Evaluation of the Effect of Halo Gravity Traction on Quality of Life in Patients with Rigid Kyphoscoliosis

Öz

ObjectiveThere are abundant problems have to be solved in the treatment of rigid kyphoscoliosis. The aim of this study was to reveal the effects of halo gravity traction application, which is used in the treatment of problems, on daily life activities, functions and mental states of patients. Material and Methods: Halo gravity traction was applied before their surgeries to patients who will undergo surgery with a diagnosis of rigid kyphoscoliosis. A total of 14 patients who received traction therapy were included in our study. 28.6% (n = 4) of a total of 14 patients were male and 71.4% were female (n = 10). The mean age was 17.22 ± 6.15. Six (42.8%) of the patients were idiopathic scoliosis, 5 (35.7%) congenital scoliosis and 3 (21.5%) neuromuscular scoliosis. The patients were evaluated with the Medical Outcome Study Short Form-36 (SF-36), one of the quality of life scales, on the 10th day after the procedure and in the first month after the traction procedure. Results: Wilcoxon Signed Ranks Test was used to analyze the data of the halo traction application. Statistical significance level was set at p <0.05. As a result of statistical analysis of the data, changes in physical function, social function, physical role difficulty, emotional role difficulty, mental health, energy / stamina / vitality and pain parameters were p <0.05 and were significant. The changes in the general health perception were not statistically significant. Conclusion: In addition to the effectiveness of the halo gravity traction method applied in patients with rigid kyphoscoliosis, its positive effect on the patient's quality of life during the traction period is related to the adaptation period to traction. Daily traction training and maintenance is important in this adaptation. Solving the pain and sleep pattern problems of the patients has a positive effect on the quality of life during traction.

Anahtar Kelimeler

• Halo gravity traction
• Rigid kyphoscoliosis
• Quality of life scale.

Rijit Kifoskolyozlu Hastalarda Uygulanan Halo Gravite Traksiyonun Yaşam Kalitesi Üzerine Etkisinin Değerlendirilmesi

Öz

Giriş ve Amaç: Rijit kifoskolyoz hastalığının tedavisinde çözülmesi gereken birçok problem bulunur. Bu çalışmada amaç sorunların tedavisinde kullanılan halo gravite traksiyonu uygulanmasının hastalarda günlük yaşam aktivitelerine, fonksiyonlarına ve ruhsal durumlarına etkilerini ortaya koymaktı. Gereç ve Yöntemler: Rijit kifoskolyoz tanısı ile cerrahisi yapılacak hastalara cerrahi öncesi halo gravite traksiyonu uygulandı. Çalışmamıza traksiyon tedavisi gören toplam 14 hasta alındı. Toplam 14 hastanın %28,6’sı (n=4) erkek, %71,4’ü kadın (n=10) idi. Ortalama yaş 17.22 ± 6.15 idi. Hastaların 6’sı (%42,8) idiyopatik skolyoz, 5’i (%35,7) konjenital skolyoz ve 3’ü (%21,5) nöromüsküler skolyozdu. Hastalara işlem sonrası 10’uncu gün ve traksiyon işlemi sonrası birinci ayda yaşam kalite ölçeklerinden Medical Outcome Study Short Form-36 (SF-36) ile değerlendirilmesi yapıldı. Bulgular: Halo traksiyon uygulamasının verilerinin analizi için Wilcoxon Signed Ranks Testi kullanıldı. İstatistiksel anlamlılık düzeyi p <0.05 olarak belirlendi. Verilerin istatistik analiz sonucu fiziksel fonksiyon, sosyal işlev, fiziksel rol güçlüğü, emosyonel rol güçlüğü, ruhsal sağlık, enerji/canlılık/vitalite ve ağrı parametrelerindeki değişiklikler p <0.05 olup anlamlıydı. Genel sağlık algısındaki değişiklikler ise istatistiksel anlamlı değildi. Sonuç: Rijit kifoskolyoz olan hastalarda uygulanan halo gravite traksiyon yönteminin etkinliğinin yanında hastanın traksiyon süresi boyunca yaşam kalitesi üzerindeki olumlu etkisinin traksiyona adaptasyon süresi ile ilişkilidir. Günlük traksiyon eğitiminin ve bakımının bu adaptasyonda önemli olmaktadır. Hastaların uyku düzeni ve ağrı sorunlarının çözülmesi traksiyon süresince yaşam kalitesi üzerine pozitif yönde etkilidir.

Anahtar Kelimeler

• Rijit Kifoskolyoz
• halo gravite traksiyonu
• Yaşam kalite ölçeği

Kaynakça

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