Kronik Obstrüktif Akciğer Hastalığı Olan Yaşlı Kadın ve Erkek Bireylerde Kuadriseps Kas Kuvveti ve Kinezyofobinin Sağlıkla İlgili Yaşam Kalitesi Üzerine
Amaç: Kronik obstrüktif akciğer hastalığı olan yaşlı kadın ve erkek bireylerde kuadriseps kas kuvveti ve kinezyofobinin sağlıkla ilgili yaşam kalitesi üzerine etkilerinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: Bireylerin sosyodemografik bilgileri kaydedildikten sonra, ağrı durumu için Vizüel Analog Skalası (VAS), dispne için modifiye Medical Research Council Skalası (mMRCS), kinezyofobi için TAMPA ölçeği (TKÖ), sağlıkla ilgili yaşam kalitesi için Saint George Solunum Anketi (SGSA) ve quadriceps kas kuvvetini ölçmek için manuel dinamometre kullanıldı. Bulgular: Kırk beş katılımcının 17‘si (37.8%) kadındı. Kadınların yaş ve vücut kütle indeks ortalaması sırasıyla 71.59±4.84 yıl, 28.75±6.71 kg/m2, erkeklerin yaş ve vücut kütle indeks ortalaması sırasıyla 72.14±5.66 yıl, 26.53±3.91 kg/m2 idi. Kinezyofobi ortalamaları kadın ve erkelerde sırasıyla 47.47±7.40 ve 41.89±7.65, SGSA(Semptom) skorları kadın ve erkeklerde sırasıyla 75.97±15.87 ve 63.89±18.54 idi. Yapılan istatistik analizde kadın ve erkeklerde, kinezyofobi ve SGSA(Semptom) arasında anlamlı fark olduğu gözlendi (p
Effects of Quadriceps Muscle Strength and Kinesiophobia on Health Related Quality of Life in Elderly Women and Men with Chronic Obstructive Pulmonary Disease
Objective: The aim of this study was to investigate the effects of quadriceps musclestrength and kinesiophobia on health-related quality of life in elderly women and menwith chronic obstructive pulmonary disease.Methods: After recording the socio-demographic information of individuals, theVisual Analogue Scale (VAS) for pain status, the modified Medical Research CouncilScale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint GeorgeRespiratory Questionnaire (SGRQ) for health-related quality of life, and manualdynamometer were used to measure for muscle strength of quadriceps.Results: Seventeen (37.8%) of the 45 participants were female. The mean age andbody mass index of females were 71.59±4.84 years and 28.75±6.71 kg/m2,respectively. Kinesiophobia averages were 47.47±7.40 and 41.89±7.65 in women andmen, respectively, and SGRQ(Symptom) scores were 75.97±15.87 and 63.89±18.54 inwomen and men, respectively. Statistical analysis showed that there was a significantdifference between men and women between kinesiophobia and SGRQ(Symptom)(p
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- Rawal A, Girisha K. Use of Periconceptional Folic Acid for Prevention of Neural Tube Defects–Where are
We. J Obstet Gynaecol Res 2015;41:6.
- Varkey AB. Chronic obstructive pulmonary disease in women: exploring gender differences. Curr Opin Pulm
Med 2004;10(2):98-103.
- Mannino DM, Buist AS. Global burden of COPD: risk factors, prevalence, and future trends. Lancet
2007;370(9589):765-73.
- Yengil E, Çevik C, Demirkıran G, et al. Tıp fakültesi öğrencilerinin sigara içme durumu ve sigara ile ilgili
tutumları. Konuralp Tıp Dergisi 2014;6(3):1-7.
- Ünal M. Hastanede sigara danışmanlığı: Problemler ve çözümler. Konuralp Tıp Dergisi 2017;9(2):171-6.
- Swallow EB, Reyes D, Hopkinson NS, et al. Quadriceps strength predicts mortality in patients with moderate
to severe chronic obstructive pulmonary disease. Thorax 2007;62(2):115-20.
- Decramer M, De Benedetto F, Del Ponte A. Systemic effects of COPD. Lancet Respir Med 2005;99:S3-S10.
- Cielen N, Maes K, Gayan-Ramirez G. Musculoskeletal disorders in chronic obstructive pulmonary disease.
