın, 124 erkek) hasta dahil edilmiştir. Genel sağlıkla ilgili yaşam kalitesi Kısa Form-36 (SF-36), hastalığa özel yaşam kalitesi Amerikan Ortopedik Ayak ve Ayak Bileği Birliği’nin başparmak için klinik ölçümleme sistemi kullanılarak, deformitenin açısal şiddeti gonyometrik ölçümle değerlendirildi. HV’un açısal şiddetindeki artışla SF-36 alt skalaları olan Fiziksel Fonksiyon, Vitalite ve Mental Sağlığı her iki ayak için (p=0,00), sağ ayak için Fiziksel Rolü (p=0,00), Emosyonel Rolü (p=0,01), Ağrı (p=0,00), Genel Sağlık (p=0,003) ve Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) başparmak alt skalası (p=0,001) ve sol ayak için Fiziksel Rolü (p=0,001), Emosyonel Rolü (p=0,03), Ağrı (p=0,009), Genel Sağlık (p=0,03) ve AOFAS başparmak alt skalası (p=0,00) skorlarının azaldığı saptandı. HV şiddeti arttıkça genel ve ayağa özel sağlıkla ilgili yaşam kalitesi azalmıştır. SF-36 ve AOFAS sonuç anketleri klinik halluks valgus çalışmalarında temel ölçüm yöntemleri olarak kullanılabilir. SF-36 ve AOFAS skorlarının yükseltilmesinde fizyoterapi ve rehabilitasyon önerilmektedir

Anahtar Kelimeler

• Halluks valgus
• SF-36
• AOFAS
• yaşam kalitesi

Öz

The purpose of this study was to assess the impact of hallux valgus severity on general and footspesific health related quality of life (HRQOL). Two hundred and sixty three subjects (139 women, 124 men) aged between 16-80 with hallux valgus were enrolled in this study. Measures used were the quality of life according to SF-36, a disease spesific score (the American Orthopeadic Foot and Ankle Society’s (AOFAS) clinical rating system for the hallux), angular severity of the deformity by a goniometer. The severity of hallux valgus angle (HVA) significantly affected SF-36 subsclaes the Physical Function, Vitality and Mental Health (p=0,00) for both feet, the Role Physical (p=0,00) for right and (p=0,001) for left foot, Role Emotional (p=0,001) for right and (p=0,03) for left foot, the Bodily Pain (p=0,00) for right and (p=0,009) for left foot, the General Health (p=0,003) for right and (p=0,03) for left foot and the AOFAS score for the hallux (p=0,001) for right and (p=0,00) for left foot. There is a reduction for both general and footspesific HRQOL with increasing severity of hallux valgus deformity. These data may serve as a baseline for clinical hallux valgus studies with use of the SF-36 or the AOFAS outcome questionnaire. Physiotherapy and rehabilitation is warrented to normalize the SF-36 and AOFAS scores

Anahtar Kelimeler

• Hallux valgus
• SF-36
• AOFAS
• quality of life

Kaynakça

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