Elif GUR KABUL, Sinem BOZCUK, Bilge BAŞAKCI ÇALIK, Sinem KURU, Murat YİĞİT

Romatoid Artrit'li Bireylerde Ayak/Ayak Bileği ile İlgili Fonksiyonel Durumun İncelenmesi

Amaç=Bu çalışmanın amacı, Romatoid Artrit (RA)’li bireylerde ayak /ayak bileği ile ilgili fonksiyonel limitasyonların yaş açısından incelenmesi idi. Materyal-Metot=Çalışmaya RA tanısı almış 40 birey dahil edildi. RA’lı bireyler iki gruba ayrıldı [65 yaş altı (n:24) ve 65 yaş ve üstü (n:16)]. Ayak/ayak bileği ile ilgili fonksiyonel durum Ayak Ayak Bileği Sonuç Skoru (FAOS) ile, genel sağlık durumu Visüel Analog Skalası (VAS) ile, özür düzeyi Sağlık Değerlendirme Anketi (SDA) ile değerlendirildi. FAOS beş alt testten oluşmaktadır: ağrı, diğer semptomlar, günlük yaşam aktiviteleri, spor ve eğlence faaliyetleri, ayak/ayak bileği ile ilgili yaşam kalitesi. Sürekli değişkenlerin birbiri ile ilişkisi Pearson Korelasyon Analizi ile değerlendirildi. Bulgular=65 yaş altı RA’lılarda SDA; FAOS’un ağrı (r:-0.435), iş/günlük yaşam (r:-0.647), iş/spor/eğlence (r:-0.495) ve toplam skoru (r:-0.582) ile düşük ve orta düzeyde korele iken; 65 yaş ve üstü RA’lılarda FAOS’un belirtiler/tutukluk (r:-0.579), ağrı (r:-0.702), iş/günlük yaşam (r:-0.868), iş/spor/eğlence (r:-0.683) ve toplam skoru (r:-0.806) ile orta ve yüksek düzeyde korele idi (p<0,05). Ayrıca 65 yaş ve üstünde VAS; FAOS’un ağrı (r:-0.517), iş/günlük yaşam (r:-0.590), iş/spor/eğlence (r:-0.550) ve toplam skoru (r:-0.587) arasında orta düzeyde ilişkili idi (p<0,05). Sonuç=Ayak/ayak bileği ile ilgili fonksiyonel limitasyonlar, her yaştaki RA’lı bireylerin özür düzeylerini etkilese de; 65 yaş ve üzerinde bu etki daha fazladır. Ayrıca ayak/ayak bileği ile ilgili fonksiyonel limitasyonlar,65 yaş ve üstündeki RA'lılar tarafından genel sağlık durumlarının daha kötü algılanmasına sebep olmaktadır.

Anahtar Kelimeler:

ayak, romatoid artrit, ayak bileği

Investigation of Functional Status of Foot/Ankle in Individuals with Rheumatoid Arthritis

Objective=The aim of this study was to examine the functional limitations of foot/ankle in terms of age in individuals with Rheumatoid Arthritis (RA). Material-Method=Forty individuals diagnosed with RA were included in the study. Individuals with RA were divided into two groups (under 65 years old (n:24) and 65 years old and over (n:16)).Functional status of foot/ankle were evaluated with Foot and Ankle Outcome Score (FAOS), general health status with Visual Analogue Scale (VAS), and disability level with Health Assessment Questionnaire (HAQ). FAOS consists of five subtests: pain, other symptoms, activities of daily living, sport and recreational function, and foot/ankle related quality of life. Relationships between continuous variables were evaluated with Pearson Correlation Analysis. Results=HAQ had low to moderate correlation with FAOS_pain (r:-0.435), FAOS_activities of daily living (r:-0.647), FAOS_sport and recreational function (r:-0.495) and FAOS_total (r:-0.582) in RA with under 65 years old while HAQ had moderate to high correlation with FAOS_other symptoms (r:-0.579), FAOS_pain (r:-0.702), FAOS_activities of daily living (r:-0.868), FAOS_sport and recreational function (r:-0.683) and FAOS_total (r:-0.806) (p<0.05) in RA with 65 years old and over. In addition, VAS had moderate correlation with FAOS_pain (r:-0.517), FAOS_activities of daily living (r:-0.590), FAOS_sport and recreational function (r:-0.550) and FAOS_total (r:-0.587) in RA with 65 years old and over (p<0.05). Conclusion=Although functional limitations related to foot/ankle affect disability levels of RA of all ages, this effect is greater for RA aged 65 and over.In addition, functional limitations related to foot/ankle cause a worse perception of general health status of RA patients aged 65 and over.

Keywords:

foot, Rheumatoid Arthritis, ankle,

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