Mehmet DELEN, Deran OSKAY, Songül BAĞLAN, Zeynep TUNA, Oğuzhan METE, Ahmet GÖKKURT, Gizem TÖRE, Abdurrahman TUFAN

Romatoid Artritli Kadın Hastalarda Skapular Diskinezinin Hastalık Aktivitesi, Yaşam Kalitesi ve Engel Seviyesine Etkisi

Amaç: Bu çalışmanın amacı romatoid artrit (RA) tanısı olan kadın hastalarda skapular diskinezinin (SD) hastalık aktivitesi, yaşam kalitesi ve engel seviyesi üzerine etkisini araştırmaktır. Gereç ve Yöntem: Çalışmaya RA tanısı konmuş 52 kadın hasta dâhil edildi. Hastalar SD olan (Grup 1) ve olmayan (Grup 2) şeklinde 26'şar kişilik iki gruba ayrıldı. Hastaların hastalık aktivitesi Romatoid Artrit Hastalık Aktivitesi Endeksi-5 (T-RADAI-5) anketi, engel seviyesi Kol, Omuz ve El Engel Anketi (DASH-T), ağrı düzeyi Görsel Analog Skalası (VAS), omuz çevresi kas kuvveti manuel kas kuvveti testi, SD’leri gözlemsel skapular diskinezi değerlendirmesi ve Lateral skapular kaydırma testi (LSKT), yaşam kaliteleri Romatoid Artrit Yaşam Kalitesi Anketi (RAQoL-T) ile değerlendirildi. Tüm anketlerin Türkçe versiyonları kullanıldı. Sonuçlar: İki grup da demografik açıdan birbirine benzer bulundu. SD’si olan RA'lı hastaların DASH (p=0,001), RADAI-5 (p<0,001), RAQoL (p<0,001), VAS sağ (p=0,002) ve sol (p=0,001) skorları ile diğer grubun skorları arasında istatistiksel olarak Grup 2 lehine anlamlı fark bulundu. Grup 1 hastalarının SD’li taraf omuz eksternal rotasyon kas kuvveti, diğer omzun eksternal rotasyon kas kuvvetinden istatistiksel olarak anlamlı derecede düşük bulundu (p=0,046). Tartışma: SD’si olan RA hastalarında klinik bulguları SD’si olmayan gruba göre daha kötüdür. Bu nedenle SD bulgusu bu hastalarda klinik bulgulardaki kayıpların göstergesi olabilir. Klinisyenler tarafından SD gözardı edilmemelidir.

Anahtar Kelimeler:

Romatoid Artrit, Skapular diskinezi, Yaşam kalitesi, Engel seviyesi

Effect of Scapular Dyskinesis on Disease Activity, Quality of Life, Level of Disability in Female Patients with Rheumatoid Arthritis

Purpose: The purpose of the study was to investigate the effects of scapular dyskinesis on quality of life and level of disability among female patients with RA. Material and Methods: 52 patients with RA were evaluated for the study, and they were divided equally into two groups with the following criteria: patient has scapular dyskinesis (SD) (Group 1) or patient does not have SD (Group 2). Disability level, Quality of Life (QoL), disease activity, scapular dyskinesis, pain level and muscle strength were assessed with Turkish version of Disabilities of Arm, Shoulder and Hand questionnaire (DASH-T), Rheumatoid Arthritis specific Quality of Life questionnaire (RAQoL-T), Rheumatoid Arthritis Disease Activity Index-5 (T-RADAI-5), Lateral Scapular Slide Test, Visual Analog Scale (VAS), manual muscle test respectively. Results: Both groups were similar demographically. Results of the patient with SD (Group 1) were significantly different in a negative way than those of the patient without SD (Group 1) in DASH (p=0,001), RADAI-5 (p<0,001), RAQoL (p<0,001), VAS right shoulder (p=0,002) and left shoulder (p=0,001). In Group 1, asymmetric side shoulder had less external rotation muscle strength compared to simetric side shoulder (p=0,046). Discussion: Clinic outcomes of RA patients with SD are worse than those of without SD. Hence, SD may be linked to demonstration of loss of clinic outcomes. Clinicians should not ignore SD in patients with RA.

Keywords:

Scapular dyskinesis, Rheumatoid artrit, Quality of Life,

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