Meltem MERAN, Gizem İrem KINIKLI, Ömür ÇAĞLAR

CHEVRON OSTEOTOMİSİ GEÇİREN HALLUKS VALGUSLU KADINLARDA FONKSİYONEL DURUM, DENGE VE KİNEZYOFOBİNİN İNCELENMESİ: PİLOT ÇALIŞMA

Amaç: Bu çalışmanın amacı, Halluks Valgus’lu (HV) kadınların Chevron osteotomisi sonrası fonksiyonel durumunu, dengesini ve kinezyofobisini HV tanılı cerrahi geçirmemiş kadınlarla karşılaştırmalı olarak incelemekti. Yöntem: Çalışmaya 20-70 yaşları arasında, cerrahi sonrası ortalama 28 ay süre geçmiş 19 HV’li kadın ve cerrahi geçirmemiş HV tanılı 19 kadın olmak üzere toplam 38 birey dahil edildi. Bireylerin ağrı şiddeti (Vizüel Analog Skalası), başparmak eklem hareket açıklığı (universal gonyometre), statik dengesi (Tek Bacak Üzerinde Durma Testi), dinamik dengesi (Zamanlı Kalk Yürü Testi), fonksiyonel durumu ve kozmetik kaygısı (Çok Boyutlu Nil Halluks Valgus Ölçeği), kinezyofobisi (Tampa Kinezyofobi Ölçeği) değerlendirildi. Sonuçlar: Cerrahi geçiren HV’li kadınların ağrı şiddeti, kozmetik kaygısı, başparmak toplam eklem hareket açıklığı ve HV açısı cerrahi geçirmeyen HV’li kadınlara oranla daha düşüktü (p0,05). Ancak her iki grubun da ortalama kinezyofobi puanları (cerrahi olan: 36,20 ± 5,35; cerrahi olmayan: 36,44 ± 5,40), ölçeğin ortalama puanının üstündeydi. Cerrahi grubunun HV ve 1-2 intermetatarsal açısı, cerrahi öncesindeki değerlere göre anlamlı iyileşme gösterdi (p

Anahtar Kelimeler:

Ayak, Halluks Valgus, Kinezyofobi, Postüral Denge

INVESTIGATION OF FUNCTIONAL STATUS, BALANCE AND KINESIOPHOBIA IN WOMEN WITH HALLUX VALGUS UNDERWENT CHEVRON OSTEOTOMY, A PILOT STUDY

Purpose: The aim of this study, was to investigate functional status, balance and kinesiophobia after Chevron osteotomy in women with Hallux Valgus (HV) in comparison to non-surgical women with HV. Methods: A total of 38 individuals were included in the study, including those aged 20-70 years 19 women with an average of 28 months after surgery, and 19 HV women diagnosed with non-surgical. Individuals' pain intensity (Visual Analogue Scale), thumb joint range of motion (ROM) (universal goniometer), static balance (Single-Leg-Stance Test), dynamic balance (Timed Up and Go Test), functional status, and cosmetic concern (Multidimensional Nil Hallux Valgus Scale), kinesiophobia (Tampa Kinesiophobia Scale) was evaluated. Results: Pain severity, cosmetic concern, range of motion of the thumb, and HV angle (HVA) were lower in women with HV following surgery than non-surgical HV women (p 0.05). However, the average kinesiophobia scores in both groups (surgical: 36.20 ± 5.35; non-surgical: 36.44 ± 5.40) were above the mean score of the scale. HVA and 1-2 intermetatarsal angle (IMA) of the surgical group showed significant improvement compared to the values before surgery (p

Keywords:

Foot, Hallux Valgus, Kinesiophobia, Postural Balance,

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