Cansu ŞAHBAZ PİRİNÇÇİ, Meltem IŞINTAŞ ARIK, Emine ASLAN TELCİ

Diz osteoartritli hastalarda ağrı, fonksiyonel düzey ve yürüyüşün zaman mesafe parametreleri

Amaç: Bu çalışmanın amacı, sağlıklı kadınlar ve diz osteoartritli (OA) kadınlarda ağrı, fonksiyonel durum ve yürüme ile ilişkili parametreleri karşılaştırmaktı.Yöntem: Çalışmaya Amerikan Romatoloji Derneği’nin kriterlerine göre diz OA olan 27 kadın (yaş ortalaması 47,25±6,46 yıl) ve 34 sağlıklı kadın (yaş ortalaması 47,29±4,50 yıl) alındı. Bireylerin ağrı şiddeti vizüel analog skalası (VAS) ile sorgulandı. Q açısını değerlendirmek için gonyometrik ölçüm yapıldı. Fiziksel fonksiyonları Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) Skalası kullanılarak değerlendirildi. Yürümenin zaman mesafe parametreleri ise Zebris™ FDM-2 cihazı ile ölçüldü.Bulgular: Bu çalışmanın sonuçları diz OA’lı kadınların sağlıklı bireylere göre ağrı şiddetinin daha yüksek ve fonksiyonel düzeylerinin daha düşük olduğunu gösterdi (p<0,05). Yürüme ile ilişkili parametreler incelendiğinde OA’lı kadınlarda sağlıklı kadınlara göre adım uzunluğu (p<0,05), çift adım uzunluğu yüzdesi (p<0,05) ve yürüme hızının (p<0,05) daha düşük, adım genişliğinin daha yüksek (p<0,05) olduğu belirlendi.Sonuç: Bu çalışma diz OA’lı kadınlarda ağrı şiddeti, fonksiyonel düzey ve yürümenin aynı yaştaki sağlıklı kadınlara göre olumsuz yönde etkilendiğini gösterdi.

Anahtar Kelimeler:

Diz, Osteoartrit, Yürüme

Pain, functionality, and spatio-temporal gait parameters in patients with knee osteoarthritis

Purpose: The aim of this study was to compare pain, functionality and walking related parameters in healthy women and women with knee osteoarthritis.Methods: 27 women with knee osteoarthritis (with an average age of 47.25±6.46 years) and 34 healthy women (with an average age of 47.29±4.50 years) were included in the study according to the American College of Rheumatology (ACR) criteria. The magnitude of pain level was questioned via Visual Analogue Scale (VAS). Q angle was measured using a universal goniometer. Functional status was evaluated using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Time-distance parameters of walking was measured by Zebris™ FDM-2 equipment.Results: The results of this study showed that pain level was higher and functionality was lower in women with knee osteoarthritis compared to healthy women (p<0.01). It is determined that step length (p <0.05), double step length percentage (p < 0.01) and walking speed measurements (p<0.05) were lower and step width measurements (p<0.05) were higher in women with knee osteoarthritis compared to healthy women. Conclusion: This study showed that pain level, functional status and walking were negatively affected in women with knee osteoarthritis compared to age-matched healthy women.

Keywords:

Knee, Osteoarthritis, Gait,

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