Sedanter ve futbolcu amputelerin mobilite ve yaşam kalitesi seviyelerinin karşılaştırılması

Yıl 2017, Cilt 4, Sayı 2, 47 - 53, 01.08.2017

Zehra GÜÇHAN TOPCU Kezban BAYRAMLAR Nevin ERGUN Yasemin ERCAN

Öz

Amaç: Sedanter ve futbolcu amputelerin mobilite ve yaşam kalitelerini karşılaştırmayı amaçladık.

Yöntem: Unilateral transtibial amputasyonu olan 25 ampute, 12 futbolcu ve 13 sedanter, çalışmaya dahil edildi. Lokomotor Kapasite İndeksi-Türkçe Versiyonu ve Trinity Amputasyon ve Protez Deneyim Ölçeği (Amputation and Prosthesis Experience Scales(TAPES))sırasıyla mobilite ve yaşam kalitesi düzeyini ölçmek için kullanıldı.

Bulgular: Grupların mobilite düzeylerinde anlamlı bir fark yoktu (p>0,05). Yaşam kalitesi ile ilgili sonuçlara göre futbolcu grubun TAPES ölçeğindeki iki parametrede: genel psikososyal uyum ve atletik aktivite kısıtlamasında daha iyi sonuçları vardır (p<0,05). Psikososyal uyum ve atletik aktivite kısıtlaması başlıkları haricinde TAPES başlıklarının diğerlerinde iki grup arasında anlamlı fark görülmedi.

Sonuç: Sonuç olarak, futbol oynamak ampute popülasyonunun yaşam kalitesini artırmak için etkili bulunurken, mobilite düzeyindeki etkileri açık değildir. 

Anahtar Kelimeler

Amputeler, Yaşam kalitesi, Futbol.

Comparison of mobility and quality of life levels in sedentary amputees and amputee soccer players

Öz

 Purpose:We aimed to compare the mobility and quality of life in male sedentary amputees and amputee soccer players.

Methods: A total of 25 amputees who had a unilateral transtibial amputation, 12 soccer players and 13 sedentary individuals, were involved in this study. The Locomotor Capability Index-Turkish Version and the Trinity Amputation and Prosthesis Experience Scales (TAPES) were used to assess mobility and quality of life level, respectively.

Results: The groups had no significant difference in mobility level (p>0.05). In accordance with the results on the quality of life, the soccer group had significantly better values than the sedentary group in two parameters of the TAPES measurement: the general psychosocial adjustment and the athletic activity restriction (p<0.05). Except psychosocial adjustment and athletic activity restriction subheadings, no significant different was observed in others of the TAPES between two groups.

Conclusion: As a result, playing soccer was found to be effective for increasing the quality of life level of the amputee population, while its effects on mobility level were not clear.

