Artroskopik rotator manşet onarımı yapılan hastalarda klinik sonuçları ayırt etmek için hastalığa özgü yaşam kalitesine yönelik optimum kesme puanları

Abstract

Amaç: Artroskopik rotator manşet onarımı (ARMO) yapılan hastalarda, hastalığa özgü yaşam kalitesindeki (HÖYK) iyileşmelerin tespit edilmesi için bir kesme puanının belirlenmesi yararlı olabilir. Bu çalışmanın amacı Western Ontario Rotator Cuff İndeksi (WORC) skoru için net kesme değerlerini belirlemekti. Ayrıca bu kesme puanlarının HÖYK düzeyini tahmin etme yeteneği araştırıldı. Yöntem: Bu kesitsel çalışmaya ARMO uygulanan toplam 38 hasta dahil edildi. Hastalar 12 haftalık fizyoterapi sonrasında Constant-Murley ve WORC skorları kullanılarak değerlendirildi. Bu puanlar arasındaki ilişkinin analizinde Pearson korelasyon katsayıları kullanıldı. Mükemmel ve iyi HÖYK’ yi temsil eden WORC kesme puanları, Constant puanı temel alınarak hesaplandı. Bu kesme değerlerinin HÖYK düzeyini tahmin etme yeteneği, lojistik regresyon analizi kullanılarak incelenmiştir. Bulgular: 87,5 ve 79,5’ luk WORC kesme puanlarının mükemmel ve iyi düzey HÖYK olduğu bulundu. WORC puanları bu kesme değerlerinin üzerinde olan katılımcıların HÖYK düzeyleri sırasıyla 1,25 ve 1,74 kat daha yüksektir. Sonuç: Fizyoterapi ve ARMO' nun başarısı belirlenen kesme puanları kullanılarak değerlendirilebilir. HÖYK’ yi iyileştirmek için WORC kesme puanlarını karşılayamayan hastalara daha spesifik müdahalelerin kullanılması gerekli görünmektedir.

Keywords

• Rotator Manşet
• Rüptür
• Omuz Yaralanmaları
• Ortopedi

OPTIMAL CUT-OFF SCORES FOR DISEASE-SPECIFIC QUALITY OF LIFE TO DISCRIMINATE CLINICAL OUTCOMES IN PATIENTS WITH ARTHROSCOPIC ROTATOR CUFF REPAIR

Abstract

Objective: Identifying a cut-off score would be useful in detecting improvements in disease-specific quality of life (DS-QoL) in patients with arthroscopic rotator cuff repair (ARCR). The aim of this study was to identify clear cut-off values for the Western Ontario Rotator Cuff Index (WORC) score. In addition, the ability of these cut-off scores to predict DS-QoL level was investigated. Method: A total of 38 ARCR patients were included in this cross-sectional study. Patients were assessed using the Constant-Murley and WORC scores following 12 weeks of physiotherapy. Pearson correlation coefficients were used to analyse the relationship between these scores. The WORC cut-off scores representing excellent and good DS-QoL were calculated on the basis of the Constant score. The ability of the these cut-offs to predict the level of DS-QoL was examined using logistic regression analysis. Results: The WORC cut-off scores of 87.5 and 79.5 were found to be excellent and good level of DS-QoL. Participants with WORC scores above these cut-offs have a 1.25 and 1.74 times higher level of DS-QoL, respectively. Conclusion: The success of physiotherapy and ARCR could be assessed using the identified cut-off scores. It seems necessary to use more specific interventions for patients not meeting the WORC cut-off scores in order to improve DS-QoL.

Keywords

• Rotator Cuff
• Tears
• Shoulder Injuries
• Orthopaedics

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