Yıl: 2015 Cilt: 61 Sayı: 4 Sayfa Aralığı: 344 - 351 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski

Öz:
Amaç: Bu çalışmada; romatoid artritli (RA) hastalarda düşme öyküsü, düşme korkusu ve düşme riski değerlendirildi ve bunların fonksiyonel durum, denge, disabilite, yürüme hızı ve hastalık aktivitesi ile ilişkisi araştırıldı. Gereç ve Yöntemler: Çalışmaya 65 RA'lı hasta ve 43 sağlıklı gönüllü dahil edildi. Son bir yıl içindeki düşme öyküleri sorgulandı. Hasta grubunda fonksiyonel değerlendirme Steinbrocker fonksiyonel sınıflandırması kullanılarak yapıldı. Düşme korkusu Tinetti'nin Düşme Etki Ölçeği (Tinetti FES) ile değerlendirildi. Tinetti Denge ve Yürüme Testi, Berg Denge Ölçeği, 10 Metre Yürüme Testi, Süreli Kalk ve Yürü Testi, Tek Ayak Üzerinde Durma Testi, Fonksiyonel Uzanma Testi, Süreli Kalk ve Yürü Testi, Tek Ayak Üzerinde Durma Testi, Fonksiyonel Uzanma Testi uygulandı. Disabilite Sağlık Değerlendirme Anketi (HAQ) ile değerlendirildi. Bulgular: Hasta grubundaki bireylerin 28'i son bir yıl içinde bir veya daha fazla düşme bildirdi. Bu olguların düşme öyküsü olmayanlara göre yaşları daha ileri, hastalık süreleri daha uzun, HAQ skorları daha yüksek, fonksiyonel evreleri daha ileri ve düşme korkuları daha fazlaydı. Tinetti total skora göre 28 (%43,1) hastanın düşük, 22 (%33,8) hastanın orta ve 15 (%23,1) hastanın yüksek düşme riski vardı. Sonuç: Düşme üzerinde etkili olabilecek olası risk faktörleri arasında en belirleyici olanları sırasıyla Steinbrocker fonksiyonel evresi ve Tinetti FES skoru olarak saptandı
Anahtar Kelime:

Konular: Rehabilitasyon

Impaired Balance and Fall Risk in Rheumatoid Arthritis Patients

Öz:
Objective: This study evaluated the history of falling, fear of falling and fall risk in patients with rheumatoid arthritis (RA) and investigated the relationship of these with functional status, balance, disability, walking speed, and disease activity. Material and Methods: Sixty-five patients with RA and 43 healthy volunteers were included in the study. Their fall history within the last year was questioned. The Steinbrocker functional class system was used to identify the patients. The fear of falling was assessed using the Tinetti Falls Efficacy Scale (Tinetti FES). The Tinetti Balance and Gait Tests, Berg Balance Scale, 10-Meter Walk Test, Timed Up and Go Test, One-Leg Stand Test, and Functional Reach Test were performed. Disability was evaluated in the health assessment questionnaire (HAQ). Results: Twenty-eight subjects in the patient group reported one or more falls within the last year. These subjects were older and had longer RA disease duration, greater fear of falling, higher HAQ scores, and functional class. According to the Tinetti total score, 28 (43.1%) patients had a low-fall risk, 22 (33.8%) had a medium-fall risk, and 15 (23.1%) had a high-fall risk. Conclusion: The most important factors related to fall risk were the Steinbrocker Functional Class and the Tinetti FES score
Anahtar Kelime:

Konular: Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Firestein GS. Etiology and pathogenesis of rheumatoid arthritis. In: Ruddy S, Harris ED, Sledge CB, (eds). Kelley's Textbook of Rheuma- tology. Sixth edition, Philadelphia, WB Saunders; 2001.p.921-66.
  • Albani S, Carson DA. Etiology and pathogenesis of rheumatoid ar- thritis. In: Kopman WJ (ed). Arthritis and Allied Conditions. Thir- teenth edition, Pennsylvania, Williams and Wilkins; 1997.p.979-92.
  • Sturnieks DL. Physiological risk factors for falls in older people with lower limb arthritis. J Rheum 2004;31:2272-9.
