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THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Yıl 2020, , 45 - 51, 13.04.2020
https://doi.org/10.21653/tjpr.541502

Öz

Purpose: Composite measures have potential to account for many of the facets of disease in chronic obstructive pulmonary disease (COPD). The purpose of this study was to investigate the relationship between the DOSE (Dyspnea, Obstruction, Smoking, Exacerbation) Index which is a multi-component assessment tool and handgrip and respiratory muscle strength, activities of daily living (ADL) and health-related quality of life in patients COPD. Methods: Forty-five patients with COPD (30 males, 15 females, mean FEV1 =50.60±16.00%) were included. The DOSE Index was calculated using the modified Medical Research Council dyspnea scale, obstruction level, smoking status, and exacerbation rate. Inspiratory and expiratory muscle strength (MIP and MEP) was measured using a mouth-pressure device. Handgrip strength was determined using hand dynamometer. Activities of daily living were evaluated using the London Chest Activity of Daily Living Scale (LCADL), and quality of life was assessed using the diseasespecific COPD Assessment Test (CAT). Results: The DOSE Index score was related with handgrip strength (r=-0.388, p=0.009), MIP (r=- 0.323, p=0.033), LCADL-physical activity score (r=0.314, p=0.038), LCADL-leisure activities score (r=0.397, p=0.008), and CAT score (r=0.435, p=0.003). Conclusion: Increased multi-component disease severity is related to decreased handgrip and respiratory muscle strength, physical activity and leisure time activities of daily living, and worse health-related quality of life in COPD patients. The DOSE Index, a simple disease severity assessment tool, is a convenient and practical tool for assessment in pulmonary rehabilitation programs.

Kaynakça

  • Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary. Respirology. 2017;22(3):575-601.

KRONİK OBSTRÜKTİF AKCİĞER HASTALIĞINDA DOSE İNDEKSİ KAS FONKSİYON BOZUKLUĞU, GÜNLÜK YAŞAM AKTİVİTELERİ VE YAŞAM KALİTESİ İLE İLİŞKİLİDİR

Yıl 2020, , 45 - 51, 13.04.2020
https://doi.org/10.21653/tjpr.541502

Öz

Amaç: Kronik obstrüktif akciğer hastalığında (KOAH) bileşik ölçümler, hastalığın birçok yönünü göz önünde bulundurma potansiyeline sahiptir. Bu çalışmanın amacı, KOAH hastalarında çok bileşenlibir değerlendirme aracı olan DOSE (Dispne, Obstrüksiyon, Sigara kullanımı, Alevlenme) indeksi ile el kavrama kuvveti ve solunum kas kuvveti, günlük yaşam aktiviteleri (GYA) ve sağlıkla ilişkili yaşam kalitesi arasındaki ilişkinin araştırılmasıydı. Yöntem: Kırk beş KOAH hastası (30 erkek, 15 kadın, ortalama FEV1 =% 50,60±16,00) dahil edildi. DOSE indeksi, modifiye Medical Research Council dispne skalası, obstrüksiyon seviyesi, sigara içme durumu ve alevlenme oranı kullanılarak hesaplandı. İnspiratuar ve ekspiratuar kas kuvveti (MIP ve MEP), ağız basıncı ölçüm cihazı ile ölçüldü. El kavrama kuvveti, el dinamometresi ile ölçüldü. Günlük yaşam aktiviteleri, London Chest Günlük Yaşam Aktiviteleri Ölçeği (LCADL) ile değerlendirildi. Yaşam kalitesi, hastalığa özgü KOAH Değerlendirme Testi (CAT) ile değerlendirildi. Sonuçlar: DOSE indeksi skoru, el kavrama kuvveti (r=-0,388, p=0,009), MIP (r=-0,323, p=0,033), LCADL-fiziksel aktivite skoru (r=0,314, p=0,038), LCADL-boş zaman aktiviteleri skoru (r=0,397, p=0,008) ve CAT skoru (r=0,435, p=0,003) ile ilişkiliydi. Tartışma: KOAH hastalarında artmış çok bileşenli hastalık şiddeti, inspiratuar ve periferal kas kuvveti, fiziksel aktivite ve boş zaman günlük yaşam aktivitelerinde azalma ve daha kötü bir sağlıkla ilişkili yaşam kalitesi ile ilişkilidir. Basit bir hastalık şiddeti değerlendirme aracı olan DOSE indeksi, pulmoner rehabilitasyon programlarında kullanışlı ve pratik bir değerlendirme aracıdır

