Yıl: 2013 Cilt: 28 Sayı: 2 Sayfa Aralığı: 69 - 77 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis

Öz:
Amaç: Bu çalışmada romatoid artritli (RA) hastalarda elle kavrama ve tutma güçlerinin hastalık aktivitesi, fonksiyonel bozukluk ve engellilik, eklem hasarı, ağrı ve hastalık süresi ile olan ilişkisi incelendi.Hastalar ve yöntemler: Yüz iki romatoid artritli hastanın (78 kadın, 24 erkek; ort. yaş 52.8±10.5 yıl; dağılım 26-69 yıl) elle kavrama ve tutma güçleri dinamometre ile değerlendirildi. Muhtemel ilişkiyi değerlendirmek için 28 Eklemde Hastalık Aktivite Skoru (DAS 28), Duruöz El İndeksi (DHI), Fonksiyonel Bozukluk Sinyalleri (SOFI) indeksi, Sağlık Değerlendirme Ölçeği (HAQ), Romatoid Artrit Eklem Hasarı (RAAD) skoru, Modifiye Sharp Skoru (MSS) ve görsel analog ölçeği (GAÖ) kullanıldı.Bulgular: Tüm kavrama ve tutma güçleri ile DAS 28 skoru, HAQ skoru, SOFI indeksi, DHI, RAAD skoru, MSS, GAÖ ve hastalık süresi arasında istatistiksel olarak anlamlı bir negatif ilişki bulundu (p<0.001). El güçleri ile en güçlü ilişki gösteren parametreler DHI, SOFI indeksi ve HAQ idi. Duruöz El İndeksi, SOFI indeksi, RAAD skoru, DAS 28 skoru, HAQ skoru ve MSS birbirleriyle anlamlı düzeyde pozitif ilişkili bulundu (p<0.001). En güçlü ilişki HAQ ile DHI arasında idi (r=0.876, p<0.001).Sonuç: Bu çalışmada RA hastalarında elle kavrama ve tutma güçlerinin, hastalık aktivitesi, eklem hasarı, ağrı, hastalık süresi, fonksiyonel bozukluk ve engellilik ile negatif ilişkili olduğu bulundu. Çalışma bulgularımız, RA hastalarının elle kavrama ve tutma yetilerinin fonksiyonel bozukluk ve engellilik üzerindeki önemini vurgulamaktadır.
Anahtar Kelime:

Konular: Romatoloji

Romatoid Artritli Hastalarda Elle Kavrama ve Tutma Güçlerinin Hastalık Aktivitesi, Eklem Hasarı, Ağrı ve Engellilik ile İlişkisi

Öz:
Objectives: This study aims to investigate the relationship of hand grip and pinch strengths with disease activity, functional impairment, functional disability, articular damage, pain, and disease duration in patients with rheumatoid arthritis (RA). Patients and methods: Hand grip and pinch strength of 102 patients (78 females, 24 males; mean age 52.8±10.5 years; range 26 to 69 years) with RA were assessed using a dynamometer. The Disease Activity Score 28 joints (DAS 28), the Duruoz Hand Index (DHI), the Signals of Functional Impairment (SOFI) index, the Health Assessment Questionnaire (HAQ), the Rheumatoid Arthritis Articular Damage (RAAD) score, the Modified Sharp Score (MSS) and the visual analog scale (VAS) were used to analyze the possible relationship. Results: There was a statistically significant negative correlation between all grip and pinch strengths and the DAS 28 score, HAQ score, SOFI index, DHI, RAAD score, MSS, VAS, and disease duration (p<0.001). The DHI, SOFI index, and HAQ parameters were the most strongly correlated variables with hand strengths. The DHI, SOFI index, RAAD score, DAS 28 score, HAQ score, and MSS showed a statistically significant positive correlation with each other (p<0.001). The strongest correlation was between the HAQ and DHI (r=0.876; p<0.001). Conclusion: In this study, we found that hand grip and pinch strengths were negatively correlated with the disease activity, articular damage, pain, disease duration, functional impairment and disability in patients with RA. Our study results emphasize the importance of hand gripping and pinching abilities for the functional impairment and disability in patients with RA.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA DEDEOĞLU M, GAFUROGLU T, Yılmaz Ö, Bodur H (2013). The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. , 69 - 77.
Chicago DEDEOĞLU Meryem,GAFUROGLU TUBA ÜMIT,Yılmaz Özlem,Bodur Hatice The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. (2013): 69 - 77.
MLA DEDEOĞLU Meryem,GAFUROGLU TUBA ÜMIT,Yılmaz Özlem,Bodur Hatice The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. , 2013, ss.69 - 77.
AMA DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. . 2013; 69 - 77.
Vancouver DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. . 2013; 69 - 77.
IEEE DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H "The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis." , ss.69 - 77, 2013.
ISNAD DEDEOĞLU, Meryem vd. "The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis". (2013), 69-77.
APA DEDEOĞLU M, GAFUROGLU T, Yılmaz Ö, Bodur H (2013). The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(2), 69 - 77.
Chicago DEDEOĞLU Meryem,GAFUROGLU TUBA ÜMIT,Yılmaz Özlem,Bodur Hatice The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.2 (2013): 69 - 77.
MLA DEDEOĞLU Meryem,GAFUROGLU TUBA ÜMIT,Yılmaz Özlem,Bodur Hatice The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.2, 2013, ss.69 - 77.
AMA DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 69 - 77.
Vancouver DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 69 - 77.
IEEE DEDEOĞLU M,GAFUROGLU T,Yılmaz Ö,Bodur H "The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.69 - 77, 2013.
ISNAD DEDEOĞLU, Meryem vd. "The Relationship Between Hand Grip and Pinch Strengths and Disease Activity, Articular Damage, Pain, and Disability in Patients with Rheumatoid Arthritis". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/2 (2013), 69-77.