ORIJINAL ARAŞTIRMA
İnme Sonrası Hemiparetik Hastalarda Distal Femoral Kıkırdak ve Kuadriseps Kas Kalınlığının Ultrasonografik Ölçümü ve Fonksiyonel Durumla İlişkisi
Ultrasonographic Measurement of the Distal Femoral Cartilage and Quadriceps Muscle Thickness in Hemiparetic Patients After Stroke and the Associations Functional Status
Received Date : 07 Dec 2020
Accepted Date : 19 Apr 2021
Available Online : 20 May 2021
Aysel Çınar SEYHANa, Mustafa Aziz YILDIRIMa, Kadriye ÖNEŞa, Mustafa ÇORUMa
aClinic of Physical Medicine and Rehabilitation, İstanbul Physical Medicine Rehabilitation Training and Research Hospital, İstanbul, TURKEY
Doi: 10.31609/jpmrs.2020-80466 - Makale Dili: EN
J PMR Sci. 2021;24(3):223-30
ÖZET
Amaç: İnme hastalarında hem hemiplejik hem de sağlam taraf
femoral kıkırdak ve kuadriseps kas kalınlığını ultrasonografi (USG)
kullanarak karşılaştırmak ve bu ölçümler ile fonksiyonel parametreler
arasındaki ilişkiyi incelemek. Gereç ve Yöntemler: Bu çalışmaya,
inme nedeniyle takip edilen 65 hasta dâhil edildi. Her 2 dizdeki femoral
kıkırdak ve kuadriseps kası [rektus femoris (RF)+vastus intermedius
(VI)] kalınlığı USG ile ölçüldü; motor değerlendirme için
Brunnstrom ve Fugl-Meyer testi kullanıldı. Fonksiyonel değerlendirmede
ise Barthel İndeksi [Barthel Index (BI)] ve Fonksiyonel Ambulasyon
Sınıflandırması (FAS) kullanıldı. Bulgular: Mediyal,
interkondiler ve lateral bölgelerdeki femoral kıkırdak kalınlığı değerleri
sağlam ve hemiplejik taraflar arasında anlamlı olarak farklı değildi.
RF+VI değeri sağlam tarafa göre hemiplejik tarafta anlamlı olarak daha
düşüktü (p<0,05). RF+VI değeri ile BI ve FAS skorları arasında anlamlı
pozitif korelasyonlar vardı. Sonuç: İnme hastalarında femoral kıkırdak
kalınlığının ölçümü hemiplejik taraf ile sağlam taraf arasında
önemli ölçüde farklılık göstermezken, kuadriseps kas kalınlığı ölçümleri
sağlam tarafa göre hemiplejik tarafta anlamlı ölçüde daha düşüktü.
Kuadriseps kas kalınlığı değerleri inmeli hastalarda fonksiyonel durumu
etkileyebilmektedir.
Anahtar Kelimeler: Kas-iskelet sistemi; kıkırdak; hemipleji; inme; ultrasonografi
ABSTRACT
Objective: To compare in stroke patients the femoral
cartilage and quadriceps muscle thickness on both the hemiplegic and
intact sides using ultrasonography (USG) and examine the relationship
between these measurements and functional parameters. Material and
Methods: Sixty-five in patients who were under follow-up for stroke
were included in this study. Femoral cartilage and quadriceps muscle
[rectus femoris (RF)+vastus intermedius (VI)] thickness in both knees
were measured using USG; Brunnstrom and Fugl-Meyer test were used
for motor evaluation. Barthel Index (BI) and Functional Ambulation
Classification (FAC) were used for functional evaluation. Results: The
bilateral femoral cartilage thickness on medial, intercondylar and lateral
regions values were not significantly different between the intact and
hemiplegic sides. The RF+VI value was significantly lower on the
hemiplegic side than on the intact side (p<0.05). There were significant
positive correlations between the RF+VI value and the BI and FAC
scores. Conclusion: The measurement of the femoral cartilage thickness
in stroke patients did not differ significantly between the hemiplegic
side and the intact side, whereas the quadriceps muscle thickness
measurements were significantly lower on the hemiplegic side than on
the intact side. Quadriceps muscle thickness values affect the functional
status in stroke patients.
Keywords: Musculoskeletal; cartilage; hemiplegia; stroke; ultrasonography
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