Gülseren DOST SÜRÜCÜ, Ayşe ATILGAN ÇELİK, Adem YILDIRIM, Dilay EKEN GEDİK

Polinöropatinin Tip 2 Diabetes Mellituslu Hastaların Alt Ekstremite Kas Gücü, Yürüme Performansı ve Günlük Yaşam Aktiviteleri Üzerinde Etkileri Var Mıdır? Prospektif Kontrollü Bir Çalışma

Amaç:Bu çalışmanın amacı ; polinöropatisi(PNP) olan ve olmayan Tip 2 Diyabetes Mellitus(DM) hastalarının alt ekstremite kas güçlerinin izokinetik yöntemlerle değerlendirilmesi ve hastalardaki olası kas gücü kayıplarının, hastaların günlük yaşamlarını ve yaşam kalitelerini ne düzeyde etkilediğini sağlıklı kontrollerle karşılaştırarak saptamaktı. Araç ve Yöntemler: Bu prospektif kontrollü çalışmamıza , 40-70 yaş arası 60 Tip 2 DM’li ve 30 sağlıklı birey dahil edilmiştir. Tip 2 DM’li 60 hastadan PNP’si olan 30 hasta Grup 1’i, PNP’si olmayan 30 hasta ise Grup 2’yi oluşturacak şekilde gruplandırıldı.Tüm katılımcılara yaşam kalitesini değerlendirmek amacıyla Kısa Form-36 (SF 36) kullanıldı. Fonksiyonel değerlendirme için merdiven inip çıkma testi (Stair Climb test=SCT) ve zamanlı kalk yürü testi (The Timed Up & Go=TUG) yapıldı. Ayrıca tüm katılımcıların kas gücü Biodex marka izokinetik cihaz yardımıyla ölçüldü..Bulgular:Çalışmaya alınan Tüm DM’li hastaların kas gücü sağlıklı gruba göre düşük,yaşam kalitesini ölçen SF-36 bütün paremetreleri düşük olarak bulundu. Bu farklılık istatistiksel olarak anlamlıydı(p<0.01).Ayrıca tüm DM’li hastaların TUG ve SCT testlerini sağlıklı gruba göre daha uzun sürede tamamlandığı belirlendi. (p<0.05).Sonuç:Bu çalışmanın sonuçlarına göre, polinöropati varlığından bağımsız olarak DM'nin kas gücünde azalmaya neden olduğu ve bunun da hastaların yaşam kalitesini etkilediğini göstermiştir. Anahtar kelimeler:Diyabetes Mellitus, Polinöropati, Kas Gücü

Anahtar Kelimeler:

Diyabetes Mellitus, Polinöropati, Kas Gücü

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