Romatoit artritli hastalarda el kavrama kuvveti ve üst ekstremite fonksiyonel özürünün incelenmesi

Yıl 2016, Cilt: 3 Sayı: 2, 60 - 65, 01.08.2016

Gizem İrem Kınıklı Ali Şahin Hande Güney İnci Yüksel Gülay Kınıklı

Öz

Amaç: Bu çalışmanın amacı, romatoit artritli (RA) hastalarda el kavrama kuvvetini sağlıklı bireyler ile karşılaştırmak ve kavrama kuvvetinin fonksiyonel özürlülük ve yaşam kalitesiyle ilişkisini belirlemekti.

Yöntem: Çalışmaya 29 RA’lı ve 30 aynı yaşta sağlıklı birey dahil edildi. El bileği ulnar deviyasyon, fleksiyon ve ekstansiyon açısı gonyometre ile değerlendirildi. Kavrama kuvveti ve enduransı, dijital kavrama cihazı ile ölçüldü. El ile ilişkili aktivite limitasyonu Duruöz El İndeksi (DEİ) ile değerlendirildi. Fiziksel özürlülük durumu, Stanford Sağlık Değerlendirme Anketi (SSDA) ile belirlendi. Yaşam kalitesi, Romatoid Artrit Yaşam Kalitesi Skalası (RAYKS) ile değerlendirildi.

Bulgular: Sağlıklı kişilerle hastaların kuvvet ve endurans ölçümleri karşılaştırıldığında sağlıklı bireyler yönünde anlamlı bir fark vardı (p<0.001). RA’lı hastaların dominant el kavrama kuvvet ve endurans testleri ile SSDA, DEİ ve RAYKS skorları arasında negatif yönde orta seviyede anlamlı bir ilişki vardı (p<0.05).

Tartışma: Çalışmanın sonuçları, RA’lı hastalarda el kavrama kuvveti ve enduransındaki zayıflık ile üst ekstremite fonksiyonel özürlülük seviyesinin ilişkili olduğunu destekledi. RA’lı hastalarda günlük yaşam aktivitelerinde fonksiyonelliği artıracak kavrama kuvveti ve endurans gibi özel ihtiyaçların izlenmesini öneriyoruz.

Anahtar Kelimeler

Artrit, Romatoid, Özürlülük Değerlendirmesi, El Kuvveti, Yaşam Kalitesi

Investigation of grip strength and upper extremity functional disability in patients with rheumatoid arthritis

Öz

Purpose: The aim of this study were to compare handgrip strength between patients with rheumatoid arthritis (RA) and healthy individuals, and to determine the correlation between their handgrip strength and the upper extremity functional disability and health related quality of life.

Methods: Twenty-nine RA patients and 30 age-matched healthy subjects were recruited for the study. The degree of ulnar deviation, flexion, and extension of the wrist were measured using a goniometer. Handgrip strength and endurance weremeasured using a digital grip analyzer. The Duruoz Hand Index (DHI) was used to assess the hand-related activity limitation. Physical disability was measured using the Stanford Health Assessment Questionnaire (HAQ). Quality of life was assessed using the Rheumatoid Arthritis Quality of Life scale (RAQoL).

Results: There were significant differences between patients with RA and healthy controls in terms of strength and endurance test in favor of healthy controls (p<0.001). Moderate negative correlations were found in dominant handgrip strength and endurance tests with HAQ, DHI and RAQoL scores in patients with RA (p<0.05).

Conclusion: The results of the present study supported that lower handgrip strength and endurance was related to upper extremity functional disability in patients with RA. We suggest that specific needs such as handgrip strength and endurance to maximize function in performing activities of daily living should be monitored in patients with RA.

Anahtar Kelimeler

Arthritis; rheumatoid, Disability evaluation, Handgrip strength, Quality of life

Kaynakça

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