Cemal TURHAL, Feray SOYUPEK, Tuba BAYKAL

Kronik Alt Ekstremite Ödemi Olan Hastalarda Sakroiliyak Eklem Disfonksiyonu Varlığı ve Postür Analizi

Özet Amaç: Kronik alt ekstremite ödemi, postür bozukluğu, sakroiliak eklem disfonksiyonu ve anormal yürüyüş paterni ile ilişkilendirilmiştir. Lenfödem ve lipödem önemli kronik alt ekstremite nedenleridir. Bu çalışmada alt ekstremite ödemi olan hastalarda sakroiliyak eklem disfonksiyonu ve postürel bozuklukların varlığı ve aralarındaki ilişkiyi araştırmayı amaçladık. Gereç ve Yöntem: Çalışmamız prospektif, karşılaştırmalı bir kohort çalışmasıdır. Çalışmaya alt ekstremite ödemi olan 53 hasta ve 53 sağlıklı kişi dahil edildi. Sakroiliak eklem disfonksiyonu tanısı içi ağrı provokasyon testleri kullanıldı. Postür analizi, PostureScreen® Mobile 11.2 (PostureCo, Inc., Trinity, FL) yazılımı ile gerçekleştirildi. Katılımcıların yaşam kaliteleri Lenfödem Yaşam Kalitesi Ölçeği (LYMQOL) ile, fonksiyonel durumları ise Oswestry Dizabilite İndeksi ve Alt Ekstremite Fonksiyonel Skalası ile belirlendi. Bulgular: Alt ekstremite ödemi olan hastalarda sakroiliyak eklem disfonksiyonu daha sıktı (%18.9). Alt ekstremite hacim farkları ve yüzdeleri ile sakroiliyak eklem gelişimi arasında pozitif korelasyon saptandı. Ödem grubunda baş, omuz ve kalça açılarında deviasyonlar saptandı. Ödem grubunda sakroiliyak eklem disfonksiyonu olan hastalarda Q açısı, lateral omuz angulasyonu ve LYMQOL-leg ölçeği total skoru daha yüksekti. Sonuç: Çalışmamızda kronik alt ekstremite ödemi ile postural sapma ve sakroiliyak eklem disfonksiyonu arasında ilişki bulundu. Kronik alt ekstremite ödemi olan hastalarda ödem kontrolünün yanı sıra, postür analizi ve sakroiliak eklem değerlendirmesi uygun bir yaklaşım gibi gözükmektedir.

Anahtar Kelimeler:

Alt ekstremite ödemi, Sakroiliyak eklem disfonksiyonu, Yaşam kalitesi, Postür

Posture Analysis and Presence of Sacroiliac Joint Dysfunction in Patients With Chronic Lower Extremity Edema

Abstract Background and Aim: Chronic lower extremity edema has been associated with postural impairment, sacroiliac joint dysfunction (SIJD), and abnormal gait. Lymphedema and lipedema are important chronic lower extremity causes. This study aimed to detect the presence of SIJD and postural disorders in patients with lower extremity edema and the relationship between them. Methods: This is a comparative, prospective cohort study. Fifty-three patients with lower extremity edema and 53 healthy subjects were included in the study. Pain provocation tests were used to determine SIJD. Postural analysis was conducted with PostureScreen® Mobile 11.2 (PostureCo, Inc., Trinity, FL) software. The life quality of participants was determined by the Lymphedema Quality of Life (LYMQOL) scale. The functional status of the patients was determined by the Oswestry Disability Index and Lower Extremity Functional Scale. Results: SIJD (18.9%) was more common in the edema group. There was a positive correlation between volume differences, percentages, and the development of SIJD. We found deviations in the head, shoulder, and hip angulations in the edema group. Q angle and lateral shoulder angulation were significantly higher in patients with SIJD in the edema group. In the edema group, LYMQOL-leg total score was higher in patients with SIJD. Conclusion: Chronic lower extremity edema was found to be associated with postural deviations and SIJD. Besides edema control, postural disorders and SIJD should also be considered in these patients.

Keywords:

Lower extremity edema, Sacroiliac joint dysfunction, quality of life, posture Alt ekstremite ödemi, Sakroiliyak eklem disfonksiyonu, Yaşam kalitesi, Postür,

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