DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER

KUL, Ayhan; ALKAN MELİKOĞLU, Meltem

DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER

Meltem ALKAN MELİKOĞLU, (taturk University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Rheumatology, Erzurum, Turkey)

Ayhan KUL (Erzurum Regional Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Erzurum, Turkey)

Türk Geriatri Dergisi

3 1

Yıl: 2018 Cilt: 21 Sayı: 1 Sayfa Aralığı: 49 - 55 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER

Öz:

Bu çalışmanın amacı diz osteoartriti olan hastalardaki düşme riskini komputerize bir teknikle değerlendirmek ve bu hastalarda düşme riski için potansiyel risk faktörlerini belirlemektir. Gereç ve Yöntem: Bu çalışmada, diz osteoartritli hastalar ve kontrol vakaları kesitsel olarak değerlendirildi. Katılımcıların cinsiyet, yaş ve beden kütle indeksi değerleri kaydedildi. Ağrı görsel analog skala ile, kısıtlılık "The Western Ontario and Mc Master Universities Osteoarthritis Index" ile, düşme etkisi ise "Falls Efficacy Scale International" ile değerlendirildi. Kellgren- Lawrence sınıflandırması kullanılarak diz radyografileri değerlendirildi. Düşme riski analizi ise "Tetrax Interactive Balance System" kullanılarak gerçekleştirildi. Bulgular: Diz osteoartritli 100 hasta ve 30 kontrol vakası incelemeye alındı. Yaş, cinsiyet ve beden kütle indeksi değerleri gruplar arasında benzerdi. "Falls Efficacy Scale International" değerleri diz osteoartritli hastalarda kontrol grubundan anlamlı şekilde yüksekti (p<0.000). Kullanılan komputerize sistemle, diz osteoartiti olan hastalarda kontrollere göre istatistiksel olarak anlamlı şekilde yüksek düşme riski (p<0.000) ve düşük, orta ve yüksek düşme riski dağılımı kaydedildi (p<0.000). Düşme riski hastaların "The Western Ontario and Mc Master Universities Osteoarthritis Index" skorları, yaş ve ağrıları ile belirgin derecede ilişkiliydi. Sonuç: Çalışmamız, düşme riskinin diz osteoartritli hastalarda sağlıklı bireylerden daha yüksek olduğunu ortaya koymaktadır. Bu yüksek riskin yaş, ağrı ve disfonksiyon ile ilişkili şekilde hastalığın erken radyografik döneminde bile var olduğu gösterilmiştir. Postural kontrol üzerine etkili faktörlerin anlaşılması bu hastalarda düşmenin başarılı bir şekilde önlenmesinde önemli rol oynayacaktır.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

FALL RISK AND RELATED FACTORS IN KNEE OSTEOARTHRITIS

Öz:

Introduction: The aim of this study was to determine the fall risk in patients with knee osteoarthritis with an objective computerized technique and to evaluate the potential risk factors for falls in these patients. Materials and Method: Patients with knee osteoarthritis and controls were included in this cross-sectional study. Gender, age, and body mass index were recorded. Pain was evaluated with a visual analog scale. The Western Ontario and McMaster Universities Osteoarthritis Index was used to assess the patients and the Falls Efficacy Scale International was used for the evaluation of fall efficacy. Knee radiographs were recorded with the Kellgren–Lawrence grading scale. Fall risk analysis was performed by using the Tetrax Interactive Balance System. Results: One hundred patients with knee osteoarthritis and 30 controls were included. The age, gender, and body mass index scores were similar between the groups. Falls Efficacy Scale International scores were significantly higher in the cases than in the controls (p<0.000). Using a computerized system, significantly higher fall risk results (p<0.000) and significantly low, moderate, and high fall risk distribution were recorded in the cases than in the controls (p<0.000). Fall risk was significantly related to age, pain, and the Western Ontario and McMaster Universities Osteoarthritis Index scores of the patients. Conclusions: Our study demonstrated a higher fall risk in patients with knee osteoarthritis than in healthy individuals. This higher risk was shown even inå the early radiographic phases of the disease related to age, pain, and dysfunction. An understanding of factors on postural control seems to be critical in successful fall prevention in these patients.

