Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls
Yıl: 2013 Cilt: 28 Sayı: 2 Sayfa Aralığı: 78 - 86 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls
Öz: Amaç: Bu çalışmada alt ekstremite tutulumu olan osteoartrit (OA) hastalarında diz kas gücü ile alt ekstremite disfonksiyonu arasındaki ilişki değerlendirildi.Hastalar ve yöntemler: Çalışmaya alt ekstremite tutulumu olan 42 OA ve 42 RA hastası ile 42 sağlıklı kontrol olmak üzere toplam 126 katılımcı (ort. yaş 52.65±7.17 yıl; dağılım 40-71 yıl) alındı. Hastaların alt ekstremite ağrısı görsel analog ölçeği (GAÖ) ile değerlendirildi. Tüm katılımcılara izokinetik diz kas gücü testi, altı dakika yürüme testi (6DYT) ve Romatizma ve Artrit Sonuç Ölçeği (RAOS) uygulandı. Romatoid artrit hastalarında 28 Eklemde Hastalık Aktivite Skoru (DAS 28) ve OA hastalarında KellgrenLawrence skoru kaydedildi.Bulgular: Ağrı şiddeti OA ve RA hastalarında benzerdi. Her üç grup arasında 6DYT zamanları açısından anlamlı bir istatistiksel fark yoktu. Tüm RAOS alt parametreleri, kontrol grubuna kıyasla, OA ve RA hastalarında anlamlı olarak düşüktü (p<0.001); fakat hasta grupları arasında istatistiksel olarak anlamlı bir fark yoktu. Gruplar arasında izokinetik piktork (PT) oranı açısından istatistiksel olarak anlamlı bir fark gözlenmedi. Osteoartrit ve RA hastalarında 6DYT, tüm PT'ler ile pozitif ilişkiliyken, GAÖ ağrı skoru PT'lerden hiçbiri ile ilişkili değildi. Korelasyon ve regresyon analizleri ile PT ölçümleri ve RAOS alt parametrelerinin çok azı arasında ilişki saptandı. Romatoid artrit hastalarında PT'ler ile DAS 28 arasında anlamlı ilişki saptanmadı. Osteoartrit hastalarında radyolojik evrenin 6DYT, RAOS alt parametreleri ve PT'ler üzerine anlamlı etkisi saptanmadı.Sonuç: Çalışma sonuçlarımız alt ekstremite tutulumu olan OA ve RA hastalarının, romatolojik hastalığı olmayan kişilere kıyasla, daha fazla alt ekstremite disfonksiyonuna sahip olduğunu göstermektedir. Alt ekstremite tutulumu olan OA ve RA hastalarında hastalığın yükünün benzer olabileceği ve bu hastalıkların hastaların fonksiyonel kapasitesi üzerinde olumsuz bir etkiye sahip olabileceği sonucuna varılabilir.
Anahtar Kelime: Konular:
Osteoartritli Hastalarda Diz Kas Gücünün Alt Ekstremite Disfonksiyonu ile İlişkisi: Bu İlişkinin Romatoid Artritli Hastalar ve Sağlıklı Kontrollerle Karşılaştırılması
Öz: Objectives: This study aims to evaluate the relationship between knee muscle strength and lower limb dysfunction in patients with osteoarthritis (OA) in the lower limbs. Patients and methods: A total of 126 subjects including 42 with OA in the lower limbs, 42 with rheumatoid arthritis (RA) and 42 healthy controls (mean age 52.65±7.17 years; range 40 to 71 years) were enrolled. The lower limb pain of the patients was evaluated using the visual analog scale (VAS). All participants underwent an isokinetic knee muscle strength test, a six-minute walking test (6MWT), and the Rheumatoid and Arthritis Outcome Scale (RAOS). The disease activity scores involving 28 joints (DAS 28) of RA patients and the Kellgren-Lawrence scores of OA patients were recorded. Results: The pain intensity was similar in the OA and RA patients. There was no statistically significant difference among the three groups in terms of the 6MWT times. All of the RAOS subscales were significantly lower in the OA and RA patients compared to the control group (p<0.001), however, there was no statistically significant difference between the two patient groups. No significant difference in the isokinetic peak-torque (PT) ratio was observed among the groups. In the OA and RA patients, the VAS score was not correlated with none of the PTs, while the 6MWD showed a significant association with all PTs. Correlation and regression analyses revealed relationship between the PT measurements and a few RAOS subscales. There was no significant relationship between the PTs and DAS 28 in RA patients. No significant effects the radiological grade with regard to the 6MWD, RAOS subscales, and PTs were found in OA patients. Conclusion: Our study results demonstrated that a higher number of OA and RA patients with lower limb involvement have lower-limb dysfunction, compared to those without any rheumatological disorder. We conclude that the burden of the disease may be similar in OA and RA patients with lower limb involvement, which may have an adverse effect on the functional capacity of the patients.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | ulus y, SAVLIK M, AKYOL Y, TANDER N, BİLGİCİ A, Kuru O (2013). Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. , 78 - 86. |
| Chicago | ulus yasemin,SAVLIK Murat,AKYOL Yeşim,TANDER NAZİFE BERNA,BİLGİCİ Ayhan,Kuru Omer Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. (2013): 78 - 86. |
| MLA | ulus yasemin,SAVLIK Murat,AKYOL Yeşim,TANDER NAZİFE BERNA,BİLGİCİ Ayhan,Kuru Omer Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. , 2013, ss.78 - 86. |
| AMA | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. . 2013; 78 - 86. |
| Vancouver | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. . 2013; 78 - 86. |
| IEEE | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O "Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls." , ss.78 - 86, 2013. |
| ISNAD | ulus, yasemin vd. "Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls". (2013), 78-86. |
| APA | ulus y, SAVLIK M, AKYOL Y, TANDER N, BİLGİCİ A, Kuru O (2013). Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28(2), 78 - 86. |
| Chicago | ulus yasemin,SAVLIK Murat,AKYOL Yeşim,TANDER NAZİFE BERNA,BİLGİCİ Ayhan,Kuru Omer Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. Turkish Journal of Rheumatology(.)Archives of Rheumatology 28, no.2 (2013): 78 - 86. |
| MLA | ulus yasemin,SAVLIK Murat,AKYOL Yeşim,TANDER NAZİFE BERNA,BİLGİCİ Ayhan,Kuru Omer Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. Turkish Journal of Rheumatology(.)Archives of Rheumatology, vol.28, no.2, 2013, ss.78 - 86. |
| AMA | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 78 - 86. |
| Vancouver | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls. Turkish Journal of Rheumatology(.)Archives of Rheumatology. 2013; 28(2): 78 - 86. |
| IEEE | ulus y,SAVLIK M,AKYOL Y,TANDER N,BİLGİCİ A,Kuru O "Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls." Turkish Journal of Rheumatology(.)Archives of Rheumatology, 28, ss.78 - 86, 2013. |
| ISNAD | ulus, yasemin vd. "Association of Knee Muscle Strength with Lower Extremity Dysfunction in Patients with Osteoarthritis: a Comparison with Rheumatoid Arthritis Patients and Healthy Controls". Turkish Journal of Rheumatology(.)Archives of Rheumatology 28/2 (2013), 78-86. |
