Gelişimsel kalça displazili erişkin bireylerde alt ekstremite kas kuvveti ile kalça fonksiyonları arasındaki ilişkinin incelenmesi

Year 2020, Volume: 7 Issue: 2, 168 - 176, 31.08.2020

Esra Ateş Numanoğlu , Filiz Can Bülent Erdemli

Abstract

Amaç: Gelişimsel kalça displazili bireylerde kalça çevresi kaslarda değişik derecelerde kas zayıflıkları görülür. Kalça ekleminde fonksiyonelliği belirleyen önemli parametrelerden birisi, günlük yaşam aktiviteleri sırasındaki temel hareketlerdir ve kalça çevresi kaslarının kuvvetini gerektirir. Bu çalışmanın amacı, literatürde gelişimsel kalça displazili bireylerde alt ekstremite kas
kuvvetinin kalça fonksiyonları ile ilişkili olup olmadığını araştırmaktır.

Yöntem: Çalışmaya gelişimsel kalça dispazisi tanılı ve total kalça artroplastisi uygulanmamış, yaş ortalaması 40,46±2,28 yıl olan (20-60 yaş arası) 26 kadın hasta dahil edildi. Hastaların kalça fleksörleri, ekstansörleri, abdüktörleri, addüktörleri, iç ve dış rotatörleri, quadriceps femoris ve hamstring kaslarının (medial ve lateral) izometrik kas kuvvetleri dijital el dinamometresi ile kalça fonksiyonları Harris Kalça Skoru ile değerlendirildi.

Bulgular: Harris Skoru ile kalça fleksörleri, ekstansörleri, abdüktörleri, addüktörleri ve lateral hamstringlerin (biseps femoris) kas kuvvetleri arasında pozitif yönde orta seviyede bir ilişki bulunurken (p<0,05), kalça iç ve dış rotatörleri, quadriseps femoris ve medial hamstringler ile herhangi bir ilişki saptanmadı. (p>0,05)

Sonuç: Gelişimsel kalça displazili bireylerde kalça çevresi kas kuvveti ile kalça fonksiyonları arasında yakın bir ilişki vardır. Bu ilişki, kalça fleksörleri, abduktörleri, adduktörleri, lateral hamstringler ve kalça ekstansörleri için geçerlidir ve bu kasların kuvveti azaldıkça kalça fonksiyonları azalmaktadır. Buna karşılık, kalça rotatörleri, quadriseps ve medial hamstringlerin kas kuvvetleri kalça fonksiyonları ile ilişkili değildir. Bu nedenle bu hastalarda iyi bir fonksiyonel seviyenin elde edilmesi için, kalça çevresi kas kuvvetlerinin iyi olması ve tedavide kuvvetlendirme egzersizlerine önem verilmesi gerekmektedir.

Keywords

Kalça Displazisi, Alt Ekstremite, Kas Kuvveti, Fonksiyon

Investigation of the relationship between lower extremity muscle strength and hip functions in adult individuals with developmental hip dysplasia

Abstract

Purpose: Varying degrees of muscle weakness are observed in muscles of individuals with developmental dysplasia around the hip. One of the important parameters that determine functionality for hip joint is the basic movements during daily living activities and requires hip muscles strength. The aim of this study was to investigate whether lower extremity muscle strength is associated with hip functions in developmental dysplasia subjects.

Method: Twenty-six female patients (mean age 40.46±2.28 years (range, 20-60 years)) with the developmental dysplasia of hip who haven’t undergone total hip arthroplasty were included. Isometric muscle strength of hip flexor, extensor, abductor, adductor, internal rotator, external rotator, quadriceps femoris and hamstring muscles (medial-lateral) was evaluated with hand dynamometer and hip functions was evaluated with Harris Hip Score.

Results: There was a significant positive moderate correlation between Harris Hip Score and hip flexors, extensors, abductors, adductors, and lateral hamstring (biceps femoris) muscle strength (p<0.05), no relationship was found with internal and external rotators, quadriceps femoris and medial hamstrings (p>0.05).

Conclusion: There is a close relationship between hip muscle strength and hip function in individuals with developmental dysplasia of hip. This relationship includes hip flexors, abductors, adductors, lateral hamstrings and hip extensors, and as these muscles’ strength decreases, hip function decreases. In contrast, hip rotators, quadriceps and medial hamstrings strength are not related to hip function. Therefore, in order to achieve a good functional level in these patients, hip muscle strength should be good and strengthening exercises should be given importance in the treatment.

Keywords

Hip Dysplasia, Lower Extremity, Muscle Strength, Functions

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