  • Aydoğ E, Bal A, Aydoğ ST, Çakci A. Evaluation of dynamic postural balance using the biodex stability system in rheumatoid arthritis pa- tients. Clin Rheumatol 2006;25:462-7. [CrossRef]
  • Tjon SS, Geurts AC, van't Pad Bosch P, Laan RF, Mulder T. Postural control in rheumatoid arthritis patients scheduled for total knee ar- throplasty. Arch Phys Med Rehab 2000;81:1489-93. [CrossRef]
  • Ekdahl C, Andersson SI. Standing balance in rheumatoid artrhritis a comparative study with healthy participants. Scand J Rheumatol 1989;18:33-42. [CrossRef]
  • Kaz Kaz H, Johnson D, Kerry S, Chinappen U, Tweed K, Patel S. Fall related risk factors and osteoporosis in women with rheumatoid ar- thritis. Rheumatology 2004;43:1267-71. [CrossRef]
  • Jamison M, Neuberger GB, Miller PA. Correlates of falls and fear of falling among adults with rheumatoid arthritis. Arthritis Rheum 2003;49:673-80. [CrossRef]
  • Fessel KD, Nevitt MC. Correlates of fear of falling and activity limi- tation among persons with rheumatoid arthritis. Arthritis Care Res 1997;10:222-8. [CrossRef]
  • Steinbrocker O, Traeger CH, Battenman RC. Therapeutic criteria in rheumatoid arthritis. J Am Med Assoc 1949;140:659-82. [CrossRef]
  • Hochberg MC, Chang RW, Dwosh I, Lindsey S, Pincus T, Wolfe F. The American College of Rheumatology 1991 revised criteria for the classification of global functional status in rheumatoid artritis. Arthri- tis Rheum 1992;35:498-502. [CrossRef]
  • Prevoo ML, van 't Hof MA, Kuper HH, van Leeuwen MA, van de Putte LB, van Riel PL. Modified disease activity scores that include twenty-eight-joint counts. Development and validation in a pro- spective longitudinal study of patients with rheumatoid arthritis. Arthritis Rheum 1995;38:44-8. [CrossRef]
  • Küçükdeveci A, Şahin H, Ataman Ş, Griffiths B, Tennant A. Issue in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assess- ment Questionnaire. Arthritis Rheum 2004;51:14-9. [CrossRef]
  • Farivar SS, Cunningham WE, Hays RD. Correlated physical and men- tal health summary scores for the SF-36 and SF-12 Health Survey. Health Qual Life Outcomes 2007;5:54. [CrossRef]
  • Ozcan A, Donat H, Gelecek N, Ozdirenc M, Karadibak D. The re- lationship between risk factors for falling and quality of life. BMC Public Health 2005;5:90. [CrossRef]
  • van Riel PLCM, van Gestel AM, Welsing PMJ. Evaluation and out- come of the patient with established rheumatoid arthritis. In: Hoch- berg MC, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. Toronto: Mosby; 2003.p.893-905.
  • Guillemin F, Coste J, Pouchot J, Ghézail M, Bregeon C, Sany J, et al. The AIMS2-SF: a short form of the Arthritis Impact Measurement Scales 2. Arthritis Rheum 1997;40:1267-74. [CrossRef]
  • Sahin F, Yilmaz F, Ozmaden A, Kotevolu N, Sahin T, Kuran B. Reli- ability and validity of the Turkish version of the Berg Balance Scale. J Geriatr Phys Ther 2008;31:32-7. [CrossRef]
  • Hawk C, Hyland JK, Rupert R, Colonvega M, Hall S. Assessment of balance and risk for falls in a sample of community-dwelling adults aged 65 and older. Chiropr Osteopat 2006;14:3. [CrossRef]
  • Raíche M, Hébert R, Prince F, Corriveau H. Screening older adults at risk of falling with the Tinetti balance scale. Lancet 2000;356:1001-2. [CrossRef]
  • Thrane G, Joakimsen RM, Thornquist E. The association between timed up and go test and history of falls: the Tromsİ study. BMC Geriatr 2007;7:1. [CrossRef]
  • Shubert TE, Schrodt LA, Mercer VS, Busby-Whitehead J, Giuliani CA. Are scores on balance screening tests associated with mobility in older adults? J Geriatr Phys Ther 2006;29:33-9. [CrossRef]
  • Yagci N, Cavlak U, Aslan UB, Akdag B. Relationship between balance per- formance and musculoskeletal pain in lower body comparison healthy middle aged and older. Arch Gerontol Geriatr 2007;45:109-19. [CrossRef]
  • Gillespie SM, Friedman SM. Fear of Falling in New Long-Term Care Enrollees. J Am Med Dir Assoc 2007;8:307-13. [CrossRef]
  • Minor MA, Hewett JE. Exercise tolerance and disease related mea- sures in petients with rheumatoid artrhritis and osteoarthritis. J Rheu- matol 1988;15:905-11.
