DİZ OSTEOARTRİTLİ HASTALARDA DÜŞME RİSKİNİ VE YARDIMCI YÜRÜME CİHAZI KULLANIMINI ETKİLEYEN FAKTÖRLER

Yıl 2022, Cilt: 29 Sayı: 2, 179 - 186, 30.06.2022

Tuba Baykal Esra Erdemir

https://doi.org/10.17343/sdutfd.993080

Öz

Amaç
Bu çalışmada, ileri evre diz osteoartriti olan hastalarda
düşme riskini ve yardımcı yürüme cihazı kullanım
oranlarını ve bu hastalarda bu cihazların kullanımını
etkileyen faktörleri araştırmayı amaçladık.
Gereç ve Yöntem
Bu prospektif, kesitsel, gözlemsel çalışmaya Mart
2020 ile Eylül 2020 arasında polikliniğimize başvuran
ve ileri evre diz osteoartriti olan 79 hastayı (72 kadın,
7 erkek; medyan yaş 60; dağılım, 40-75) dahil
ettik. Hastaların denge durumunu Berg Denge Ölçeği
ile ağrı düzeylerini Sayısal Derecelendirme Ölçeği ile
kişi beyanına dayanan dizabilite skorlarını ise Western
Ontario and McMaster Universities Osteoarthritis
Index ile değerlendirdik. Birincil sonlanım noktası
hastaların denge durumu ve yardımcı yürüme cihazı
kullanım oranlarıydı. İkincil sonlanım noktaları ise
yaş, obezite, hastalık şiddeti, ağrı düzeyleri, sakatlık
skorları ve düşme öyküsüydü.
Bulgular
Berg Denge Skalasına göre 40 (% 50,6) hastada düşme
riski saptandı. Yardımcı yürüme cihazı kullanım
oranları tüm hastalarda ve düşme riski olan hastalarda
sırasıyla % 21.5 ve % 42.5 idi. Düşme riski olanlar
ile olmayanlar arasında yardımcı yürüme cihazı
kullanımı açısından istatistiksel olarak anlamlı fark
vardı (p<0,001). Artan düşme riski ile obezite, yüksek
hastalık şiddeti ve yüksek özürlülük skorları arasında
anlamlı bir ilişki bulundu. Ancak düşme riski olan kişilerde
yaş dışında (p<0,001) yardımcı yürüme cihazı
kullanımını etkileyen herhangi bir faktör bulamadık.
Sonuç
Çalışmamızın sonuçları ileri evre diz osteoartriti olan
hastalarda düşme riskinin arttığını ve bu hastalarda
yardımcı yürüme cihazı kullanımının düşme riski ile
ilişkili olduğunu göstermiştir.

Anahtar Kelimeler

Diz osteoartriti, düşme riski, yardımcı yürüme cihazı

Teşekkür

We would like to thank Z. A. Kaymak (M.D., Asst. Prof.) for her support in the statistical analysis of the study data. Çalışma verilerinin istatistiksel analizinde destek veren Dr. Öğr. Üyesi Zümrüt Arda Kaymak'a teşekkür ederiz.

FACTORS AFFECTING THE FALL RISK AND ASSISTIVE WALKING DEVICE USE OF PATIENTS WITH KNEE OSTEOARTHRITIS

Öz

Objective
In this study, we aimed to investigate the risk of falling
in patients with advanced-stage knee osteoarthritis and
the rates of assistive walking device use, and the factors
affecting the use of these devices in such patients.
Materials and Methods
In this prospective, cross-sectional, observational
study, we included 79 patients (72 females, 7 males;
median age 60 years; range, 40 to 75) with advancedstage
knee osteoarthritis. We assessed the balance
status of the patients with the Berg Balance Scale,
pain levels with the Numeric Rating Scale, selfreported
disability scores with the Western Ontario
and McMaster Universities Osteoarthritis Index.
Our primary outcome measurements were balance
status, and assistive walking device usage rates of
the patients. Secondary outcome measures were
age, obesity, disease severity, pain levels, disability
scores, and fall history.
Results
According to Berg Balance Scale, 40 (50.6 %)
patients had a risk of fall. Assistive walking device
usage rates were 21.5 % and 42.5 % for the total
of the patients and for the patients at risk of falling,
respectively. There was a statistically significant
difference in assistive walking device use between
those at risk of falling and those without (P<0.001). A
significant correlation was found between increased
risk of falling and obesity, high disease severity, and
high disability scores. However, we did not find any
factors other than age (P<0.001) that affect assistive
walking device use in people at risk of falling.
Conclusion
The results of our study showed that the risk of falling
is increased in patients with advanced-stage knee
osteoarthritis and that the use of an assistive walking
device is associated with the risk of falling in these
patients.

Anahtar Kelimeler

Knee osteoarthritis, risk of falling, Assistive walking device

Kaynakça

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