Fulya BAKILAN, Burcu ORTANCA, Ayşe AYDEMİR EKİM, Onur ARMAĞAN

PES PLANUS, TETİK NOKTA VE KAS GÜCÜ ARASINDAKİ İLİŞKİ

Giriş: Bu çalışmanın amacı, pes planusu olan ve olmayan hastalarda tetik nokta görülme oranını, lokalizasyonunu ve kas güçlerini kıyaslamaktır. Yöntemler: Toplam 88 kadın hasta çalışmaya alındı ve pes planus varlığı (yaş ortalaması: 32.50±7.95) (n=52) ve yokluğuna (yaş ortalaması 33.5±7.80) (n=36) göre iki gruba ayrıldı. Kas gücü el kavrama gücü ve bacak-bel gücü ile değerlendirildi. Tetik noktaların varlığı (var/yok), tetik noktaların bölgesi (masseter kası, servikal/torasik/lumbar bölge, üst/alt ekstremite), ağrı yoğunluğu için Vizüel Analog Skala değerlendirildi. Bulgular: Tetik nokta görülme oranı pes planus grubunda istatistiksel olarak anlamlı şekilde yüksek idi: masseter kası (p=0.042), üst ekstremite (p=0.006), servikotorasik bölge (p=0.020), lumbar bölge (p=0.014) ve alt ekstremiteler (p=0.020). Pes planuslu hastaların %98.1’inde en az bir tetik nokta saptandı. Tetik noktaların ağrı yoğunluğu da, pes planus grubunda anlamlı düzeyde yüksek saptandı (p=0.037). Ancak kas güçleri istatistiksel olarak gruplar arasında benzer bulundu. Sonuç: Pes planus ile tetik nokta görülme oranı arasında sadece alt ekstremite ve lumbar bölgede değil, maaseter, üst ekstremiteler ve servikotorasik bölgede de istatistiksel olarak anlamlı bir ilişki bulundu. Ancak pes planus ve kas gücü arasında herhangi bir ilişki bulunmadı.

Anahtar Kelimeler:

Fasya, Pes planus, Tetik nokta, El kavrama gücü

THE RELATIONSHIP BETWEEN PES PLANUS, TRIGGER POINTS AND MUSCLE STRENGTH

Introduction: The objective was to compare the rate and localization of trigger points and muscle strength in patients with and without pes planus. Methods: A total of 88 female patients were divided into two groups according to the presence (with the mean age of 32.50 ± 7.95) (n=52) or absence of pes planus (with the mean age of 33.5 ± 7.80) (n=36). Muscle strength was evaluated with handgrip-strength, leg-back strength. The presence of trigger points (present/absent), the pain region of trigger points (masseter muscle, cervical/thoracic/lumber regions, upper/lower extremity) and the Visual Analog-Scale for pain severity were detected. Results: The rate of trigger points was significantly higher in the pes planus group in all regions: in the masseter muscle (p=0.042), upper extremities (p=0.006), cervicotorasic region (p=0.020), lumbar region (p=0.014), and lower extremities (p=0.020). 98.1% of the patients with pes planus were found to have at least one trigger point. The pain severity of trigger points was significantly higher in pes planus group (p=0.037). However muscle strength were found to be significantly similar between the groups. Conclusion: A significant relationship was found between pes planus and the rate of having trigger points not only in lower extremities and lumbar region, but also in masseter, upper extremities and the servicotorasic region in females. However, any relationship were not found between pes planus and muscle strength.

Keywords:

Fascia, Hand grip strength, Pes planus, Trigger point,

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