  • Armstrong C, Swarbrick CM, Pye SR, O'Neill TW. Occurence and risk factors for falls in rheumatoid arthritis. Ann Rheum Dis 2005;64:1602-4. [CrossRef]
  • Hayashibara M, Hagino H, Katagiri H, Okano T, Okada J, Teshima R. Incidence and risk factors of falling in ambulatory patients with rheumatoid arthritis: a prospective 1-year study. Osteoporos Int 2010;21:1825-33. [CrossRef]
  • Fessel KD, Nevitt MC. Correlates of fear of falling and activity limi- tation among persons with rheumatoid arthritis. Arthritis Care Res 1997;10:222-8. [CrossRef]
  • Tinetti ME, Doucette J, Claus E, Marottoli R. Risk factors for serious injury during falls by older persons in the community. J Am Geriatr Soc 1995;43:1214-21. [CrossRef]
  • Ekdahl C. Postural control, muscle function and psychological factors in rheumatoid arthritis. Are there any relations? Scand J Rheumatol 1992;21:297-301. [CrossRef]
  • Rubenstein LZ. Falls in older people epidemiology, risk factors and strategies for prevention. Age Ageing 2006;35:37-41. [CrossRef]
  • Lexell J. Human ageing, muscle mass and fiber type composition. J Gerontol A Briol Sci Med Sci 1995;50:11-6.
  • Trappe TA, Lindquist DM, Carrithers JA. Muscle spesific atrophy of the quadriceps femoris with ageing. J Appl Physiol 2001;90:2070-4.
  • Furuya T, Yamagiwa K, Ikai T, Inoue E, Taniquchi A, Momohara S, et al. Associated factors for falls and fear of falling in Japanese patients with rheumatoid arthritis. Clin Rheumatol 2009;28:1325-30. [CrossRef]
  • Oswald AE, Pye SR, O'Neill TW, Bunn D, Gaffney K, Marshall T, et al. Prevalance and associated factors for falls in women with established inflammatory polyarthritis. J Rheumatol 2006;33:690-4.
  • Allison L, Fuller K. Balance and vestibular disorders, ''Neurological Re- habilitation'' (Ed. Umphred, D.A.), Aharcourt Health Sciences Com- pany, New York; 2000. s.616-60.
  • Wing AM, Goodrich S, Virji-Babul N, Jenner JR, Clapp S. Balance evaluation in hemiparatic stroke patients using lateral forces applied to the hip. Arch Phys Med Rehabil 1993;74:292-9.
  • Ertenli I. Romatoid Atrtrit. Hamuryudan V, editör. Romatoid Artritte Tedavi İlkeleri. Ankara: MD Yayıncılık; 2002. p.43-8.
  • Coughlin MJ. Arthritides. In: Coughlin MJ, Mann RA, eds. Surgery of the Foot and ankle: 7 th ed St. Louis, Missouri: Mosby; 1999.p.560-75.
  • Mann RA, Horton GA. Management of the foot and ankle in rheuma- toid arthritis. Rheum Dis Clin North Am 1996;22:457-76. [CrossRef]
  • Erdal A, Eren S, Şenel K. Hip involvement in rheumatoid arthritis. J PMR Sci 2002;5:69-72.
  • Çakıt DB, Nacır B, Erdem RH, Karagöz A, Saraçoğlu M. Fear of Fall- ing, Fall Risk and Disability in Patients with Rheumatoid Arthritis. Turk J Rheumatol 2011;26:217-25. [CrossRef]
  • Boulgarides LK, McGinty SM, Willett JA, Barnes CW. Use of clinical and impairment based tests to predict falls by community-dwelling older adults. Phys Ther 2003;83:328-39.
