Diz osteoartritli hastalarda ağrı, fonksiyonel düzey ve yürüyüşün zaman mesafe parametreleri

Yıl 2019, Cilt: 6 Sayı: 2, 86 - 92, 23.08.2019

Cansu Şahbaz Pirinççi , Meltem Işıntaş Arık Emine Aslan Telci

Öz

Amaç: Bu
çalışmanın amacı, sağlıklı kadınlar ve diz osteoartritli (OA) kadınlarda ağrı, fonksiyonel
durum ve yürüme ile ilişkili parametreleri karşılaştırmaktı.

Yöntem: Çalışmaya
Amerikan Romatoloji Derneği’nin kriterlerine göre diz OA olan 27 kadın (yaş ortalaması
47,25±6,46 yıl) ve 34 sağlıklı kadın (yaş ortalaması 47,29±4,50 yıl) alındı. Bireylerin
ağrı şiddeti vizüel analog skalası (VAS) ile sorgulandı. Q açısını değerlendirmek
için gonyometrik ölçüm yapıldı. Fiziksel fonksiyonları Western Ontario and McMaster
Universities Osteoarthritis Index (WOMAC) Skalası kullanılarak değerlendirildi.
Yürümenin zaman mesafe parametreleri ise Zebris™ FDM-2 cihazı ile ölçüldü.

Bulgular: Bu
çalışmanın sonuçları diz OA’lı kadınların sağlıklı bireylere göre ağrı şiddetinin
daha yüksek ve fonksiyonel düzeylerinin daha düşük olduğunu gösterdi (p<0,05).
Yürüme ile ilişkili parametreler incelendiğinde OA’lı kadınlarda sağlıklı kadınlara
göre adım uzunluğu (p<0,05), çift adım uzunluğu yüzdesi (p<0,05) ve yürüme
hızının (p<0,05) daha düşük, adım genişliğinin daha yüksek (p<0,05) olduğu
belirlendi.

Sonuç: Bu çalışma
diz OA’lı kadınlarda ağrı şiddeti, fonksiyonel düzey ve yürümenin aynı yaştaki sağlıklı
kadınlara göre olumsuz yönde etkilendiğini gösterdi.

Anahtar Kelimeler

Diz, Osteoartrit, Yürüme

Pain, functionality, and spatio-temporal gait parameters in patients with knee osteoarthritis

Öz

Purpose: The aim of this study was to compare pain,
functionality and walking related parameters in healthy women and women with
knee osteoarthritis.

Methods: 27 women with knee osteoarthritis (with an average age of 47.25±6.46
years) and 34 healthy women (with an average age of 47.29±4.50 years) were
included in the study according to the American College of Rheumatology (ACR) criteria.
The magnitude of pain level was questioned via Visual Analogue Scale (VAS). Q
angle was measured using a universal goniometer. Functional status was
evaluated using the Western Ontario and McMaster Universities Osteoarthritis
Index (WOMAC). Time-distance parameters of walking was measured by Zebris™
FDM-2 equipment.

Results: The
results of this study showed that pain level was higher and functionality was
lower in women with knee osteoarthritis compared to healthy women (p<0.01).
It is determined that step length (p <0.05), double step length percentage
(p < 0.01) and walking speed measurements (p<0.05) were lower and step width
measurements (p<0.05) were higher in women with knee osteoarthritis compared
to healthy women.

Conclusion: This study showed that pain level, functional status
and walking were negatively affected in women with knee osteoarthritis compared
to age-matched healthy women.

Anahtar Kelimeler

Knee, Osteoarthritis, Gait

Kaynakça

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