Ümran TORU ERBAY, Betül TAŞPINAR, Ferruh TAŞPINAR, Ahmet ERDOĞAN, Orçin TELLİ ATALAY

KOAH hastalarında torakal kifoz açısı ile dispne algısı vehastalığa özgü sağlık durumu arasındaki ilişki

Amaç: Bu çalışma, KOAH hastalarında torakal kifoz açısı ile dispne algısı ve hastalığa özgü sağlık durumu arasındaki ilişkiyi incelemek ve böylece postüral etkiyi ortaya koymak amacıyla gerçekleştirildi.Yöntem: Çalışmaya KOAH tanısı almış toplam 105 hasta (68,10±8,59 yıl, FEV1: %47,59±21,50) dahil edildi. Torakal kifoz açısı Spinal Mouse® cihazı ile dispne algısı Modified Medical Research Council Dispne Scale (MMRC) ile değerlendirildi. Hastalığa özgü sağlık durumu için KOAH Değerlendirme Testi (CAT) ve Klinik KOAH Anketi (CCQ) kullanıldı. Hastalar torakal kifoz açılarına göre 20-50° (1. Grup), 51-60° (2.Grup) ve 61-90° (3.Grup) şeklinde üç gruba ayrıldı ve gruplar karşılaştırıldı.Bulgular: Torakal kifoz açısı ile dispne algısı arasında pozitif düşük düzeyde anlamlı ilişki varken (rho=0,23, p=0,02) hastalığa özgü sağlık durumu ile ilişki yoktu (rho0,05). CAT ve CCQ puanları gruplarda benzerdi (p>0,05). Torakal kifoz açısı 60°’den büyük olan 3. Grupta dispne algısı anlamlı olarak daha yüksekti (p=0,03).Sonuç: KOAH hastalarında torakal kifoz açısı arttıkça dispne algısı da arttı, ancak hastaların hastalığa özgü sağlık durumu değişmedi. Torakal kifozun dispneyi arttırması nedeniyle fizyoterapi ve rehabilitasyon uygulamalarında KOAH hastalarının postürleri ayrıntılı olarak değerlendirilmelidir. Ayrıca, erken dönemde torakal kifoz için egzersiz ve ergonomik düzenlemeler gibi koruyucu önlemler alınmalıdır.

Relationship between thoracic kyphosis angle, dyspnea perception, and disease-specific health statusin patients with COPD

Purpose: This study was carried out to examine the relationship between thoracic kyphosis angle, dyspnea perception, and disease-specific health status in patients with COPD and thus to reveal the postural effect.Methods: A total of 105 patients (68.10±8.59 years, FEV1:47.59±21.50%) diagnosed with COPD were included in the study. The thoracic kyphosis angle was evaluated using the Spinal Mouse® device and the dyspnea perception with the Modified Medical Research Council (MMRC) Dyspnea Scale. For the disease-specific health status, the COPD Assessment Test (CAT) and the Clinical COPD Questionnaire (CCQ) were used. The patients were separated into three groups according to the thoracic kyphosis angle as Group 1: 20°-50°, Group 2: 51°-60°, and Group 3: 61°-90° and groups were compared.Results: While a significant positive relationship at a low level was observed between the thoracic kyphosis angle and the dyspnea perception (rho=0.23, p=0.02), no relationship was determined with the disease-specific health status (rho0.05). CAT and CCQ scores were similar between groups (p>0.05). In group 3 with thoracic kyphosis angle>60°, the dyspnea perception was significantly higher (p=0.03).Conclusion: As the thoracic kyphosis angle increase in patients with COPD, the dyspnea perception increases, but the disease-specific health status remains stable. The postures of patients with COPD should be evaluated in detail in physiotherapy and rehabilitation practices due to increased dyspnea caused by thoracic kyphosis. Also, preventive measures such as exercise and ergonomic arrangements should be taken for thoracic kyphosis in the early period.

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