Neslihan Bilge METLİ
(Ankara Fizik Tedavi ve Rehabilitasyon Eğitim Araştırma Hastanesi, Ankara, Türkiye)
Aydan KURTARAN
(Ankara Fizik Tedavi ve Rehabilitasyon Eğitim Araştırma Hastanesi, Ankara, Türkiye)
MÜFİT AKYÜZ
(Ankara Fizik Tedavi ve Rehabilitasyon Eğitim Araştırma Hastanesi, Ankara, Türkiye)
Yıl: 2015Cilt: 61Sayı: 4ISSN: 1302-0234 / 1308-6316Sayfa Aralığı: 344 - 351Türkçe

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Romatoid Artritli Hastalarda Denge Bozukluğu ve Düşme Riski
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
Fen > Tıp > Rehabilitasyon
DergiAraştırma MakalesiErişime Açık
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