ORIJINAL ARAŞTIRMA
Fibromiyalji Sendromlu Kadın Hastalarda Eklem Hipermobilitesi ve Yaşam Kalitesi
Joint Hypermobility and Quality of Life in Female Patients with Fibromyalgia Syndrome
Received Date : 07 Apr 2022
Accepted Date : 25 Oct 2022
Available Online : 27 Oct 2022
Elif ŞİMŞEK ÜRERa, Özge ARDIÇOĞLUb, Fatma FİDANb, Berat Meryem ALKANb,
İbrahim TAKAc
aSamsun Romatem Fizik Tedavi ve Rehabilitasyon Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Samsun, Türkiye
bAnkara Yıldırım Beyazıt Üniversitesi Ankara Şehir Hastanesi, Fiziksel Tıp ve Rehabilitasyon ABD, Ankara, Türkiye
cAnkara Sağlık Uygulama ve Araştırma Merkezi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye
Doi: 10.31609/jpmrs.2022-90365 - Makale Dili: TR
J PMR Sci. 2023;26(1):48-54
ÖZET
Amaç: Bu çalışmada, fibromiyalji sendromlu (FMS) hastalarda, hipermobilite
sıklığını belirlemek ve hipermobilitenin fibromiyaljili hastalarda
yaşam kalitesine etkisini araştırmak amaçlanmıştır. Gereç ve
Yöntemler: Çalışmaya Ankara Yıldırım Beyazıt Üniversitesi Tıp Fakültesi
Atatürk Eğitim Araştırma Hastanesi Fiziksel Tıp ve Rehabilitasyon Polikliniğine
başvuran 18-60 yaş aralığında FMS tanısı alan 50 gönüllü kadın
hasta ve 50 sağlıklı kadın kontrol dâhil edildi. Fibromiyalji tanısı 1990 ve
2010 American College of Rheumatology tanı kriterlerine ve hipermobilite
tanısı da Beighton skorlama kriterlerine göre yapıldı. Yaşam kalitesi değerlendirilmesinde
Fibromiyalji Etki Anketi (FEA) kullanıldı. Bulgular: Çalışmaya
katılan FMS’li hastaların yaş ortalaması 43,8±8,9 yıl (20-59 yaş
aralığı) ve sağlıklı kontrol grubunun 42,3±7,9 yıl (26-60 yaş aralığı) idi.
FMS hastalarının 8’inde (%16), kontrol grubunun 5’inde (%10) hipermobilite
saptanırken, gruplar arasında hipermobilite açısından anlamlı bir fark
izlenmedi (p>0,05). Buna karşılık FMS ve sağlıklı kontrol grubu arasında
yaşam kalitesi ile ilgili ölçülen FEA skorları arasında anlamlı fark tespit
edildi (p<0,05). Fibromiyalji hastalarında, hipermobilite olan ve olmayan
hastaların yaşam kalitesi skorları arasında anlamlı fark gözlenmedi. Sonuç:
FMS’li hastalar ile sağlıklı kontroller arasında hipermobilite varlığı bakımından
anlamlı bir fark saptanmadı. FMS’nin yaşam kalitesini olumsuz etkilemesine
karşın hipermobilite varlığı FMS hastalarında yaşam kalitesine
ek bir negatif faktör olarak gözükmemektedir.
Anahtar Kelimeler: Fibromiyalji sendromu; hipermobilite; yaşam kalitesi
ABSTRACT
Objective: It was aimed to determine the frequency of hypermobility
in patients with fibromyalgia syndrome (FMS) and to investigate
the effect of hypermobility on quality of life in patients with
fibromyalgia. Material and Methods: The study included 50 volunteer female
patients aged 18-60 years who applied to Ankara Yıldırım Beyazıt
University Faculty of Medicine Atatürk Training and Research Hospital,
Physical Medicine and Rehabilitation Polyclinic, diagnosed with FMS, and
50 healthy female controls. The diagnosis of fibromyalgia was made according
to the 1990 and 2010 American College of Rheumatology diagnostic
criteria, and the diagnosis of hypermobility was made according to the
Beighton scoring criteria. The Fibromyalgia Impact Questionnaire (FIQ)
was used to assess quality of life. Results: The mean age of the patients
with FMS participating in the study was 43.8±8.9 years (range 20-59) and
the healthy control group was 42.3±7.9 years (range 26-60). While hypermobility
was detected in 8 (16%) of the FMS patients and 5 (10%) of the
control group, no significant difference was observed between the groups in
terms of hypermobility (p>0.05). On the other hand, there was a significant
difference between FMS and control groups in terms of FIQ scores measured
on quality of life (p<0.05). There was no significant difference between
the quality of life scores of patients with and without hypermobility
in fibromyalgia patients. Conclusion: No significant difference was found
between patients with FMS and healthy controls in terms of the presence of
hypermobility. Although FMS negatively affects the quality of life; the presence
of hypermobility does not seem to be an additional negative factor for
quality of life in FMS patients.
Keywords: Fibromyalgia syndrome; hypermobility; quality of life
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