ORIJINAL ARAŞTIRMA
Semptomatik Diz Osteoartritli Kadınlarda Fonksiyonel Mobilite ile İlişkili Faktörler
Factors Associated with Functional Mobility in Women with Symptomatic Knee Osteoarthritis
Received Date : 12 Dec 2020
Accepted Date : 24 Feb 2021
Available Online : 08 Mar 2021
Gökşen GÖKŞENOĞLUa, Nurdan PAKERa, Derya BUĞDAYCIa, Yelda SOLUK ÖZDEMİRa,
Sedef ERSOYa, İlhan KARACANa
aİstanbul Physical Medicine and Rehabilitation Training Research Hospital, İstanbul, TURKEY
Doi: 10.31609/jpmrs.2020-80570 - Makale Dili: EN
J PMR Sci. 2021;24(2):121-6
ÖZET
Amaç: Diz osteoartriti, kadınlarda daha fazla ağrı ve sakatlığa
neden olur. Çalışma, semptomatik diz osteoartriti olan kadınlarda
fonksiyonel mobilite ile ilişkili faktörleri araştırmayı amaçlamaktadır.
Gereç ve Yöntemler: Bu kesitsel çalışmaya, diz osteoartriti olan 78
kadın dâhil edildi. Fonksiyonel mobilite ve denge, Timed Up and Go
testi ve Berg Denge Ölçeği kullanılarak değerlendirildi. Ayrıca Diz
Yaralanması ve Osteoartrit Sonuç Ölçeği ve Hastane Anksiyete ve
Depresyon Ölçeği kullanıldı. Bulgular: Ortalama yaş 64,9±7,5 idi.
Ortalama hastalık süresi 7,9±6,7 yıldı. Ortalama beden kitle indeksi
32,4±5,2 kg/m² idi. Timeed Up and Go test süresi ortalama 32,5±5,2
sn idi. Ortalama Hastane Anksiyete ve Depresyon Ölçeği-Anksiyete
ve Depresyon puanları sırasıyla 9,3±5,7 ve 6,5±4 idi. Ortalama Berg
Denge Ölçeği puanı 49,4±6,5 idi. Timed Up and Go test süresi ile
yaş, beden kitle indeksi, Hastane Anksiyete ve Depresyon Ölçeği-
Anksiyete ve Depresyon, Berg Denge Ölçeği, Diz Yaralanması ve
Osteoartrit Sonuç Ölçeği semptom ve yaşam kalitesi arasında anlamlı
korelasyonlar bulundu (korelasyon katsayıları, sırasıyla 0,357, 0,240,
0,302, 0,246, -0,379, -0,236 ve -0,229). İkili lojistik regresyon analizi,
Berg Denge Ölçeğinin anormal Timed Up and Go için önemli bir
risk faktörü olduğunu ortaya koymuştur (Hosmer-Lemeshow testi
p=0,440) Sonuç: Semptomatik diz osteoartriti olan kadınlarda düşük
fonksiyonel mobilite, ileri yaş, yüksek vücut kitle indeksi, bozulmuş
duygusal durum, bozulmuş denge ve düşük yaşam kalitesi ile
ilişkilidir. Azalmış denge, fonksiyonel hareketlilik için en önemli risk
faktörüydü.
Anahtar Kelimeler: Diz; postural denge; osteoartrit; fonksiyonel mobilite
ABSTRACT
Objective: Knee osteoarthritis causes more pain and disability
in women. The study aims to investigate the factors associated
with functional mobility in women with symptomatic knee osteoarthritis.
Material and Methods: This cross-sectional study included 78
women with knee osteoarthritis. Functional mobility and balance were
evaluated using Timed Up and Go test and Berg Balance Scale. Moreover,
Knee Injury and Osteoarthritis Outcome Scale and Hospital Anxiety
and Depression Scale were used. Results: The mean age was
64.9±7.5. The mean disease duration was 7.9±6.7 years. The mean body
mass index was 32.4±5.2 kg/m². The mean Timed Up and Go test duration
was 32.5±5.2 s. The mean Hospital Anxiety and Depression
Scale-Anxiety and Depression scores were 9.3±5.7 and 6.5±4, respectively.
The mean Berg Balance Scale score was 49.4±6.5. Significant
correlations were found between Timed Up and Go test time and age,
body mass index, Hospital Anxiety and Depression Scale-Anxiety and
Depression, Berg Balance Scale, Knee Injury and Osteoarthritis Outcome
Scale symptom and quality of life (the correlation coefficients
were 0.357, 0.240, 0.302, 0.246, -0.379, -0.236 and -0.229, respectively).
The binary logistics regression analysis revealed that Berg Balance
Scale was an important risk factor for abnormal Timed Up and Go
(Hosmer-Lemeshow test p=0.440) Conclusion: Low functional mobility
in women with symptomatic knee osteoarthritis is associated with
advanced age, high body mass index, impaired emotional state, impaired
balance and poor quality of life in this study. Poor balance was the
most important risk factor for functional mobility.
Keywords: Knee; postural balance; osteoarthritis; functional mobility
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