An investigation of relationship between hallux valgus angle and health related quality of life and functional status

Yıl 2015, Cilt: 2 Sayı: 1 - Cilt: 2 Sayı: 1, 21 - 27, 23.07.2016

Nilgün Bek Gizem İrem Kınıklı Gürsoy Coşkun Sevilay Karahan

Öz

Purpose: The aim of this study was to investigate the relationship between radiographic measurement and American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale, and Short Form-36 results in hallux valgus deformity assessment. Methods: Forty patients diagnosed the bilateral hallux valgus between ages of 17 and 74 years with 80 feet were evaluated. The first metatarsophalangeal abduction and intermetatarsal angles obtained via antero-posterior radiography for each individual were recorded. The American Orthopaedic Foot and Ankle Society’s-Hallux Metatarsophalangeal-Interphalangeal Joint Scale was applied to all individuals for functional status assessment. The Short Form-36 was applied to assess relationship between deformity and health related quality of life. Results: Results of the present study showed that while there was negative significant relationship between the first metatarsophalangeal angle and Short Form-36 subscores such as physical function, physical role limitation and pain; there was a positive correlation with mental health subscore of Short Form-36. There was a negative correlation between the first metatarsophalangeal, intermetatarsal angle values and Physical Component Score of SF-36. While there was a negative correlation between Mental Component Score of SF-36 and the first metatarsophalangeal angle and there was positively relationship with intermetatarsal angle. Coclusion: In this study, it is demonstrated that increases in angle values are especially directly related with pain and functional level rather than mental health

Anahtar Kelimeler

Hallux valgus, Pain, Quality of life

Halluks valgus açısı ile sağlıkla ilişkili yaşam kalitesi ve fonksiyonel durum arasındaki ilişkinin incelenmesi

Öz

Amaç: Çalışmanın amacı, halluks valgus deformitesinde oluşan eklemsel değişikliklerin değerlendirilmesinde kullanılan radyografik ölçüm, Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği - Halluks Metatarsofalangeal-Interfalangeal Eklemler Skalası ve Kısa Form-36 ile elde edilen sonuçların birbirleriyle ilişkilerinin incelenmesidir. Yöntem: 17-74 yaş aralığında bilateral halluks valgus tanılı 40 bireyde 80 ayak değerlendirildi. Her bir bireyin ön-arka radyografilerle elde edilen 1. Metatarsofalangeal abduksiyon ve intermetatarsal açı değerleri kaydedildi. Fonksiyonel durumun belirlenmesi için Amerikan Ortopedik Cerrahları Ayak ve Ayak Bileği Derneği-Halluks MetatarsofalangealInterfalangeal Eklemler skalası uygulandı. Deformitenin sağlıkla ilişkili yaşam kalitesiyle olan ilişkisini değerlendirebilmek için Kısa Form-36 uygulandı. Bulgular: I. Metatarsofalangeal açısal değerleri ile Kısa Form-36 ölçeğinin fiziksel fonksiyon, fiziksel rol kısıtlılığı ve ağrı alt başlıkları arasında negatif yönde anlamlı ilişki bulunurken; Kısa Form-36 ölçeğinin mental sağlık alt başlığı ile pozitif yönde ilişki bulundu. İntermetatarsal açı ile Kısa Form-36 fiziksel fonksiyon alt başlığı ile negatif yönde ilişki; yaşamsallık ve mental sağlık alt başlıklarıyla ise pozitif ilişki vardı. Kısa Form-36’nın Mental Bileşen Özet skoru ile I. Metatarsofalangeal açı arasında negatif ilişki bulunurken, intermetatarsal açı ile arasında ise pozitif ilişki bulundu (p

Anahtar Kelimeler

Halluks valgus, Ağrı, Yaşam kalitesi

Kaynakça

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