Biomed Res Int 2014;2014.
- Engelen MP, Schols AM, Does JD. Skeletal muscle weakness is associated with wasting of extremity fat-free
mass but not with airflow obstruction in patients with chronic obstructive pulmonary disease. Am J Clin Nutr
2000;71(3):733-8.
- Bernard S, Leblanc P, Whittom F, et al. Peripheral muscle weakness in patients with chronic obstructive
pulmonary disease. Am J Respir Crit Care Med 1998;158(2):629-34.
- Coronell C, Orozco‐Levi M, Mendez R. Relevance of assessing quadriceps endurance in patients with
COPD. Eur Respir J 2004;24(1):129-36.
- Beauchamp MK, Sibley KM, Lakhani B, et al. Impairments in systems underlying control of balance in
COPD. Chest 2012;141(6):1496-503.
- Kori S. Kinisophobia: a new view of chronic pain behaviour. Pain Manage 1990;3:35-43.
- Burwinkle T, Robinson JP, Turk DC. Fear of movement: factor structure of the Tampa Scale of
Kinesiophobia in patients with fibromyalgia syndrome. J Pain 2005;6(6):384-91.
- de Torres JP, Casanova C, Hernández C, et al. Gender associated differences in determinants of quality of
life in patients with COPD: a case series study. Health Qual Life Outcomes 2006;4(1):72.
- Watson L, Vestbo J, Postma DS, et al. Gender differences in the management and experience of chronic
obstructive pulmonary disease. Lancet Respir Med 2004;98(12):1207-13.
- Di Marco F, Verga M, Reggente M, et al. Anxiety and depression in COPD patients: The roles of gender and
disease severity. Lancet Respir Med 2006;100(10):1767-74.
- Stenton C. The MRC breathlessness scale. Occup Med. 2008;58(3):226-7.
- Özalevli S, Uçan ES. Farklı Dispne Skalalarının kronik obstrüktif akciğer hastalığında karşılaştırılması.
Toraks Dergisi 2004;5(2):90-4.
- Jones PW, Quirk F, Baveystock C. The St George's respiratory questionnaire. Lancet Respir Med
1991;85:25-31.
- Polatlı M, Yorgancıoğlu A, Aydemir Ö, et al. Validity and reliability of Turkish version of St. George's
respiratory questionnaire. Tuberk Toraks 2013;61(2):81-7.
- Miller RP, Kori SH, Todd DD. The Tampa Scale: a Measure of Kinisophobia. Clin J Pain 1991;7(1):51.
- Yilmaz ÖT, Yakut Y, Uygur F. Tampa Kinezyofobi Ölçeği‘nin Türkçe versiyonu ve test-tekrar test
güvenirliği. Turk J Physiother Rehabil 2011;22(1):44-9.
- Bandinelli S, Benvenuti E, Del Lungo I, et al. Measuring muscular strength of the lower limbs by hand-held
dynamometer: a standard protocol. Aging Clin Exp Res 1999;11(5):287-93.
- Deones VL, Wiley SC, Worrell T. Assessment of quadriceps muscle performance by a hand-held
dynamometer and an isokinetic dynamometer. J Orthop Sports Phys Ther 1994;20(6):296-301.
- Maurer J, Rebbapragada V, Borson S, et al. Anxiety and depression in COPD: current understanding,
unanswered questions, and research needs. Chest 2008;134(4_suppl):43S-56S.
- Gosselink R, Troosters T, Decramer M. Peripheral muscle weakness contributes to exercise limitation in
COPD. Am J Respir Crit Care Med 1996;153(3):976-80.
- Miravitlles M, Ferrer M, Pont A, et al. Effect of exacerbations on quality of life in patients with chronic
obstructive pulmonary disease: a 2 year follow up study. Thorax 2004;59(5):387-95.
- Fidancı İ, Arslan İ, Tekin O, et al. Sigara bırakma başarısında: çay, kahve, alkol içme alışkanlıklarının, kilo
alma korkusunun ve tedavi yöntemlerinin rolü. Konuralp Tıp Dergisi 2016;8(2):132-6.
- General S, editor The health consequences of smoking—50 years of progress: a report of the surgeon general.
