MEDİAL DİZ OSTEOARTRİTİ OLAN YAŞLI BİREYLERDE LATERAL KAMALI DOKULU TABANLIK KULLANIMININ DENGE ÜZERİNE ANLIK ETKİSİNİN ARAŞTIRILMASI

Yıl 2025, Cilt: 10 Sayı: 2, 1 - 12, 31.08.2025

Esra Nur Türkmen , Banu Ünver , Tuba Tülay Koca

https://doi.org/10.52881/gsbdergi.1719162

Öz

Diz osteoartritli bireylerde dengeyi artırmaya yönelik müdahaleler, düşme riskini azaltarak fonksiyonel bağımsızlığı korumada önemlidir. Bu kapsamda, ayak tabanından sağlanan duyusal girdiyi artıran yaklaşımlar dikkat çekmektedir. Bu çalışma, bilateral medial diz osteoartritli yaşlı bireylerde lateral kamalı dokulu tabanlık kullanımının denge üzerindeki anlık etkisini araştırmayı amaçlamıştır. Çalışmaya, 65–75 yaş arası bilateral medial diz osteoartriti tanısı olan bireyler iki gruba ayrılarak dâhil edilmiştir. Deney grubuna lateral kamalı dokulu tabanlık, kontrol grubuna ise lateral kamalı düz tabanlık uygulanmıştır. Tüm katılımcıların dengesi önce ayakkabılı ve tabanlıksız, ardından gruplarına uygun tabanlık yerleştirilmiş ayakkabılarla HUR Smart Balance System kullanılarak değerlendirilmiştir. Deney grubunda statik denge skoru, propriyoseptif bozulma skoru, görsel bağımlılık skoru ve vestibüler dominant skoru, tabanlıkla yapılan ölçümlerde yalnızca ayakkabı ile yapılan ölçümlere kıyasla anlamlı düzeyde yüksek bulunmuştur (p<0,001). Sol ve sağ ağırlık dağılımı skorlarında ise tabanlıklı ve tabanlıksız yapılan ölçüm sonuçları arasında anlamlı bir fark olmadığı bulunmuştur (p>0,05). Kontrol grubunda ise tabanlık kullanılarak yapılan ölçümler ile yalnızca ayakkabı ile yapılan ölçümler arasında tüm parametrelerde anlamlı bir fark bulunmamıştır (p>0,05). Gruplar arası karşılaştırmalarda, tabanlıkla yapılan ölçümlerde statik denge skoru, propriyoseptif bozulma skoru, görsel bağımlılık skoru ve vestibüler dominant skoru açısından deney ve kontrol grupları arasında istatistiksel olarak anlamlı farklar bulunmuştur (p<0.001). Buna karşılık, sol ve sağ ağırlık dağılımı skorlarında gruplar arasında anlamlı bir fark olmadığı saptanmıştır (p>0,05). Lateral kamalı dokulu tabanlık kullanımı, medial diz osteoartritli yaşlı bireylerde denge parametreleri üzerinde anlık olarak olumlu etkiler göstermiştir. Özellikle statik denge, propriyosepsiyon, görsel bağımlılık ve vestibüler kontrolü iyileştirmek amacıyla lateral kamalı dokulu tabanlıklar medial diz osteoartritinde tedavi planına dahil edilebilir.

Anahtar Kelimeler

Denge , diz osteoartriti , dokulu tabanlık

INVESTIGATION OF THE IMMEDIATE EFFECT OF LATERAL WEDGE TEXTURED INSOLES ON BALANCE IN ELDERLY INDIVIDUALS WITH MEDIAL KNEE OSTEOARTHRITIS

Öz

Interventions to improve balance in individuals with knee osteoarthritis are important in maintaining functional independence by reducing the risk of falls. In this context, approaches that increase the sensory input from the sole of the foot attract attention. This study aimed to investigate the immediate effect of lateral wedge textured insoles on balance in elderly individuals with medial knee osteoarthritis. Individuals aged 65-75 years with bilateral medial knee osteoarthritis were divided into two groups. The experimental group received textured insoles with lateral wedge and the control group received flat insoles with lateral wedge. The balance of all participants was assessed using the HUR Smart Balance System, first with and without shoes and then with shoes with appropriate insoles for their groups. In the experimental group, static balance score, proprioceptive impairment score, visual dependence score and vestibular dominant score were found to be significantly higher with insoles than with shoes only (p<0.001). In the left and right weight distribution scores, no significant difference was found between the results of the measurements with and without insoles (p>0.05). In the control group, no significant difference was found in all parameters between the measurements performed with insoles and the measurements performed with shoes only (p>0.05). In intergroup comparisons, statistically significant differences were found between the experimental and control groups in terms of static balance score, proprioceptive impairment score, visual dependence score and vestibular dominant score (p<0.001). On the other hand, there was no significant difference between the groups in left and right weight distribution scores (p>0.05). The use of textured insoles with lateral wedge showed immediate positive effects on balance parameters in elderly individuals with medial knee osteoarthritis. Lateral wedge textured insoles can be included in the treatment plan for medial knee osteoarthritis, especially to improve static balance, proprioception, visual dependence and vestibular control.

Anahtar Kelimeler

Balance , knee osteoarthritis , textured insoles

Kaynakça

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