Ankilozan spondilit’li erkek hastaların omurga deformitelerinin ve günlük yaşam kalitesinin değerlendirilmesi
Yükleniyor...
Dosyalar
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi Tıp Fakültesi Dergisi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Postür, vücudun her hareketinde eklemlerin aldığı pozisyonların birleşimidir. Çalışmamızın amacı; Ankilozan Spondilit’li (AS) hastalarda postür analizine bakılarak omurga deformitelerinin belirlenmesi ve bunların AS’li hastaların günlük yaşam aktiviteleri ve kalitesi üzerine nasıl bir etkide bulunduğunun araştırılmasıdır.
Gereç ve Yöntem: Çalışmaya 30 AS’li ve 30 sağlıklı birey alındı. Tüm bireylere postür analizi, SF-36 yaşam kalitesi değerlendirme anketi ve Beck Depresyon ölçeği uygulandı. Kaslarda kısalık ve kas kuvveti değerlendirildi.
Bulgular: Postür analizi değerlendirmesi sonucunda hasta bireylerin torakal kifoz artışı, lumbal lordozda azalma, yuvarlak omuz, genu valgum ve pes planus deformitelerinin anlamlı oranda arttığı gözlendi. Vücut kitle indeksi ortalamaları ile postür analizi sonuçlarından servikal lordozda artış, düşük omuz ve genu varum açısından anlamlı bir fark bulunmadı. Belirli kas gruplarında ise kas kuvvetinde azalma ve kas kısalığı tespit edildi. Ankilozan spondilit’li hastalarda yaşam kalitesinin postüre bağlı olarak olumsuz etkilendiği belirlendi.
Sonuç: Ankilozan spondilit’li hastalarda postürün bozulduğu, kaslardaki kısalığın hareketleri sınırlandırdığı ve buna bağlı olarak ortaya çıkan kas zayıflamasından dolayı yaşam kalitesinin düştüğü düşünülmektedir. Ayrıca eğitim seviyesi düşük olan bireylerin, hastalık hakkında yeterli bilgiye sahip olmadığı ve gereken önemi göstermedikleri görülmektedir.
Objective: Posture is a combination of the positions which is taken by the joints in every movement of the body. The aim of this study is to determine the spine deformities by posture analysis in patients with ankylosing spondylitis, and, additionally, to evaluate the effects of these deformities on daily life activities and patients’ quality of life. Material and Methods: Thirty patients with ankylosing spondylitis and thirty healthy subjects were included in the study. Posture analysis, through SF-36, and Beck Depression Inventory were applied to all individuals. Shortening of muscles and muscle strength were evaluated. Results: An increase in thoracic kyphosis, a decrease in lumbar lordosis, deformities of round shoulder, genu valgum and pes planus were significantly prominent in the AS group compared to the healthy group. In both groups, no significant differences were found between means of their body mass index, increased cervical lordosis, low shoulder, and genu varum. There was a decrease of muscle strength and an increase of shortening of muscle in certain muscle groups. It was determined that quality of life in AS patients was negatively affected by posture. Conclusion: The physiologic and psychological status of patients with ankylosing spondylitis affects their quality of life because of the abnormal posture and weakness of the muscles resulting from the limitation of movement. The patients did not have enough information on their disorders and did not take care of the importance of the disease.
Objective: Posture is a combination of the positions which is taken by the joints in every movement of the body. The aim of this study is to determine the spine deformities by posture analysis in patients with ankylosing spondylitis, and, additionally, to evaluate the effects of these deformities on daily life activities and patients’ quality of life. Material and Methods: Thirty patients with ankylosing spondylitis and thirty healthy subjects were included in the study. Posture analysis, through SF-36, and Beck Depression Inventory were applied to all individuals. Shortening of muscles and muscle strength were evaluated. Results: An increase in thoracic kyphosis, a decrease in lumbar lordosis, deformities of round shoulder, genu valgum and pes planus were significantly prominent in the AS group compared to the healthy group. In both groups, no significant differences were found between means of their body mass index, increased cervical lordosis, low shoulder, and genu varum. There was a decrease of muscle strength and an increase of shortening of muscle in certain muscle groups. It was determined that quality of life in AS patients was negatively affected by posture. Conclusion: The physiologic and psychological status of patients with ankylosing spondylitis affects their quality of life because of the abnormal posture and weakness of the muscles resulting from the limitation of movement. The patients did not have enough information on their disorders and did not take care of the importance of the disease.
Açıklama
[Turgut Özal Tıp Merkezi Dergisi, (2014).21 (1)]
Anahtar Kelimeler
Ankilozan Spondilit, Postür Analizi, Yaşam Kalitesi, Ankylosing Spondylitis, Posture Analysis, Quality of Life
Kaynak
Turgut Özal Tıp Merkezi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
2
Künye
Canbay, Ö.,Köse, E.,Öner, Z.,Altay, Z.,Ekinci, N.,(2014).Ankilozan spondilit’li erkek hastaların omurga deformitelerinin ve günlük yaşam kalitesinin değerlendirilmesi.Turgut Özal Tıp Merkezi Dergisi, 21 (1).