US Department of Health and Human Services; 2014: Citeseer.
- O‘shea SD, Taylor NF, Paratz J. Peripheral muscle strength training in COPD: a systematic review. Chest
2004;126(3):903-14.
- Bernard S, Leblanc P, Whittom F, et al. Peripheral muscle weakness in patients with chronic obstructive
pulmonary disease. Am J Respir Crit Care Med 1998;158(2):629-34.
- Hillman C, Heinecke E, Hii J, et al. Relationship between body composition, peripheral muscle strength and
functional exercise capacity in patients with severe chronic obstructive pulmonary disease. Intern Med J
2012;42(5):578-81.
- Ju C, Chen R. Investigation of the quadriceps strength in patients with chronic obstructive pulmonary
disease. Chin J Tuber Resp Dis 2008;31(8):566-70.
- Ausín P, Martínez-Llorens J, Sabaté-Bresco M, et al. Sex differences in function and structure of the
quadriceps muscle in chronic obstructive pulmonary disease patients. Chron Respir Dis 2017;14(2):127-39.
- Hul AV, Harlaar J, Gosselink R, et al. Quadriceps muscle endurance in patients with chronic obstructive
pulmonary disease. Muscle Nerve 2004;29(2):267-74.
- Hernández M, Zambom-Ferraresi F, Cebollero P, et al. The Relationships between Muscle Power and
Physical Activity in Older Men with Chronic Obstructive Pulmonary Disease. J Aging Phys Activ 2016:1-
26.
- Benton MJ, Alexander JL, Holland JD. Relationship between strength, function, and quality of life in older
adults with chronic lung disease: is there an influence of gender? J Cardiopulm Rehabil Prev
2014;34(2):143-9.
- Raherison C, Tillie-Leblond I, Prudhomme A, et al. Clinical characteristics and quality of life in women with
COPD: an observational study. BMC Womens Health 2014;14(1):31.
- HajGhanbari B, Holsti L, Road JD, et al. Pain in people with chronic obstructive pulmonary disease (COPD).
Respir Med 2012;106(7):998-1005.
- Lee AL, Harrison SL, Goldstein RS, et al. Pain and its clinical associations in individuals with COPD: a
systematic review. Chest 2015;147(5):1246-58.
- Reardon JZ, Lareau SC, ZuWallack R. Functional status and quality of life in chronic obstructive pulmonary
disease. Am J Med 2006;119(10):32-7.
- HajGhanbari B, Garland SJ, Road JD, et al. Pain and physical performance in people with COPD. Respir
Med 2013;107(11):1692-9.
- Anderson KL. The effect of chronic obstructive pulmonary disease on quality of life. Res Nurs Health
1995;18(6):547-56.
- Kaptein A, Brand P, Dekker F, et al. Quality-of-life in a long-term multicentre trial in chronic nonspecific
lung disease: assessment at baseline. The Dutch CNSLD Study Group. Eur Respir J 1993;6(10):1479-84.
- Hill K, Geist R, Goldstein R ,et al. Anxiety and depression in end-stage COPD. Eur Respir J
2008;31(3):667-77.
- Miravitlles M, Anzueto A, Legnani D, et al. Patient's perception of exacerbations of COPD—the PERCEIVE
study. Respir Med 2007;101(3):453-60.
- Voica AS, Oancea C, Tudorache E, et al. Chronic obstructive pulmonary disease phenotypes and balance
impairment. Int J Chron Obstruct Pulmon Dis 2016;11:919.
- van de Bool C, Rutten EP, Franssen FM, et al. Antagonistic implications of sarcopenia and abdominal
obesity on physical performance in COPD. Eur Respir J 2015;46(2):336-45.
- Mangueira NM, Viega IL, Mangueira M,et al. Correlation between clinical parameters and health-related
quality of life in women with COPD. J Bras Pneumol 2009;35(3):248-55.
- Gea J, Agustí A, Roca J. Pathophysiology of muscle dysfunction in COPD. J Appl Physol
2013;114(9):1222-34.
- Varol Y, Anar C, Cimen P, et al. Sex-related differences in COPD Assessment Test scores of COPD
populations with or without significant anxiety and/or depression. Turk J Med Sci 2017;47(1):61-8.