Anahtar Kelime:

Konular: Tıbbi Araştırmalar Deneysel

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Takacs J, Carpenter MG, Garland SJ, Hunt MA. The role of neuromuscular changes in aging and knee osteoarthritis on dynamic postural control. Aging Dis 2013 Jan;4(2):84-99. (PMID:23696951).
2. Bakilan F, Armagan O, Ozgen M, Tascioglu F, Bolluk O, Alatas O. Effects of native type ii collagen treatment on knee osteoarthritis: a randomized controlled trial. Eurasian J Med 2016;48(2):95-101. (PMID:4970562).
3. Lamb SE, Jorstad-Stein EC, Hauer K, Becker C. Development of a common outcome data set for fall injury prevention trials: The Prevention of Falls Network Europe consensus. J Am Geriatr Soc 2005;53:1618-22. (PMID:16137297).
4. Brenton-Rule A, Dalbeth N, Bassett S, Menz HB, Rome K. The incidence and risk factors for falls in adults with rheumatoid arthritis: a systematic review. Semin Arthritis Rheum 2015;44:389-98. (PMID:25216947).
5. McKay C, Anderson KE. How to manage falls in community dwelling older adults: a review of the evidence. Postgrad Med J 2010;86:299-306. (PMID:20406801).
6. Deandrea S, Lucenteforte E, Bravi F, Foschi R, LaVecchia C, Negri E. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology 2010;21:658-68. (PMID:20585256).
7. Bergland A, Wyller TB. Risk factors for serious fall related injury in elderly women living at home. Inj Prev 2004;10:308-13.(PMID:15470013).
8. Hauer K, Lamb SE, Jorstad EC, Todd C, Becker C. Systematic review of definitions and methods of measuring falls in randomized controlled fall prevention trials. Age Ageing 2006;35:5-10. (PMID:16364930).
9. American College of Sports Medicine Position Stand (ACSM). Progression models in resistance training for healthy adults. Med Sci Sports Exerc.2009;41:687-708. (PMID:19204579).
10. Fernandes L, Hagen KB, Bijlsma JQJ, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013;72:1125-35. (PMID:23595142).
11. Bellamy N, Buchanan W, Goldsmith C, Campbell J, Stitt L. Validation study of WOMAC health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol 1988;15:1833-40. (PMID:3068365).
12. Kellgren JH, Lawrence JS. Radiologic assessment of osteoarthritis. Ann Rheum Dis 1957 Dec;16(4):494- 502. (PMID:13498604).
13. Yardley L, Beyer N, Hauer K, Kempen G, Piot-Ziegler C, Todd C. Development and initial validation of the Falls Efficacy Scale- International (FES-I). Age and Ageing 2005;34:614-9. (PMID:16267188).
14. Ulus Y, Durmus D, Akyol Y, Terzi Y, Bilgici A, Kuru O. Reliability and validity of the Turkish version of the Turkish version of the Falls Efficacy Scale International (FES-I) in community-dwelling older persons. Arch Gerontol Geriatr 2012;54:429-33. (PMID:21831462).
15. Akkaya N, Akkaya S, Atalay NS, Acar M, Catalbas N, Sahin F. Assessment of the relationship between postural stability and sleep quality in patients with fibromyalgia. Clin Rheumatol 2013;32:325-31. (PMID:23179001).
16. Ozdemir O, GokceKutsal Y. Fall risk assessment of elderly by using posturography. Turk J Geriatr 2009;12:177-80.
17. Prieto-Alhambra D, Nogues X, Javaid MK, et al. An increased rate of falling leads to a rise in fracture risk in post menopausal women with self-reported osteoarthritis: a prospective multinational cohort study (GLOW).Ann Rheum Dis 2013;72:911-7. (PMID:22730372).
18. Scott D, Blizzard L, Fell J, Jones G. Prospective study of self-reported pain, radiographic osteoarthritis, sarcopenia progression, and falls risk in communitydwelling older adults. Arthritis Care Res (Hoboken) 2012;64:30-7. (PMID:21739619).
19. Wright NC, Lisse JR, Walitt BT, Eaton CB, Chen Z. Arthritis Increases the Risk for Fractures-Results from the Women’s Health Initiative. J Rheumatol 2011;38: 1680-8. (PMID:21572148).
20. Prieto-Alhambra D, Judge A, Javaid MK, Cooper C, Diez-Perez A, Arden NK. Incidence and risk factors for clinically diagnosed knee, hip and hand osteoarthritis: influences of age, gender and osteoarthritis affecting other joints. Ann Rheum Dis 2014;73:1659-64. (PMID:23744977).
21. 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. (PMID:21107530).
22. Williams SB, Brand CA, Hill KD, Hunt SB, Moran H. Feasibility and outcomes of a home-based exercise program on improving balance and gait stability in women with lower-limb osteoarthritis or rheumatoid arthritis: A pilot study. Arch Phys Med Rehabil 2010;91:106-14. (PMID:20103404).
23. Muraki S, Akune T, Oka H, En-Yo Y, Yoshida M, Nakamura K, Kawaguchi H, Yoshimura N. Prevalence of falls and the association with knee osteoarthritis and lumbar spondylosis as well as knee and lower back pain in Japanese men and women. Arthritis Care Res (Hoboken) 2011;63:1425-31. (PMID:21793231).
24. Levinger P, Wallman S, Hill K. Balance dysfunction and falls in people with lower limb arthritis: factors contributing to risk and effectiveness of exercise interventions. Eur Rev Aging Phys Act 2012; 9:17–25.
25. Bugdayci DS, Paker N, Tekdos D, Topal K, Erbil E, Ersoy S. The functional status of knee in faller or non-faller female patients with knee osteoarthritis. Turkish J Physical Med Rehab 2012;58:22-5.

