Sürdürülebilir Kalkınma Amaçları

  • MakaleAçık Erişim2024
    Investigation of the Relationship Between Kinesiophobia and Pain, Quality of Life and Physical Functions in Osteoarthritis Patients

    Yılmaz, Coşkun; Altinayak, Harun; Karatekin, Yavuz Selim; Genç, Ahmet Serhat; Akdemir, Enes; Anıl, Berna; Korkmaz, Esra

    Aim: Osteoarthritis (OA) is a chronic, degenerative joint disease that is characterised by joint pain and stiffness. The development of kinesiophobia is common in OA patients, especially related to pain and loss of function. The aim of our study was to determine the relationship between kinesiophobia and pain, quality of life and physical functions in patients with knee OA. Material and Method: A total of 60 patients (30 females and 30 males, aged 40-65 years) diagnosed with Kellgren-Lawrence (KL) grade 2 and 3 OA participated in this cross-sectional study. Tampa Scale for Kinesiophobia (TSK), Short Form Health Survey (SF-12), Visual Analogue Scale (VAS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Oxford Knee Score (OKS), Lower Extremity Functional Scale (LEFS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Berg Balance Scale (BBS) scales and Timed Up and Go (TUG), 6-Minute Walking Test (6MWT), The Five Repetition Sit to Stand Test (5STS) and Stair-Climbing Test (SCT) functional tests were performed. Results: A statistically significant difference was observed between the male and female groups in all scales and functional test results, with the exception of TSK (p<0.05). A positive correlation was found between kinesiophobia and SCT in the female group, while a negative correlation was found between TUG and SF-12 PCS in the male group (p<0.05). Conclusion: The findings indicated that, in general, kinesiophobia was not significantly correlated with pain, knee score, balance, quality of life and functional tests in male and female OA patients. However, some scales and tests showed positive and negative correlations with kinesiophobia in both groups, although limited.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Pain, quality of life, proprioception and physical function in patient with knee osteoarthritis: Comparison of different grades

    Yilmaz, Ali Kerim; Kehribar, Lokman; Yılmaz, Coşkun; Genç, Ahmet Serhat; Akdemir, Enes; Anıl, Berna; Yoldaş, Burak; Korkmaz, Esra; Kumru, Dilara; Ermis, Egemen

    This study aimed to determine the differences in pain, quality of life and functional status of individuals with Knee Osteoarthritis (KOA) between grades. The study included 90 patients with different grades (Grades 1, 2, and 3) of KOA. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Lower Extremity Functional Scale (LEFS), Berg Balance Scale (BBS), Knee Injury and Osteoarthritis Outcome Score-Physical Function Shortform (KOOS-PS), Short Form Health (SF-12), Oxford Knee Score (OKS) and Visual Analogue Scale (VAS) scales were applied. Timed Up and Go test (TUG), Five Times Sit to Stand Test (5STS), Stair Climb Test (SCT), 6-minute Walking Test (6MWT) and proprioception measurements were performed for functional assessments. Foot Posture Index (FPI-6), Navicular Drop Test (NDT) and Foot Function Index (FFI) tests were used for foot posture evaluations. In the functional tests performed in the study, a significant decrease in test performance was observed in the 6MWT and SCT tests as the grade level increased (P<0.05). In TUG and 5STS tests, a significant decrease in performance was detected only in Grade 3 compared to other grades (P<0.05). Similarly, there were significant differences between the grades in all scales applied (P<0.05). In proprioception evaluations, similar medians were found between sides (P>0.05). In FFI averages, significant differences were found especially in pain (P=0.036) and insufficiency (P=0.008) parameters compared to grade 3. This study revealed noticeable differences in knee scores, pain, quality of life scales and functional tests at different stages of KOA. These differences were generally negative as grade levels increased. However, consistent with previous research, conflicting results were identified, emphasizing the need for a nuanced understanding of KOA.

    • SDG 3 · Sağlık ve Kaliteli Yaşam
  • MakaleAçık Erişim2024
    Functional outcome and single hop test results of ACL reconstruction in athletes at a follow-up of 6 and 12 months: modified all-inside versus conventional hamstring autograft

    Yoldaş, Burak; Yılmaz, Ali Kerim; Yılmaz, Coşkun; Akdemir, Enes; Anıl, Berna; Benli, Merve Demir; Genç, Ahmet Serhat; Kehribar, Lokman

    Anterior cruciate ligament (ACL) tears are injuries with a high incidence in athletes, and ACL reconstruction (ACLR) is a surgical treatment orthopedists perform. This study aims to compare the 6 and 12 months post-op results of single leg hop tests (SLHT) performed in multidirectional conventional semitendinosus/gracilis (ST/G) and modified all inside (MAI) ACLR techniques on both sides and the limb symmetry indexes (LSI) of both techniques. This study evaluated a retrospective cohort of 50 male athletes who applied MAI (n = 23) and traditional ACLR ST/G (n = 27) techniques. Functional knee strength of the participants on both sides was measured with different SLHTs at 6 and 12 months postoperatively. The SLHT included medial side (MSTH), triple hop (TH), medial rotation (90◦) (MRH), crossover triple (CH) ve the single hop (SH) hop for distance. Both ACLR techniques showed significant improvement in mean Tegner, International Knee Documentation Committee (IKDC) and Lysholm scores preoperatively and at 6 and 12 months postoperatively (p < 0.05). For MAI and ST/G techniques, there was no significant difference in the results of SLHTs at 6 and 12 months for both the operated and non-operated sides (p < 0.05). Significance was found only in the MRH test of the non-operated side (p < 0.05). There was no significant difference in SLHT scores between the operated and non-operated sides at 6 and 12 months postoperatively (p > 0.05). There was no difference in LSI scores between techniques (p < 0.05). Our study revealed similar LSI rates in ST/G and MAI techniques at 6 and 12 months, suggesting that MAI technique can be used as a functional ACLR technique for athletes.

    • SDG 3 · Sağlık ve Kaliteli Yaşam