Anahtar Kelimeler

Amputees, Quality of life, Soccer

Kaynakça

• 1. Samuelsen BT, Andrews KL, Houdek MT, et al. The impact of the immediate postoperative prosthesis on patient mobility and quality of life after transtibial amputation. Am J Phys Med Rehabil. 2017;96:116-119.
• 2. Segal AD, Kracht R, Klute GK. Does a torsion adapter improve functional mobility, pain, and fatigue in patients with transtibial amputation? Clin Orthop Relat. 2014;472:3085-3092.
• 3. Deans SA, McFadyen AK, Rowe PJ. Physical activity and quality of life: A study of a lowerlimb amputee population. Prosth Orthot Int. 2008;32:186-200.
• 4. Bragaru M, Dekker R, Geertzen JH, et al.Amputees and sports: a systematic review. Sports Med. 2011;41:721-740.
• 5. Schoppen T, Boonstra A, Groothoff JW, et al. Physical, mental, and social predictors of functional outcome in unilateral lower-limb amputees. Arch Phys Med Rehabil. 2003;84:803-811.
• 6. Yazicioglu K, Taskaynatan MA, Guzelkucuk U, et al. Effect of playing football (soccer) on balance, strength, and quality of life in unilateral below-knee amputees. Am J Phys Med Rehabil. 2007;86:800-805.
• 7. Edwards S. Physical exercise and psychological well-being. S Afr J Psychol. 2006;36(2):357-373.
• 8. Bragaru M, Dekker R, Geertzen JH. Sport prostheses and prosthetic adaptations for the upper and lower limb amputees: an overview of peer reviewed literature. Prosthet Orthot Int. 2012;36:290-296.
• 9. Aytar A, Pekyavas NO, Ergun N, et al. Is there a relationship between core stability, balance and strength in amputee soccer players? A pilot study. Prosthet Orthot Int. 2012;36:332-338.
• 10. Özkan A, Kayıhan G, Köklü Y, et al. The Relationship Between Body Composition Anaerobic Performance and Sprint Ability of Amputee Soccer Players. J Hum Kinet. 2012;35:141-146.
• 11. Franchignoni F, Giordano A, Ferriero G, et al. Measuring mobility in people with lower limb amputation: Rasch analysis of the mobility section of the prosthesis evaluation questionnaire. J Rehabil Med. 2007;39:138-144.
• 12. Larsson B, Johannesson A, Andersson IH, et al. The Locomotor Capabilities Index; validity and reliability of the Swedish version in adults with lower limb amputation. Health Qual Life Outcomes. 2009;7:44. doi: 10.1186/1477-7525-7-44.
• 13. Franchignoni F, Orlandini D, Ferriero G, et al. Reliability, validity and responsiveness of the Locomotor Capabilities Index in lower limb amputees undergoing prosthetic training. Arch Phys Med Rehabil. 2004;85:743-748.
• 14. Gailey RS, Gaunaurd I, Agrawal V, et al. Application of self-report and performancebased outcome measures to determine functional differences between four categories of prosthetic feet. J Rehabil Res Dev. 2012;49:597-612.
• 15. Gallagher P, MacLachlan M. Development and psychometric evaluation of the Trinity Amputation and Prosthesis Experience Scales (TAPES). Rehabil Psychol. 2000;45:130-154?.
• 16. Topuz S, Ülger Ö, Yakut Y, et al. Reliability and construct validity of the Turkish version of the Trinity Amputation and Prosthetic Experience Scales (TAPES) in lower limb amputees. Prosthet Orthot Int. 2011;35:201-206.
• 17. Arwert HJ, Doorn-Loogman V, Mirjam H, et al. Residual-limb quality and functional mobility 1 year after transtibial amputation caused by vascular insufficiency. J Rehabil Res Dev. 2007;44:717-722.
• 18. Rau B, Bonvin F, De Bie, R. Short-term effect of physiotherapy rehabilitation on functional performance of lower limb amputees. Prosthet Orthot Int. 2007;31:258-270.
• 19. Johnson VJ, Kondziela S, Gottschalk F. Pre and post-amputation mobility of trans-tibial amputees: correlation to medical problems, age and mortality. Prosthet Orthot Int. 1995;19:159-164.
• 20. Sinha R, van den Heuvel WJ, Arokiasamy P. Factors affecting quality of life in lower limb amputees. Prosthet Orthot Int. 2011;35:90-96.
• 21. Schoppen T, Boonstra A, Groothoff WJ, et al. Epidemiologic characteristics and quality of life of lower limb amputee patients in adulthood in the Netherlands. Groningen: University of Groningen, 2002:59-74.
• 22. Hagberg K, Branemark R. Consequences of non-vasculartrans-femoral amputation: a survey of quality of life, prosthetic use and problems. Prosthet Orthot Int. 2001;25:186-194.
• 23. Zidarov D, Swaine B, Gauthier-Gagnon C. Quality of life of persons with lower-limb amputation during rehabilitation and at 3- month follow-up. Arch Phys Med Rehabil. 2009;90:634-645.
• 24. Shabanski F. Mental and Social Benefits from Sport Participation. Вісник Черкаського університету: Педагогічні науки, 2016;10(343).