Total kalça artroplastili hastalarda egzersiz yapma süresinin yapay eklemi unutma becerisi, ağrı ve fonksiyonel durum üzerine etkisi

Yıl 2016, Cilt 3, Sayı 1, 30 - 35, 01.04.2016

Sercan ÖNAL Gizem İrem KINIKLI Hande GÜNEY Ceyda SARIAL Ömür ÇAĞLAR Bülent ATİLLA İnci YÜKSEL

Öz

Amaç: Bu çalışmanın amacı, kalça osteoartriti nedeniyle total kalça artroplastisi (TKA) cerrahisi geçiren hastaların egzersiz yapma süresinin yapay eklemi unutma yeteneği, ağrı ve fonksiyonel durum üzerine etkisini araştırmaktı.

Yöntem: Çalışmaya tek taraflı TKA cerrahisi geçirmiş toplam 42 hasta (26’sı kadın, 16’sı erkek) dahil edildi. Hastalar egzersiz yapma sürelerine göre 6 aydan kısa egzersiz yapan grup (Yaş ortalaması: 53,9±15,1 yıl, vücut kütle indeksi: 27,2±1,5 kg/cm2, N=24) ve 6 aydan uzun süre egzersiz yapan grup (57,5±13,3 yıl, Vücut kütle indeksi: 27,2±5,2 kg/cm2, N=18) olmak üzere iki gruba ayrıldı. TKA cerrahisi sonrası hastaların yapay kalça eklemlerini unutma yeteneğini belirlemek amacıyla Unutulan Eklem Ölçeği-12 (UEÖ-12) uygulandı. Fonksiyonel durumu belirlemek amacıyla, Western Ontario ve McMaster Osteoartrit İndeksi (WOMAC) kullanıldı.

Bulgular: Gruplar arasında WOMAC tutukluk puanında fark yoktu (p>0,05). WOMAC ağrı ve WOMAC fonksiyon puanları, uzun süreli egzersiz yapan grupta, kısa süreli egzersiz yapan gruptan daha iyi bulundu (p<0,05). UEÖ-12 skorları gruplar arasında karşılaştırıldığında, uzun süre yapan grubun lehine fark vardı (p<0,05).

Sonuç: TKA’yı takiben yapılan 6 aydan fazla egzersiz eğitiminin, hastaların yapay eklemlerini unutabilme yeteneğini geliştirmenin yanı sıra ağrı ve fonksiyonlar üzerine de olumlu etkileri vardır.

Anahtar Kelimeler

Artroplasti, Kalça, Farkındalık, Egzersiz

Kaynakça

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