Romatoid artrit tanılı hastalarda aerobik egzersiz kapasitesi ve fonksiyonel durumun değerlendirilmesi
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Dosyalar
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Ege Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Romatoid artrit, özellikle eklemlerde erozyon ve kalıcı deformiteler ile seyreden, bunun yanı sıra enflamasyon, akciğer tutulumu ve kortikosteroidler gibi ilaçların yan etkilerine bağlı kardiyovasküler etkilenim ve aerobik kapasitede azalma ile seyreden kronik bir enflamatuvar hastalıktır. Bu kesitsel çalışmada romatoid artrit hastalarında aerobik fonksiyonel kapasite ölçümünde kol ergometresi ile yürüyüş bandı ergometresini karşılaştırmayı amaçladık. Yöntem: Bu çalışma kapsamında, Üniversite hastanemizin romatoloji polikliniklerinde romatoid artrit tanısı ile takipli hastalara ve yaş ve cinsiyet açısından eşleştirilmiş kontrollere altı dakika yürüme testi, ayrıca kardiyopulmoner egzersiz testi uygulanmıştır. Kardiyopulmoner egzersiz testi yürüyüş bandında ve kol ergometresinde olmak üzere iki kere uygulandıktan sonra sonuçlar analiz edilmiştir ve gruplar arasında karşılaştırılmıştır. Sonuçlar: Çalışmaya 30 romatoid artritli hasta ve 32 kontrol dahil edilmiştir. Grupların test sonuçları karşılaştırıldığında, romatoid artrit hastalarının hem yürüyüş bandı hem de kol ergometresinde VO2 max değerleri, sağlıklı kontrollere oranla anlamlı daha düşük bulunmuştur (p<0.05). Hem hasta grubunda hem de kontrol grubunda, kol ergometresi ile elde edilen VO2 max değerleri, yürüyüş bandı ile elde edilen değerden anlamlı olarak daha düşük saptanmıştır (p<0.05). Romatoid artrit hastalarında, kol ergometre ve yürüyüş bandı ile elde edilen VO2 max değerleri arasındaki oran, sağlıklı kontrollere göre daha düşük bulunmuştur (p<0.05) Sonuç: Hastalığı remisyonda olan romatoid artrit hastalarında, aerobik fonksiyonel kapasitenin belirlenmesinde, kol ergometresi güvenilir bir yöntemdir. Ancak yürüyüş ergometreye oranla daha düşük VO2 değerleri elde edildiği akılda bulundurulmalıdır.
Background: Rheumatoid arthritis is a systemic chronic inflammatory disorder that is characterized by joint erosions and deformities, as well as cardiovascular involvement and decreased aerobic capacity as a result of inflammation, pulmonary involvement, and side effects of corticosteroid and other medications. In this cross-sectional study, we aimed to compare the effectiveness of arm crank ergometer to that of treadmill ergometer in terms of assessing aerobic functional capacity. Methods: In this study, patients who were followed in the Rheumatology outpatient clinic of our University Hospital with the diagnosis of Rheumatoid arthritis and age and sex matched controls were included. Volunteers were assessed with 6 minute walk test, and cardiopulmonary exercise test. Cardiopulmonary exercise test was performed twice for each patient, one on a treadmill ergometer and one with an arm crank ergometer. The results were analyzed and compared between groups. Results: 30 patients with rheumatoid arthritis and 32 controls were enrolled in the study. When results from the two groups were compared, it was found that both treadmill and arm crank ergometer VO2 max values of rheumatoid arthritis patients were significantly lower than those of healthy controls (p<0.05). Both in patient and control groups, VO2 max values obtained from the arm crank ergometer were lower than the VO2 max values that were obtained by the treadmill ergometer (p<0.05). In patients with rheumatoid arthritis, the ratio of VO2 max from arm crank test to the treadmill test was lower compared to the healthy controls (p<0.05). Conclusion: Arm crank ergometer is a reliable tool in assessing aerobic functional capacity in patients with rheumatoid arthritis who are in remission. Although it must be kept in mind that VO2 max values obtained from the arm crank test are lower than those obtained from a treadmill test.
Background: Rheumatoid arthritis is a systemic chronic inflammatory disorder that is characterized by joint erosions and deformities, as well as cardiovascular involvement and decreased aerobic capacity as a result of inflammation, pulmonary involvement, and side effects of corticosteroid and other medications. In this cross-sectional study, we aimed to compare the effectiveness of arm crank ergometer to that of treadmill ergometer in terms of assessing aerobic functional capacity. Methods: In this study, patients who were followed in the Rheumatology outpatient clinic of our University Hospital with the diagnosis of Rheumatoid arthritis and age and sex matched controls were included. Volunteers were assessed with 6 minute walk test, and cardiopulmonary exercise test. Cardiopulmonary exercise test was performed twice for each patient, one on a treadmill ergometer and one with an arm crank ergometer. The results were analyzed and compared between groups. Results: 30 patients with rheumatoid arthritis and 32 controls were enrolled in the study. When results from the two groups were compared, it was found that both treadmill and arm crank ergometer VO2 max values of rheumatoid arthritis patients were significantly lower than those of healthy controls (p<0.05). Both in patient and control groups, VO2 max values obtained from the arm crank ergometer were lower than the VO2 max values that were obtained by the treadmill ergometer (p<0.05). In patients with rheumatoid arthritis, the ratio of VO2 max from arm crank test to the treadmill test was lower compared to the healthy controls (p<0.05). Conclusion: Arm crank ergometer is a reliable tool in assessing aerobic functional capacity in patients with rheumatoid arthritis who are in remission. Although it must be kept in mind that VO2 max values obtained from the arm crank test are lower than those obtained from a treadmill test.
Açıklama
Anahtar Kelimeler
Egzersiz, egzersiz kapasitesi, fonksiyonel kapasite, romatoid artrit., Exercise, exercise capacity, functional capacity, rheumatoid arthritis.
