Yıl: 2020 Cilt: 31 Sayı: 1 Sayfa Aralığı: 36 - 44 Metin Dili: İngilizce DOI: 10.21653/tjpr.510994 İndeks Tarihi: 09-10-2020

THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY

Öz:
Purpose: There is a lack of evidence about trunk muscle endurance, range of motion (ROM), flexibility and quality of life (QoL) in subjects with adolescent idiopathic scoliosis (AIS) following posterior instrumentation and fusion (PIF) surgery. The study aimed to compare trunk muscle endurance, ROM, flexibility, and QoL of the AIS subjects with lumbar or thoracic level after surgery. It also investigated the relationship between trunk muscle endurance, ROM, flexibility, and QoL in subjects with AIS. Methods: Twenty subjects aged between 10-18 years (mean age=15.55±1.46 years) who underwent PIF surgery before 1-3 years were included. The subjects were divided into two groups as a thoracic (n=10) and lumbar group (n=10) according to the PIF surgery level. The ROM was assessed using a universal goniometer, flexibility with sit and reach test and lateral bending, trunk extensor muscle endurance assessed with Biering-Sorensen test, trunk flexor muscle endurance with the Kraus-Weber test, and the QoL through the Scoliosis Research Society-22 revised (SRS-22r) scale. Results: There was significant difference between the two groups in lateral flexion ROM and lateral bending results (p<0.05). Thoracic group showed better results in the lateral flexion ROM and lateral bending test. Trunk flexor muscle endurance was found correlated with extension ROM (r=0.718, p=0.001), flexion ROM (r=0.414, p=0.007), right lateral flexion ROM (r=0.721, p=0.001), and left lateral flexion ROM (r=0.581, p=0.007). Trunk extensor muscle endurance was found correlated with right rotation ROM (r=0.511, p=0.021), left rotation ROM (r=0.410, p=0.073), SRS-22r total score (r=0.677, p=0.001) and SRS-22r pain score (r=0.554, p=0.011). Conclusion: Trunk muscle endurance is essential for body posture and QoL after surgery. These subject’s physiotherapy and rehabilitation programs should focus on developing trunk muscle endurance and flexibility to increase QoL following PIF surgery.
Anahtar Kelime:

ADÖLESAN İDİOPATİK SKOLYOZ’DA CERRAHİ SONRASI GÖVDE DEĞERLENDİRMELERİ VE YAŞAM KALİTESİ ARASINDAKİ İLİŞKİ

Öz:
Amaç: Posteriyor enstrümentasyon ve füzyon (PEF) cerrahisi sonrası adölesan idiyopatik skolyozu (AİS) olan bireylerde gövde kas enduransı, eklem hareket açıklığı (EHA), esneklik ve yaşam kalitesi hakkındaki kanıtlar yetersizdir. Bu çalışmanın amacı, lumbal veya torakal seviyeden cerrahi geçiren AİS'li bireylerin gövde kas enduransı, EHA, esneklik ve yaşam kalitesini torakal veya lumbal seviyeye göre karşılaştırmaktı. Bununla birlikte gövde kas enduransı ile EHA, esneklik ve yaşam kalitesi arasındaki ilişki araştırıldı.Yöntem: Çalışmaya 10-18 yaşları arasında (yaş=15,55±1,46 yıl) cerrahiden sonra 1-3 yıl süre geçmiş 20 AİS’li birey dahil edildi. Bireyler PEF cerrahisine göre torakal ve lumbal grup olarak ikiye ayrıldı. Bireylerin EHA’sı gonyometre ile, esneklik ölçümleri otur-uzan testi ve lateral eğilme ile, gövde ekstansör kas enduransı Biering Sorensen testi ile, gövde fleksör kas enduransı Kraus Weber Testi ile yaşam kalitesi ise “Scoliosis Research Society-22 revised (SRS-22r)” ile değerlendirildi.Sonuçlar: Çalışmamızda iki grup arasında lateral fleksiyon EHA ve lateral eğilme sonuçları açısından iki grup arasında fark bulundu (p<0.05). Torakal grup lateral fleksiyon EHA ve lateral eğilme sonuçları açısından daha yüksek değerlere sahipti. Gövde fleksor kas enduransı, ekstansiyon EHA ile (r=0,718, p=0,001), fleksiyon EHA ile (r=0,414, p=0,007), sağ lateral fleksiyon EHA ile (r=0,721, p=0,001) ve sol lateral fleksiyon EHA (r=0,581, p=0,007) ile ilişkili bulundu. Gövde ekstansor kas enduransı, sağ rotasyon EHA (r=0,511, p=0,021), sol rotasyon EHA (r=0,410, p=0,073), SRS-22r toplam skoru (r=0,677, p=0,001) ve SRS-22r ağrı skoru (r=0,554, p=0,011) ile ilişkili bulundu.Tartışma: Gövde kas enduransı cerrahi sonrasında vücut postürü ve yaşam kalitesi için önemlidir. Bu hastaların fizyoterapi ve rehabilitasyon programları, PEF cerrahisini takiben yaşam kalitesini artırmak için gövde kas enduransı ve esnekliğini geliştirmeye odaklanmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Öztürk F, Guney H, ayvaz m, Demirkıran G, KINIKLI G (2020). THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. , 36 - 44. 10.21653/tjpr.510994
Chicago Öztürk Ferhat,Guney Hande,ayvaz mehmet,Demirkıran Gökhan,KINIKLI Gizem Irem THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. (2020): 36 - 44. 10.21653/tjpr.510994
MLA Öztürk Ferhat,Guney Hande,ayvaz mehmet,Demirkıran Gökhan,KINIKLI Gizem Irem THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. , 2020, ss.36 - 44. 10.21653/tjpr.510994
AMA Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. . 2020; 36 - 44. 10.21653/tjpr.510994
Vancouver Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. . 2020; 36 - 44. 10.21653/tjpr.510994
IEEE Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G "THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY." , ss.36 - 44, 2020. 10.21653/tjpr.510994
ISNAD Öztürk, Ferhat vd. "THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY". (2020), 36-44. https://doi.org/10.21653/tjpr.510994
APA Öztürk F, Guney H, ayvaz m, Demirkıran G, KINIKLI G (2020). THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31(1), 36 - 44. 10.21653/tjpr.510994
Chicago Öztürk Ferhat,Guney Hande,ayvaz mehmet,Demirkıran Gökhan,KINIKLI Gizem Irem THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31, no.1 (2020): 36 - 44. 10.21653/tjpr.510994
MLA Öztürk Ferhat,Guney Hande,ayvaz mehmet,Demirkıran Gökhan,KINIKLI Gizem Irem THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.31, no.1, 2020, ss.36 - 44. 10.21653/tjpr.510994
AMA Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(1): 36 - 44. 10.21653/tjpr.510994
Vancouver Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(1): 36 - 44. 10.21653/tjpr.510994
IEEE Öztürk F,Guney H,ayvaz m,Demirkıran G,KINIKLI G "THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31, ss.36 - 44, 2020. 10.21653/tjpr.510994
ISNAD Öztürk, Ferhat vd. "THE RELATIONSHIP BETWEEN TRUNK ASSESSMENTS AND QUALITY OF LIFE IN ADOLESCENT IDIOPATHIC SCOLIOSIS FOLLOWING SURGERY". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31/1 (2020), 36-44. https://doi.org/10.21653/tjpr.510994