Medial dizosteartritli hastalarda lateral kamalı tabanlığın dizin frontal düzlem biyomekniği üzerine uzun süreli etkisi
Amaç: Bu çalışmanın amacı diz osteoartrit tedavisinde lateral kama kullanılmasından yaklaşık bir yıl sonra yürüme sırasında frontal düzlemde mekanik diz varus moment üzerindeki etkisini incelemekti. Yöntem: Bu çalışma medial diz osteoatrit (OA) teşhisi konmuş 14 kişi ve 13 sağlıklı kişi içermekteydi. Hastalar tabanlıkları bilateral kullandıkları ayakkabı içerisine giydiler. Yüksek yoğunluklu etil vinil asetattan yapılan tabanlık boyunca uzanan 5° tilt açılı lateral kama ile medial longitudinal ark takviyeli tabanlığı düzenli olarak en az bir yıl kullandılar. Yaklaşık bir yıl sonra medial diz osteoartritli hastalar laboratuvarda tabanlıkla ve çıplak ayak yürütülerek yapılan üç boyutlu kinetik ve kinematik analiz kaydedildi. Sonuçlar: Frontal plan diz açıları ve hareket açıklığı her iki yürüme değerleri arasında ve kontrol grubu değerleri ile karşılaştırıldığında farklılık bulunmadı (p>0.05). Hastaların çıplak ayak ve lateral kamalı tabanlık ile yürümelerinde yürüme hızı ve adım genişliği arasında fark saptanmadı (p>0.05). Ayakkabısız oldukça yüksek olan diz varus moment değeri lateral kama ile yürüme sırasında azaldı (p
Anahtar Kelimeler:
Diz eklemi, Osteoartrit, diz, Yürüme, Tabanlık, lateral kamalı
Long term effectts of laterally wedged insoles on kknee frontal plane biomechanics in patients with medial knee ostearthritis
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- ISSN: 2651-4451
- Başlangıç: 1974
- Yayıncı: Türkiye Fizyoterapistler Derneği