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ORIJINAL ARAŞTIRMA
Gonartrozlu Hastalarda Tiroid Fonksiyon Bozukluklarının Ağrı ve Fiziksel Fonksiyon Üzerine Etkisi
Effect of Thyroid Dysfunctions on Pain and Physical Function in Patients with Gonarthrosis
Received Date : 21 Apr 2021
Accepted Date : 23 Oct 2021
Available Online : 03 Nov 2021
Özet PDF Benzer Makaleler
Ömer GEZGİNASLANa, Gökhan BAŞARb, Sevgi GÜMÜŞ ATALAYc
aClinic of Physical Medicine and Rehabilitation, Giresun Physical Therapy and Rehabilitation Center, Giresun, TURKEY bDepartment of Physical Medicine and Rehabilitation, University of Health Sciences Ümraniye Training and Research Hospital, İstanbul, TURKEY cClinic of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, TURKEY
Doi: 10.31609/jpmrs.2021-83980 - Makale Dili: EN
J PMR Sci. 2022;25(1):52-6
ÖZET
Amaç: Bu çalışma, gonartrozlu hastalarda tiroid fonksiyon bozukluklarının ağrı ve fiziksel fonksiyon üzerindeki etkilerini araştırmayı amaçlamaktadır. Gereç ve Yöntemler: Kellgren-Lawrence (K/L) radyografik derecelendirme sistemine göre Grade 1-3 diz osteoartritli gonartroz tanısı alan toplam 82 hasta dâhil edildi. Hastalar 2 gruba ayrıldı. Grup 1 (n=41) tiroid disfonksiyonlu gonartroz hastası, Grup 2 (n=41) ise sadece gonartroz hastasıydı. Vizüel analog skala (VAS) ve “Western Ontario ve McMaster Universities Osteoartritis Index (WOMAC)” alt ölçek puanları gruplar arasında karşılaştırıldı. Bulgular: Gruplar arasında; yaş, diz semptom süresi VAS, WOMACAğrı, WOMAC-Sertlik ve K/L skorlarında istatistiksel olarak anlamlı bir fark yoktu. WOMAC-Fiziksel Fonksiyon skorları Grup 1’de istatistiksel olarak anlamlı derecede yüksekti (p<0,05). Sonuç: Tiroid disfonksiyonunun eşlik ettiği gonartrozlu hastalarda, fiziksel fonksiyon düzeyi, tek başına gonartrozlu hastalara göre daha düşüktür. Polikliniklere başvuran gonartrozlu hastalarda tiroid fonksiyon bozukluklarının tedavi edilmesi fiziksel fonksiyon açısından yararlı olabilir.
Anahtar Kelimeler: Gonartroz; ağrı; fiziksel fonksiyon; tiroid disfonksiyonu
ABSTRACT
Objective: This study aims to investigate the effects of thyroid dysfunction on pain and physical function in patients with gonarthrosis. Material and Methods: A total of 82 patients with the diagnosis of Grade 1-3 gonarthrosis according to the Kellgren-Lawrence (K/L) radiographic grading system were included. Patients were divided into 2 groups. Group 1 (n=41) included gonarthrosis patients with thyroid dysfunctions, Group 2 (n=41) included gonarthrosis patients with normal thyroid functions. Visual analog scale (VAS) and The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) subscale scores were compared between the groups. Results: There was no statistically significant difference in age, knee symptom duration, VAS, WOMAC-Pain, WOMAC-Stiffness and K/L scores between groups. The WOMAC-Physical Function score was significantly higher in Group 1 (p<0.05). Conclusion: Physical function level may be lower in gonarthrosis patients with thyroid dysfunction than in patients with gonarthrosis alone. It may be useful for physical function, to treat thyroid dysfunction in patients with gonarthrosis who apply to outpatient clinics.
Keywords: Gonarthrosis; pain; physical function; thyroid dysfunction
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