Servikal Disk Herniasyonu Olan Hastalarda Yaşam Kalitesi, Özür, Fonksiyonel Durumun Radikülopati ile İlişkisi

Amaç: Servikal Disk herniasyonlu (SDH) radikülopatisi olan ve olmayan hastalarda yaşam kalitesi, özür, fonksiyonel durumlarını belirlemek ve radikülopati varlığının bu parametreler ile ilişkisini belirlemektir. Gereç-Yöntem: SDH’lı, 25- 65 yaş aralığında, en az 8 haftadır ağrısı olan ve motor kaybı olmayan 37 radikülopatili ve 14 radikülopatisi olmayan toplam 51 hasta alınmıştır. Hastaların özür seviyesi boyun özür skalası (BÖS), üst ekstremite ile ilişkili özür seviyesini belirlemek için kol-omuz-el sorunları anketi (DASH), yaşam kalitesini belirlemek için Nottingham Sağlık Profili (NSP), kavrama kuvveti Jamar el dinamometresi ile değerlendirilmiştir. Gruplar arası fark Mann- Whitney U testi ve parametreler arası korelasyon Spearman testi ile belirlenmiştir. Sonuç: Radikülopati varlığında ait yaşam kalitesi, fonksiyon parametrelerinde değerler daha yüksek ve istatistiksel olarak farklı bulunmuştur (p<0,05). Kavrama kuvveti ve BÖS değerleri gruplar arasında farklı bulunmamıştır(p>0,05). Radikülopatisi olan hastalarda boyun özür ve fonksiyon parametrelerinin yaşam kalitesi, kavrama kuvveti ve birbirleriyle olan ilişkisi incelendiğinde DASH ile yaşam kalitesi toplam puanı arasında pozitif yönde iyi derecede korelasyon, fiziksel aktivite, sosyal izolasyon ve ağrı parametreleri arasında pozitif yönde orta dereceli korelasyon bulunmuştur (p<0,05). Tartışma: Servikal radikülopati ile yapılan bir çok çalışmada birincil sonuç ölçümü olarak BÖS kullanılmaktadır, fakat üst ekstremite fonksiyonlarının radikülopatide önemli ve değerlendirilmesi gereken anket olduğu unutulmamalıdır.

Anahtar Kelimeler:

radikülopati, yaşam kalitesi, boyun ağrısı

Quality of life, disability, functional status and relationship with radiculopathy in patients with cervical disc herniation

Purpose: To determine the quality of life, disability, and functional status of patients with cervical discherniation (CDH) that accompanied with and without radiculopathy and to determine the relationshipbetween parameters and radiculopathy. Material and Methods: Fifty-one patients with CDH between 25and 65 years, having neck pain at least 8 weeks and without motor loss were participated to the study.Participants allocated into two groups as having radiculopathy (n=37) and without radiculopathy (n=14).Cervical compression and distraction test for radiculopathy existence, Neck Disability Index (NDI) fordisability level, Disabilities of the Arm Shoulder and Hand Questionnaire (DASH) for upper extremityrelated disability, Nottingham Health Profile (NHP) for quality of life with and Jamar hand dynamometerfor grip strength were used. Results: Quality of life and upper extremity related disability were higherand different in patients with radiculopathy (p<0.05). There was no difference between groups in terms ofgrip strength and NDI (p>0.05). There was positive and good correlation between DASH and NHP;positive and moderate correlation between physical activity, social isolation, pain sub-parameter of NHPand DASH in patients with radiculopathy (p<0.05). Conclusion: Patients who had radiculopathyadditionally to CDH, quality of life and functional status parameters of upper extremity were found to bemore affected than patients without radiculopathy. In patients with radiculopathy, It has been observedthat disability might not cause only by neck pain but also by its insufficiency in upper extremity relatedfunctional status.

Keywords:

Radiculopathy, Quality of life, Neck pain,

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