Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
İdiyopatik Skolyozlu Bireylerde Eğri Şiddeti ve Gövde Asimetrisine Göre Sağlıkla İlgili Yaşam Kalitesinin İncelenmesi: Prospektif Kesitsel Çalışma
Investigation of Health-Related Quality of Life According to Curve Severity and Trunk Asymmetry in Individuals with Idiopathic Scoliosis: A Cross-Sectional Prospective Study
Alev DOĞANa , Gözde YAĞCIb
aAlanya Üniversitesi Meslek Yüksekokulu, Fizyoterapi Programı, Antalya, Türkiye
bHacettepe Üniversitesi Fizik Tedavi ve Rehabilitasyon Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(2):275-83
doi: 10.5336/healthsci.2022-93102
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, idiyopatik skolyozlu (İS) bireylerin, eğri şiddeti ve gövde asimetrilerine göre sağlıkla ilgili yaşam kalitelerini (SİYK) incelemekti. Gereç ve Yöntemler: Çalışmaya İS'li, yaş ortalaması 14,14±4,03 yıl olan 49 birey dâhil edildi. Çalışma kapsamında bireylerin demografik bilgileri alındıktan sonra röntgen üzerinden eğri paterni ve Cobb açısı, öne eğilme testi ile de aksiyal gövde rotasyonu değerlendirildi. Skolyoz Dış Görünüş Anketi [Scoliosis Appearance Questionnaire (SAQ)] ile gövde asimetrisi, Hasta Tarafından Oluşturulan İndeks (HTOİ) ve Skolyoz Araştırma Cemiyetinin Sağlık İlişkili Yaşam Kalitesi-22 [Scoliosis Research Society-22 (SRS-22)] anketi ile SİYK değerlendirildi. Bulgular: Bireylerin torasik Cobb değeri 27,9°±11,1° lumbar Cobb değeri 24,4°±9,8° idi. Torasik gövde rotasyonları 8,59°±4,52° iken, lumbar rotasyonları 6,4°±3,06° idi. Bireylerin torasik Cobb açıları ve torasik rotasyonları ile yaşam kalitesi skorları arasında ilişki yokken (p>0,05); lumbar Cobb açıları ile SRS22 toplam skorları arasında (r=-0,333 ve p=0,044), lumbar Cobb açıları ile ebeveynlerin doldurduğu HTOİ arasında (r=-0,375 ve p=0,045) ve lumbar rotasyonları ile SRS-22 imaj skorları arasında (r=-0,348 ve p=0,019) negatif yönde, orta şiddette bir ilişki vardı. SAQ ile SRS-22 ''ağrı'' (r=-0,396 ve p=0,005), ''fonksiyon'' (r=-0,424 ve p=0,002), ''beden imajı'' (r=-0,417 ve p=0,003) alt grup skorları ve SRS-22 toplam puanı (r=-0,472 ve p=0,001) arasında orta şiddette bir ilişki varken, HTOİ arasında ilişki yoktu (p>0,05). Sonuç: Bu çalışmada, torasik bölgeye kıyasla özellikle lumbar bölgedeki eğri şiddeti, gövde asimetrisi ve şekil bozukluğu arttıkça; ağrı, fonksiyon, beden imajı ve yaşam kalitesinin olumsuz etkilendiği bulundu. Çalışmamıza göre skolyozlu bireylerin rehabilitasyonunda, tedavideki başarıyı artırmak için hem dış görünüşleri hem de beden imaj algıları planlanan tedavi hedefleri arasında yer almalıdır.

Anahtar Kelimeler: Fiziksel görünüm; skolyoz; yaşam kalitesi
ABSTRACT
 Objective: The aim of this study was to examine the health-related quality of life (HRQoL) of individuals with idiopathic scoliosis (IS) according to curve severity and trunk asymmetries. Material and Methods: Forty-nine individuals with IS and mean age of 14.14±4.03 years were included in the study. Within the scope of the study, after obtaining the demographic information of the individuals, the curve pattern and Cobb angles on the x-ray, the axial trunk rotation with the forward bending test were evaluated. Body asymmetry with Scoliosis Appearance Questionnaire (SAQ), HRQoL with Patient Generated Index (PGI) and the Scoliosis Research Society-22 (SRS-22) questionnaire was evaluated. Results: Thoracic Cobb value of the individuals was 27.9°±11.1° lumbar Cobb value was 24.4°±9.8°. Thoracic trunk rotation was 8.59°±4.52°, while lumbar rotation was 6.4°±3.06°. While there was no relationship between the thoracic Cobb angles and the thoracic rotations of the cases and their quality of life scores (p>0.05); there was a negative, moderate correlation between lumbar Cobb angles and SRS-22 total scores (r=-0.333 and p=0.044), between lumbar Cobb angles and PGI completed by parents (r=-0.375 and p=0.045) and between lumbar rotations and SRS-22 image scores (r=-0.348 and p=0.019). There was a moderate correlation between SAQ and SRS-22 ''pain'' (r=-0.396 and p=0.005), ''function'' (r=-0.424 and p=0.002), ''body image'' (r=-0.417 and p=0.003) subgroup scores and SRS-22 total score (r=-0.472 and p=0.001), but not with PGI (p>0.05). Conclusion: In this study, as the severity of the curve, trunk asymmetry and deformity increased especially in the lumbar region compared to the thoracic region; pain, function, body image and quality of life were found to be adversely affected. According to our study, in the rehabilitation of individuals with scoliosis, both their appearance and body image perception should be among the planned treatment targets in order to increase the success of the treatment.

Keywords: Physical appearance; scoliosis; quality of life
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