Kaynakça

  • Vogelmeier CF, Criner GJ, Martinez FJ, Anzueto A, Barnes PJ, Bourbeau J, et al. Global Strategy for the Diagnosis, Management and Prevention of Chronic Obstructive Lung Disease 2017 Report: GOLD Executive Summary. Respirology. 2017;22(3):575-601.
Toplam 1 adet kaynakça vardır.

Kaynak Göster

APA Çakmak, A., Çalık Kütükcü, E., Arıkan, H., Vardar Yağlı, N., vd. (2020). THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 31(1), 45-51. https://doi.org/10.21653/tjpr.541502
AMA Çakmak A, Çalık Kütükcü E, Arıkan H, Vardar Yağlı N, Sağlam M, İnal İnce D, Öksüz Ç, Savcı S, Düger T, Bozdemir Özel C, Sonbahar Ulu H, Tekerlek H, Çöplü L. THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Turk J Physiother Rehabil. Nisan 2020;31(1):45-51. doi:10.21653/tjpr.541502
Chicago Çakmak, Aslıhan, Ebru Çalık Kütükcü, Hülya Arıkan, Naciye Vardar Yağlı, Melda Sağlam, Deniz İnal İnce, Çiğdem Öksüz, Sema Savcı, Tülin Düger, Cemile Bozdemir Özel, Hazal Sonbahar Ulu, Haluk Tekerlek, ve Lütfi Çöplü. “THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 31, sy. 1 (Nisan 2020): 45-51. https://doi.org/10.21653/tjpr.541502.
EndNote Çakmak A, Çalık Kütükcü E, Arıkan H, Vardar Yağlı N, Sağlam M, İnal İnce D, Öksüz Ç, Savcı S, Düger T, Bozdemir Özel C, Sonbahar Ulu H, Tekerlek H, Çöplü L (01 Nisan 2020) THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31 1 45–51.
IEEE A. Çakmak, “THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE”, Turk J Physiother Rehabil, c. 31, sy. 1, ss. 45–51, 2020, doi: 10.21653/tjpr.541502.
ISNAD Çakmak, Aslıhan vd. “THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31/1 (Nisan 2020), 45-51. https://doi.org/10.21653/tjpr.541502.
JAMA Çakmak A, Çalık Kütükcü E, Arıkan H, Vardar Yağlı N, Sağlam M, İnal İnce D, Öksüz Ç, Savcı S, Düger T, Bozdemir Özel C, Sonbahar Ulu H, Tekerlek H, Çöplü L. THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Turk J Physiother Rehabil. 2020;31:45–51.
MLA Çakmak, Aslıhan vd. “THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 31, sy. 1, 2020, ss. 45-51, doi:10.21653/tjpr.541502.
Vancouver Çakmak A, Çalık Kütükcü E, Arıkan H, Vardar Yağlı N, Sağlam M, İnal İnce D, Öksüz Ç, Savcı S, Düger T, Bozdemir Özel C, Sonbahar Ulu H, Tekerlek H, Çöplü L. THE DOSE INDEX IS RELATED WITH MUSCLE DYSFUNCTION, ACTIVITIES OF DAILY LIVING, AND QUALITY OF LIFE IN CHRONIC OBSTRUCTIVE PULMONARY DISEASE. Turk J Physiother Rehabil. 2020;31(1):45-51.