  • Smulders E, van Lankveld W, Eggermont F, Duysens J, Weerdesteyn V. Step performance in persons with rheumatoid arthritis:a case- control study. Arch Phys Med Rehabil 2011;92:1669-74. [CrossRef]
  • Luoto S, Riikonen K, Siivola M, Laiho K, Kauppi M, Mikkelsson M. Impaired postural control is associated with worse scores on the health assessment questionnaire disability index among women with rheumatoid arthritis. J Rehabil Med 2011;43:900-5.
  • Levinger P, Menz HB, Wee E, Feller JA, Bartlett JR, Bergman NR. Physiological risk factors for falls in people with knee osteoarthritis before and early after knee replacement surgery. Knee Surg Sports Traumatol Arthrosc 2011;19:1082-9. [CrossRef]
  • Gage WH, Frank JS, Prentice SD, Stevenson P. Postural responses following a rotational support surface perturbation, following knee joint replace- ment: frontal plane rotations. Gait Posture 2008;27:286-93. [CrossRef]
  • Fuchs S, Thorwesten L, Niewerth S. Proprioceptive function in knees with and without total knee arthroplasty. Am J Phys Med Rehabil 1999;78:39-45. [CrossRef]
  • Wada M, Kawahara H, Shimada S, Miyazaki T, Baba H. Joint proprio- ception before and after total knee arthroplasty. Clin Orthop Relat Res 2002;403:161-7. [CrossRef]
  • Swanik CB, Lephart SM, Rubash HE. Proprioception, kinaesthesia and balance after total knee arthroplasty with cruciate retaining and pos- terior stabilized prosthesis. J Bone Joint Surg Am 2004; 86:328-34.
  • Tinetti ME, Speechley M, Ginter SF. Risk factors for falls among elderly per- sons living in the community. N Eng J Med 1988;319:1701-7. [CrossRef]
  • Cumming RG. Epidemiology of medication-related falls and frac- tures in the elderly. Drugs and Aging 1998;12:43-53. [CrossRef]
  • Carbone LD, Johnson KC, Robbins J, Larson JC, Curb JD, Watson K, et al. Antiepileptic drug use, falls, fractures, and BMD in postmeno- pausal women: findings from the women's health initiative (WHI). J Bone Miner Res 2010;25:873-81.
  • Gribbin J, Hubbard R, Gladman J, Smith C, Lewis S. Serotonin-nor- epinephrine reuptake inhibitor antidepressants and the risk of falls in older people: case-control and case-series analysis of a large UK primary care database. Drugs Aging 2011;28:895-902. [CrossRef]
APA METLİ N, KURTARAN A, AKYÜZ M (2015). Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. , 344 - 351.
Chicago METLİ Neslihan Bilge,KURTARAN Aydan,AKYÜZ Müfit Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. (2015): 344 - 351.
MLA METLİ Neslihan Bilge,KURTARAN Aydan,AKYÜZ Müfit Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. , 2015, ss.344 - 351.
AMA METLİ N,KURTARAN A,AKYÜZ M Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. . 2015; 344 - 351.
Vancouver METLİ N,KURTARAN A,AKYÜZ M Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. . 2015; 344 - 351.
IEEE METLİ N,KURTARAN A,AKYÜZ M "Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski." , ss.344 - 351, 2015.
ISNAD METLİ, Neslihan Bilge vd. "Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski". (2015), 344-351.
APA METLİ N, KURTARAN A, AKYÜZ M (2015). Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61(4), 344 - 351.
Chicago METLİ Neslihan Bilge,KURTARAN Aydan,AKYÜZ Müfit Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61, no.4 (2015): 344 - 351.
MLA METLİ Neslihan Bilge,KURTARAN Aydan,AKYÜZ Müfit Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.61, no.4, 2015, ss.344 - 351.
AMA METLİ N,KURTARAN A,AKYÜZ M Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(4): 344 - 351.
Vancouver METLİ N,KURTARAN A,AKYÜZ M Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2015; 61(4): 344 - 351.
IEEE METLİ N,KURTARAN A,AKYÜZ M "Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 61, ss.344 - 351, 2015.
ISNAD METLİ, Neslihan Bilge vd. "Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 61/4 (2015), 344-351.