The Effects of Respiratory Functions and Respiratory Muscle Strength on Exercise Capacity and Quality of Life in Patients with Ankylosing Spondylitis

Yıl 2022, Cilt: 11 Sayı: 3, 1202 - 1210, 27.09.2022

Şule Özbay Kaya , Özgür Bostancı , Muhammet Hakan Mayda

https://doi.org/10.37989/gumussagbil.1136090

Öz

This study aims to examine the effects of impaired respiratory functions and respiratory muscle strength (RMS) on exercise capacity and quality of life in patients with ankylosing spondylitis (AS). In the study, 28 AS patients (female: 20, male: 8; age: 41.93±9.49) and 28 healthy individuals (female: 20, male: 8; age: 39.61±10.78) were evaluated. Descriptive information, clinical histories and chest expansion measurements of the patients were obtained. Respiratory function tests (RFT) were measured with a spirometer and RMS was measured with a respiratory pressure meter. Disease activity was assessed with the Bath Ankylosing Spondylitis Functional Index (BASFI). Functional exercise capacity was measured using the 6-min walk test (6MWT) and vital signs. SF-36 quality of life scale was used to evaluate the quality of life of the patient group. The average values of RFT, RMS, 6MWT and vital signs of patients with AS were found to be lower than the control group. FEV1, 6MWT, leg fatigue before and after 6MWT and heart rate after 6MWT parameters were significantly lower in AS patients than in control group (p<0.05). In addition, a negative correlation was found between RFT, RMS and BASFI score of the patient group and a positive correlation was found between 6MWT, chest expansion and quality of life parameters. In conclusion, this study showed that the impairments in the musculoskeletal system and respiratory functions in AS patients decrease their respiratory parameters, exercise capacity and quality of life. Exercises that increase RMS should be included in the exercise programs for AS.

Anahtar Kelimeler

Ankylosing spondilitis, Respiratory functions, Respiratory muscle strength

Ankilozan Spondilitli Hastaların Solunum Fonksiyonları ve Solunum Kas Kuvvetlerinin Egzersiz Kapasitesi ile Yaşam Kalitesi Üzerine Etkisi

Öz

Bu çalışmanın amacı Ankilozan Spondilitli hastaların (AS) bozulan solunum fonksiyonları ile solunum kas kuvvetlerinin (SKK) egzersiz kapasitesi ve yaşam kalitesi üzerine etkisini incelemektir. Araştırmada AS tanısı almış olan 28 hasta (kadın: 20, erkek: 8; yaş: 41.93±9.49) ve 28 sağlıklı birey (kadın: 20, erkek: 8; yaş: 39.61±10.78) değerlendirildi. Hastaların tanımlayıcı bilgileri, klinik öyküleri ve göğüs ekspansiyon ölçümleri alındı. Solunum fonksiyon testleri (SFT) spirometre ile SKK ağız içi basınç ölçer ile ölçüldü. Hastalık aktivitesi, Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFI) ile değerlendirildi. Fonksiyonel egzersiz kapasitesi 6 dakikalık yürüme testi (6DYT) ve vital bulguları kullanılarak ölçüldü. Hasta grubunun yaşam kalitesini değerlendirmek için ise SF-36 yaşam kalitesi ölçeğinden yararlanıldı. AS’li hastaların SFT, SKK, 6DYT ve vital bulguları ortalama değerleri kontrol grubuna göre daha düşük olduğu bulunmuştur. FEV1, 6DYT, 6DYT öncesi ve sonrası bacak yorgunluğu ile 6DYT sonrası nabız parametreleri AS’li hastalarda kontrol grubuna göre istatiksel olarak daha düşüktür (p<0,05). Ayrıca hasta grubunun BASFI skoru ile SFT ve SKK arasında negatif; 6DYT, göğüs ekspansiyonu ve yaşam kalitesi parametreleri arasında pozitif ilişki olduğu tespit edildi. Bu çalışma AS’lilerde kas iskelet sisteminde ve solunum fonksiyonlarında meydana gelen bozulmaların hastaların solunum değerlerini, egzersiz kapasitelerini ve yaşam kalitelerini azalttığını göstermiştir. AS’liler için egzersiz programlarında SKK'yi artıran egzersizlere yer verilmelidir.

Anahtar Kelimeler

Ankilozan spondilit, Solunum fonksiyonları, Solunum kas kuvveti

Kaynakça

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