Dissinerjik Defekasyonlu Hastalarda Kas-İskelet Disfonksiyonunun Değerlendirilmesi

Yıl 2025, Cilt: 7 Sayı: 2, 411 - 420, 07.08.2025

Nuriye Büyüktaş , Melih Zeren

https://doi.org/10.46413/boneyusbad.1549233

Öz

Amaç: Literatürde genitoüriner sistem hastalıkları ile kas-iskelet sistemi disfonksiyonu arasında ilişki olduğu bildirilmektedir; ancak bu durum dissinerjik defekasyonda araştırılmamıştır. Bu çalışma dissinerjik defekasyonda kas-iskelet sistemi disfonksiyonunu incelemeyi amaçlamıştır.
Gereç ve Yöntem: Çalışmaya 25 dissinerjik defekasyonlu ve 25 sağlıklı birey dahil edildi. Katılımcılar lomber ve kalça bölgesi simetrisi açısından değerlendirildi ve katılımcılara Pittsburgh Uyku Kalitesi İndeksi, Beck Depresyon Envanteri, Konstipasyon Yaşam Kalitesi Anketi Hasta Değerlendirmesi, Kadın Cinsel Fonksiyon İndeksi, Uluslararası Erektil Fonksiyon İndeksi uygulandı. Pelvis ve kalça ağrısını değerlendirmek üzere Posterior Pelvik Ağrı Provokasyon Testi, Gaenslen Testi, Trendelenburg Testi, FABER Testi, Piriformis Testi de kullanıldı.
Bulgular: Dissinerjik defekasyon grubunda uyku kalitesi, depresyon ve yaşam kalitesi skorları daha düşüktü (p<0.05). Dissinerjik defekasyonlu erkeklerde cinsel disfonksiyon kontrol grubunda göre daha fazlaydı (p<0.05). Lomber bölge simetrisinin değerlendirilmesinde gruplar arasında anlamlı fark yoktu (p>0.05). Kalça fleksiyon, abdüksiyon, internal ve eksternal rotasyon hareketlerindeki asimetri oranı kontrol grubuna kıyasla dissinerjik defekasyon grubunda daha yüksekti (p<0.05). Trendelenburg testi harici ağrı provokasyon testleri dissinerjik defekasyon grubunda daha yüksek oranda pozitifti (p<0.05).
Sonuç: Kas-iskelet sistemi disfonksiyonu dissinerjik defekasyonda yaygındır ve dissinerjik defekasyon uyku kalitesini, yaşam kalitesini, depresyonu ve cinsel işlevleri olumsuz etkilemektedir. Çalışmamız dissinerjik defekasyon tedavisinin multidisipliner bir yaklaşım gerektirdiğini göstermektedir.

Anahtar Kelimeler

Dissinerjik defekasyon , Pelvik taban , Kas-iskelet sistemi , Ağrı , Cinsel disfonksiyon

Examination of Musculoskeletal Dysfunction in Patients with Dyssynergic Defecation

Öz

Aim: Literature reports relationship between genitourinary system diseases and musculoskeletal dysfunction, this is not investigated in dyssynergic defecation. This study aimed to examine musculoskeletal disorders in dyssynergic defecation.
Material and Method: Twenty-five individuals with dyssynergic defecation and twenty-five healthy controls were included. Participants were evaluated for lumbar-hip region symmetry and were applied Pittsburgh Sleep Quality Index, Beck Depression Inventory, Patient Assessment of Constipation Quality of Life Questionnaire, Female Sexual Function Index, International Index of Erectile Function. Posterior Pelvic Pain Provocation Test, Gaenslen's Test, Trendelenburg Test, FABER test, Piriformis Test were employed to evaluate pelvis and hip pain.
Results: Dyssynergic defecation group had lower scores in sleep quality, depression and quality of life evaluations (p<0.05). Men with dyssynergic defecation had more sexual dysfunctions then controls (p<0.05). No difference was found between groups in lumbar region symmetry. Prevalence of asymmetry in hip flexion, abduction, internal and external rotation was higher in dyssynergic defecation group (p<0.05). Pain provocation tests, except Trendelenburg test, were more positive in dyssynergic defecation group (p<0.05).
Conclusion: Musculoskeletal dysfunction is common in dyssynergic defecation and dyssynergic defecation also effects sleep quality, quality of life, depression, and sexual functions. Our study suggests that management of dyssynergic defecation requires multidisciplinary approach.

Anahtar Kelimeler

Dyssynergic defecation , Pelvic floor , Musculoskeletal system , Pain , Sexual dysfunction

Kaynakça

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