Ankilozan spondilitli bireylerde spinal mobiliteyi etkileyen faktörler

Yıl 2023, Cilt: 10 Sayı: 3, 219 - 227, 29.12.2023

Elif Gur Kabul , Bilge Başakcı Çalık , Sinem Kuru , Uğur Karasu

https://doi.org/10.15437/jetr.1136159

Öz

Amaç: Bu çalışmanın amacı Ankilozan Spondilit (AS)’li bireylerde spinal mobiliteyi etkileyen faktörleri incelemekti.
Yöntem: Çalışmaya AS tanısı konmuş 18-65 yaş aralığında, yaş ortalaması 43,37±11,56 yıl olan 154 kişi dahil edildi. Katılımcıların demografik (cinsiyet, yaş, boy, kilo, tanı alma süresi, eğitim süresi, çalışma durumu, soygeçmiş, egzersiz alışkanlığı, sigara kullanımı) ve klinik verileri (sabah tutukluğu, kronik solunum hastalık öyküsü) kaydedildikten sonra, mobiliteleri Bath Ankilozan Spondilit Metroloji İndeksi (BASMİ) ile değerlendirildi. Bağımsız grup farklılıkların karşılaştırılmasında Mann Whitney U testi kullanıldı. Sürekli değişkenlerin arasındaki ilişkiler Pearson Korelasyon Analizi ile değerlendirildi.
Bulgular: BASMİ skorları gruplar arasında karşılaştırıldığında; cinsiyet açısından kadınlara göre erkeklerin tragus duvar mesafesi (p=0,013), gövde lateral fleksiyon (p=0,001), lumbar fleksiyon (modifiye Schober) (p=0,001) skorları; çalışma durumu açısından çalışmayanların çalışanlara göre maksimum intermalleoler mesafe (p=0,001) ve toplam BASMI (p=0,019) skorları; kronik solunum hastalığı öyküsü bulunanların bulunmayanlara göre servikal rotasyon (p=0,013) skorları daha yüksekti. BASMİ skorları ile sürekli değişkenler arasındaki ilişki incelendiğinde; yaş ile tragus duvar mesafesi hariç tüm BASMİ skorları arasında orta düzeyde; tanı alma süresi ile maksimum intermalleoler mesafe hariç tüm BASMİ skorları arasında düşük ve orta düzeyde; eğitim süresi ile tüm BASMİ skorları arasında düşük ve orta düzeyde ilişki vardı (p<0,05).
Sonuç: AS’li erkek bireylerin kifozları daha fazla, gövde lateral fleksiyon hareketleri ve lumbar omurga fleksiyon hareketlilikleri daha azdır. Herhangi bir işte çalışmak kalça abduksiyonunu ve genel mobiliteyi arttırabilir. Kronik solunum hastalık öyküsü, servikal rotasyonda azalmaya neden olabilir. Ayrıca, yaşın ilerlemesi ve hastalık yılının artması ile mobilite azalabilirken, eğitim yılı arttıkça mobilite daha az etkilenebilmektedir.

Anahtar Kelimeler

Ankilozan spondilit, Hareket kısıtlılığı, Postür

Factors affecting spinal mobility in individuals with ankylosing spondylitis

Öz

Purpose: The aim of this study was to examine the factors affecting spinal mobility in individuals with Ankylosing Spondylitis (AS).
Methods: A total of 154 participants, aged between 18-65 years, who were diagnosed with AS, with a mean age of 43.37±11.56 years, were included in the study. After the demographic (sex, age, height, weight, diagnosis year, education year, employment status, family history, exercise habit, smoking) and clinical data (morning stiffness, history of chronic respiratory disease) of the participants were recorded, their mobility was assessed with the Bath Ankylosing Spondylitis Metrology Index (BASMI). Mann Whitney U test was used to compare independent group differences. Relationships between continuous variables were evaluated with Pearson Correlation Analysis.
Results: When BASMI scores were compared between the groups; the tragus to wall distance (p=0.013), lateral lumbar flexion (p=0.001), lumbar flexion (modified Schober) (p=0.001) scores of men were higher than women in terms of sex; maximal intermalleolar distance (p=0.001) and total (p=0.019) scores of the unemployed were higher than employee in terms of occupation; cervical rotation (p=0.013) scores of those with a history of chronic respiratory disease were higher than those without. When the relationship between BASMI scores and continuous variables is examined; age had moderate correlation with all BASMI scores except tragus to wall distance; diagnosis year had low and moderate correlation with all BASMI scores except maximal intermalleolar distance; education year had low and moderate correlation with all BASMI scores (p<0.05).
Conclusion: Men individuals with AS have more kyphosis, less trunk lateral flexion movements and less lumbar spine flexion movements. Working any job can increase hip abduction and overall mobility. A history of chronic respiratory disease may result in decreased cervical rotation. In addition, while mobility may decrease with increasing age and disease duration, mobility may be less affected as years of education increase.

Anahtar Kelimeler

Ankylosing spondylitis, Mobility limitation, Posture

Kaynakça

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