ORIJINAL ARAŞTIRMA
Osgood Schlatter Hastalığının Etyolojisinde Dikkat Eksikliği/Hiperaktivite Bozukluğunun Rolü
The Role of Attention-Deficit/Hyperactivity Disorder in the Etiology of Osgood Schlatter Disease
Received Date : 08 Nov 2019
Accepted Date : 13 Dec 2019
Available Online : 10 Jan 2020
Banu ORDAHANa, Hatice UĞURLUa
aDepartment of Physical Medicine and Rehabilitation, Necmettin Erbakan University Meram Faculty of Medicine, Konya, TURKEY
Doi: 10.31609/jpmrs.2019-72299 - Makale Dili: EN
J PMR Sci. 2020;23(3):158-61
ÖZET
Amaç: Osgood-Schlatter hastalığı (OSH), aşırı kullanım yaralanmasıdır
ve düzenli spor aktiviteleri OSH için önemli bir risk faktörüdür.
Bununla birlikte, rutin ortopedik pratikte spora katılmayan
çocuklarda OSH nadir değildir. Aşırı aktivite her zaman sporla ilgili
değildir, ancak Dikkat Eksikliği/Hiperaktivite Bozukluğu (DEHB) ile
ilişkili olabilir. Bu çalışmada, OSH olan çocuklarda DEHB semptomlarını
araştırmayı amaçladık. Gereç ve Yöntemler: Çalışmaya OSH’li
45 erkek hasta ve yaş uyumlu 45 sağlıklı gönüllü alındı. Gönüllülerin
DEHB belirtileri, Conners'in Ebeveyn Değerlendirme Ölçeği (CPRS-R:
S) kullanılarak değerlendirildi. Her iki grubun fonksiyonel durumu Pediatrik
Yaşam Kalitesi Envanteri (PedsQL) kullanılarak değerlendirildi.
Bulgular: Hasta grubunda, kontrol grubuna kıyasla Conners Ebeveyn
Değerlendirme Ölçeği, hiperaktivite ve karşı koyma alt ölçeklerinde
istatistiksel olarak anlamlı bir artış bulundu (p <0,05). Pediatrik Yaşam
Kalitesi Ölçeği skorları hasta grubunda kontrol grubuna göre anlamlı
derecede düşüktü (p <0,05). Sonuç: Bulgularımız DEHB’nin OSH için
önemli bir risk faktörü olduğunu göstermektedir. Özellikle spor aktivitesiyle
uğraşmayan OSH’li hastaların değerlendirilmesi sırasında, doktorlar
DEHB belirtilerinin farkında olmalı ve ek değerlendirmeler için
çocukları psikiyatristlere yönlendirmelidir.
Anahtar Kelimeler: Osgood-Schlatter hastalığı; Dikkat Eksikliği/Hiperaktivite Bozukluğu; hiperaktivite ve dürtüsellik
ABSTRACT
Objective: Osgood-Schlatter disease (OSD) is an
overuse injury and regular practice of sports activity is a major risk factor
for OSD. However, OSD is not uncommon in children who do not
participate in sports in routine orthopedic practice. Over activity is not
always related with sports but may be related with Attention-Deficit/
Hyperactivity Disorder (ADHD). This study aimed to investigate the
symptoms of ADHD in children with OSD. Material and Methods:
Forty five male patients, with Osgood-Schlatter disease, and 45 agematched
healthy volunteers were included in the study. Symptoms of
ADHD of the volunteers were evaluated using Conners’ Parent Rating
Scale (CPRS-R:S). Both groups’ functional status was evaluated using
Pediatric Quality of Life Inventory (PedsQL). Results: In the patient
group, a statistically significant increase was found in Hyperactivity
and Oppositional subscales of Conners’ Parent Rating Scale- Revised
Short compared with the control group (p <0.05). Pediatric Quality of
Life Scale was significantly lower in the patient group compared with
the control group (p <0.05). Conclusion: Our findings suggest that
ADHD is a significant risk factor for OSD. Especially during the evaluation
of OSD patients, who do not engage in sports activity, physicians
should be aware of ADHD symptoms and refer children to
psychiatrists for additional evaluations.
Keywords: Osgood-Schlatter disease; Attention-Deficit/Hyperactivity Disorder; hyperactivity and impulsivity
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