APA	ALKAN MELİKOĞLU M, KUL A (2018). DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. , 49 - 55.
Chicago	ALKAN MELİKOĞLU Meltem,KUL Ayhan DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. (2018): 49 - 55.
MLA	ALKAN MELİKOĞLU Meltem,KUL Ayhan DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. , 2018, ss.49 - 55.
AMA	ALKAN MELİKOĞLU M,KUL A DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. . 2018; 49 - 55.
Vancouver	ALKAN MELİKOĞLU M,KUL A DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. . 2018; 49 - 55.
IEEE	ALKAN MELİKOĞLU M,KUL A "DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER." , ss.49 - 55, 2018.
ISNAD	ALKAN MELİKOĞLU, Meltem - KUL, Ayhan. "DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER". (2018), 49-55.

APA	ALKAN MELİKOĞLU M, KUL A (2018). DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. Türk Geriatri Dergisi, 21(1), 49 - 55.
Chicago	ALKAN MELİKOĞLU Meltem,KUL Ayhan DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. Türk Geriatri Dergisi 21, no.1 (2018): 49 - 55.
MLA	ALKAN MELİKOĞLU Meltem,KUL Ayhan DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. Türk Geriatri Dergisi, vol.21, no.1, 2018, ss.49 - 55.
AMA	ALKAN MELİKOĞLU M,KUL A DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. Türk Geriatri Dergisi. 2018; 21(1): 49 - 55.
Vancouver	ALKAN MELİKOĞLU M,KUL A DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER. Türk Geriatri Dergisi. 2018; 21(1): 49 - 55.
IEEE	ALKAN MELİKOĞLU M,KUL A "DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER." Türk Geriatri Dergisi, 21, ss.49 - 55, 2018.
ISNAD	ALKAN MELİKOĞLU, Meltem - KUL, Ayhan. "DİZ OSTEOARTRİTDE DÜŞME RİSKİ VE İLİŞKİLİ FAKTÖRLER". Türk Geriatri Dergisi 21/1 (2018), 49-55.