El ve el bileği yaralanmaları sonrası kinezyofobi ile üst ekstremite fonksiyonelliği arasındaki ilişkinin incelenmesi
Abstract
Çalışmanın amacı; el veya el bileği yaralanması nedeni ile cerrahi geçiren olgularda kinezyofobi, eklem hareket açıklığı, kavrama kuvvetleri, ağrı ve fonksiyonel beceri düzeyini cerrahiden sonraki 6. ve 12. haftalarda değerlendirerek bu değişkenler arasındaki ilişkiyi incelemektir. Yeni Yüzyıl Üniversitesi Gaziosmanpaşa Hastanesinde Aralık 2020 ve Haziran 2021 tarihleri arasında yürütülen çalışmaya yaşları 18-65 arasında değişen, 44 birey alındı. Elin ağrı şiddeti 'Nümerik Derecelendirme Ölçeği', kinezyofobi düzeyi 'Tampa Kinezyofobi Ölçeği', fonksiyonel beceri düzeyi 'Kol, Omuz ve El Sorunları Hızlı Anketi' ile değerlendirildi. Kaba kavrama kuvvetini ölçmek için 'Jamar hidrolik el dinamometresi' , pinç kuvvetlerini ölçmek için 'Jamar hidrolik pinçmetre' kullanıldı. Aktif eklem hareket açıklığını ölçmek için 'Jamar parmak gonyometresi' kullanılarak 'Amerikan El Cerrahisi Topluluğu' tarafından tanımlanan 'Toplam Aktif Hareket' metoduna göre ölçümler yapıldı ve kaydedildi. Ölçülen parametreler analiz edildiğinde; el bölgesine yönelik cerrahi uygulanmış vakalarda etkilenen taraftaki kaba kavrama ve lateral pinç kuvvetinin sağlam ekstremiteninkine oranının el bileğine yönelik cerrahi uygulanmış vakalara kıyasla daha kolay iyileştiği (p<0.05), el bileğine yönelik cerrahi operasyon uygulanmış hastalarda erken dönemde istirahat sırasındaki ağrının, el cerrahisi geçirmiş hastalarınkine kıyasla daha yüksek olduğu (p<0.05). bulundu. Olguların çoğunluğunun, zamanla azalan yüksek kinezyofobiye sahip olduğu bulundu. Yine el veya el bileği yaralanması sonrası cerrahi geçiren hastalarda kinezyofobinin, deneyimlenen fonksiyonel kaybın ve ağrının yüksekliği ile ilişkili olduğu bulundu (p<0.05). Kinezyofobinin; el veya el bileği yaralanması sonrası cerrahi geçiren hastalarda kaba ve pinç kavrama kuvvetlerindeki zafiyet ve bu kuvvetlerin zamanla yetersiz gelişiminin yanında, el yaralanması sonrası cerrahi geçiren hastalarda etkilenen parmaktaki eklem hareket açıklığında meydana gelen zafiyet ile ilişkili olduğu bulundu (p<0.05).
The aim of the study; The aim of this study is to examine the relationship between these variables by evaluating the kinesiophobia, range of motion, grip strength, pain and functional skill level at the 6th and 12th weeks after the surgery in patients who underwent surgery due to hand or wrist injury. 44 individuals aged between 18-65 were included in the study, which was conducted at Yeni Yüzyıl University Gaziosmanpaşa Hospital between December 2020 and June 2021. Pain intensity of the hand was evaluated with the 'Numeric Rating Scale', the level of kinesiophobia was evaluated with the 'Tampa Scale of Kinesiophobia', and the functional skill level was evaluated with the 'Quick Disabilities of Arm, Shoulder and Hand'. 'Jamar hydraulic hand dynamometer' was used to measure rough grip force and 'Jamar hydraulic pinchmeter' was used to measure pinch forces. Measurements were made and recorded according to the 'Total Active Motion' method defined by the 'American Society for Surgery of the Hand' using the 'Jamar finger goniometer' to measure the active joint range of motion. When the measured parameters are analyzed; it was found that the ratio of the rough grip and lateral pinch strength on the affected side to that of the intact extremity was found to be healed more easily compared to the wrist in cases where surgery was performed on the hand region (p<0.05). It was found that patients who underwent a wrist surgery had higher pain at rest in the early period compared to patients who underwent a hand surgery (p<0.05). It was concluded that the majority of patients had a high level of kinesiophobia and the level of kinesiophobia decreased over time. Moreover, it was found that kinesiophobia was associated with functional skill loss of these patients and the pain they experienced (p<0.05). Additonally, kinesiophobia was found to be associated with weakness in crush and pinch grip strengths, and inadequate development of these strengths over time (p<0.05). Furthermore, kinesiophobia was found to be associated with weakness in the range of motion of the affected finger (p<0.05).
The aim of the study; The aim of this study is to examine the relationship between these variables by evaluating the kinesiophobia, range of motion, grip strength, pain and functional skill level at the 6th and 12th weeks after the surgery in patients who underwent surgery due to hand or wrist injury. 44 individuals aged between 18-65 were included in the study, which was conducted at Yeni Yüzyıl University Gaziosmanpaşa Hospital between December 2020 and June 2021. Pain intensity of the hand was evaluated with the 'Numeric Rating Scale', the level of kinesiophobia was evaluated with the 'Tampa Scale of Kinesiophobia', and the functional skill level was evaluated with the 'Quick Disabilities of Arm, Shoulder and Hand'. 'Jamar hydraulic hand dynamometer' was used to measure rough grip force and 'Jamar hydraulic pinchmeter' was used to measure pinch forces. Measurements were made and recorded according to the 'Total Active Motion' method defined by the 'American Society for Surgery of the Hand' using the 'Jamar finger goniometer' to measure the active joint range of motion. When the measured parameters are analyzed; it was found that the ratio of the rough grip and lateral pinch strength on the affected side to that of the intact extremity was found to be healed more easily compared to the wrist in cases where surgery was performed on the hand region (p<0.05). It was found that patients who underwent a wrist surgery had higher pain at rest in the early period compared to patients who underwent a hand surgery (p<0.05). It was concluded that the majority of patients had a high level of kinesiophobia and the level of kinesiophobia decreased over time. Moreover, it was found that kinesiophobia was associated with functional skill loss of these patients and the pain they experienced (p<0.05). Additonally, kinesiophobia was found to be associated with weakness in crush and pinch grip strengths, and inadequate development of these strengths over time (p<0.05). Furthermore, kinesiophobia was found to be associated with weakness in the range of motion of the affected finger (p<0.05).
Description
Keywords
Fizyoterapi ve Rehabilitasyon, Anketler, Bilek, El, Physiotherapy and Rehabilitation, El yaralanmaları, Questionnaires, Kol, Wrist, Hand, Omuz, Hand injuries, Arm, Yaralar ve yaralanmalar, Shoulder, Ölçekler, Wounds and injuries, Scales, Üst ekstremite, Upper extremity