Diz osteoartritinde ağrı ve özürlülükle ilişkili faktörler
Küçük Resim Yok
Tarih
2006
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Diz osteoartritli (OA) hastalarda ağrı ve özürlülükle ilişkili faktörleri değerlendirmek. Gereç ve Yöntem: Diz OA'li, 40-80 yaş aralığındaki 141 hasta çalışmaya dahil edildi. Ağrı WOMAC (Western Ontario and McMaster Universities Arthritis Index) ve vizüel analog skala (VAS) ile ölçüldü. Özürlülük WOMAC ile değerlendirildi. Tüm hastalardan detaylı demografik, sosyal, morfolojik ve tıbbi öyküleri alındı. Diz radyografileri Kellgren-Lawrence evreleme sistemi kullanılarak değerlendirildi. Bulgular: Demografik verilerle (yaş, vücut kütle indeksi-VKİ, eğitim düzeyi ve ağrı süresi) WOMAC-ağrı ve fonksiyon, VAS ve radyolojik evre arasında orta-yüksek evreli korelasyonlar mevcuttu (p<0,05). Obez hastalar tüm değerlendirme parametreleri için anlamlı olarak daha kötü skorlara sahipti (p<0,05). Kellgren-Lawrence radyolojik evresi VAS ve WOMAC-fonksiyon ile koreleydi. Erkeklerle karşılaştırıldığında, WOMAC-ağrı ve fonksiyon ve Kellgren-Lawrence radyolojik evresi anlamlı olarak kadınlarda daha yüksekti (p<0,05). Tıbbi problemler arasında, ağrı ve özürlülükle bir ilişki mevcut değildi. Sonuç: Bu çalışma diz OA'da; ileri yaşın, artmış VKİ'nin, düşük eğitim düzeyinin, kadın cinsiyetin ve yüksek radyolojik evrenin ağrı ve özürlülükle ilişkili faktörler olduğunu göstermektedir.
Objective: To evaluate the risk factors associated with pain and disability in the patients with knee osteoarthritis (OA). Materials and Methods: One hundred and forty-one patients, ranging in age from 40 to 80 years, with knee OA were included into the study. Pain was measured by WOMAC (Western Ontario and McMaster Universities Arthritis Index) and VAS (visual analog scale). Disability was measured by WOMAC. Detailed demographic, social, morphologic and medical history was taken from all patients. the knee radiographs were evaluated by using the Kellgren-Lawrence grading system. Results: There were middle-high correlations between the demographic data (age, body mass index-BMI, education level and pain duration) and WOMAC-pain and function, VAS and radiological grade (p<0.05). Obese patients had significantly worst scores for all evaluation parameters (p<0.05). Kellgren-Lawrence radiological grade was correlated with VAS and WOMAC-function. WOMAC-pain and function subscales and radiological grade were significantly higher in the women when compared with men (p<0.05). Among the medical problems, there was no relation to disability and pain. Conclusion: This study showed that old age, increased BMI, low education level, female sex and high radiological grade were related factors with pain and disability in the knee OA.
Objective: To evaluate the risk factors associated with pain and disability in the patients with knee osteoarthritis (OA). Materials and Methods: One hundred and forty-one patients, ranging in age from 40 to 80 years, with knee OA were included into the study. Pain was measured by WOMAC (Western Ontario and McMaster Universities Arthritis Index) and VAS (visual analog scale). Disability was measured by WOMAC. Detailed demographic, social, morphologic and medical history was taken from all patients. the knee radiographs were evaluated by using the Kellgren-Lawrence grading system. Results: There were middle-high correlations between the demographic data (age, body mass index-BMI, education level and pain duration) and WOMAC-pain and function, VAS and radiological grade (p<0.05). Obese patients had significantly worst scores for all evaluation parameters (p<0.05). Kellgren-Lawrence radiological grade was correlated with VAS and WOMAC-function. WOMAC-pain and function subscales and radiological grade were significantly higher in the women when compared with men (p<0.05). Among the medical problems, there was no relation to disability and pain. Conclusion: This study showed that old age, increased BMI, low education level, female sex and high radiological grade were related factors with pain and disability in the knee OA.
Açıklama
Anahtar Kelimeler
Rehabilitasyon
Kaynak
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
52
Sayı
3
