Research Article
Kalkaneal Epin Hastalarında Fiziksel Aktivite Düzeyinin Ayak Ağrısı ve Fonksiyonel Performans Üzerindeki Etkisi
Abstract
AMAÇ: Kalkaneal epin, hastalara ciddi anlamda rahatsızlık vererek günlük yaşam aktivitelerini kısıtlar. Çalışmamızın amacı bu bireylerde fiziksel aktivite düzeyinin ağrı ve fonksiyonellik yanıtları üzerindeki etkisini araştırmaktı.
GEREÇ VE YÖNTEM: Çalışma kalkaneal epin tanısı konmuş 41 birey ile yapıldı. Bireylerin yaş, cinsiyet, boy, kilo, beden kütle indeksi (BKİ) ve topuk ağrılarına ilişkin niteliksel ve niceliksel özellikleri sorgulandı. Bireylerin fiziksel aktivite düzeylerini değerlendirmek için Uluslararası Fiziksel Aktivite Anketi (UFAA) kullanıldı. Ayak ağrısını değerlendirmek için algometre, fonksiyonel performanslarını belirlemek için 6 dakika yürüme testi ve topuk yükseltme testi kullanıldı.
BULGULAR: Bireylerin 8’i (% 19,5) düşük düzeyde aktivite, 26’sı (% 63,4) orta düzeyde aktivite ve 7’si (% 17,1) yüksek düzeyde aktiviteye sahipti. Fiziksel aktivite düzeylerine göre sınıflandırılan bireylerde ayak ağrısı ve fonksiyonel performans parametreleri açısından anlamlı bir fark görülmedi.
SONUÇ: Yüksek düzeyde fiziksel aktivitenin özellikle yüksek BKİ'li bireylerde topuk ağrısı/ plantar fasiit/ kalkaneal epin gelişimi için önemli bir risk faktörü olduğu bilinmektedir. Bununla birlikte, aktif bir yaşamın ve egzersiz alışkanlığının gerek sistemik endokrin yanıtlar vasıtası ile ve gerekse kas iskelet sistemi ve vücut kompozisyonu üzerindeki olumlu etkileri ile söz konusu şikayetlerin görülme sıklığını azaltabileceği unutulmamalıdır. Daha geniş katılımlı ve kanıt düzeyi yüksek ileri çalışmalara ihtiyaç vardır.
References
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Year 2020,
Volume: 53 Issue: 3, 136 - 141, 31.12.2020
Abstract
References
- 1.) Yalçın E, Akca AK, Selcuk B, Kurtaran A, Akyuz M. Effects of extra corporal shock wave therapy on symptomatic heelspurs: a correlation between clinical outcome and radiologic changes. Rheumatol Int. 2012; 32: 343–347.
- 2.) Selth CA, Francis BE. Review of non-functional plantar heel pain. The Foot. 2000;10: 97- 104.
- 3.) Kuyucu E, Kocyigit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantar fasciitis. Int J Surg. 2015; 21: 28-31.
- 4.) Johal KS, Milner SA. Plantar fasciitis and the calcaneal spur: factor fiction? Foot Ankle Surg. 2012; 18(1): 39-41.
- 5.) Riberio AP, Sacco IC, Dinato RC, Joao SM. Relationships between static foot alignment and dynamic plantar loads in runners with acute and chronic stages of plantar fasciitis: a cross-sectional study. Braz J Phys Ther. 2016; 20(1): 87-95.
- 6.) Lareau CR, Sawyer GA, Wang JH, DiGiovanni CW. Plantar and medial heel pain: diagnosis and management. J Am Acad Orthop Surg. 2014; 22(6): 372-80.
- 7.) Shimojo G, Joseph B, Shah R, Consolim-Colombo FM, De Angelis K, Ulloa L. Exercise activates vagal induction of dopamine and atttenuates systemic inflammation. Brain, Behavior and Immunity. 2019; 75: 181-191.
- 8.) Sluka KA, O’Donnell JM, Danielson J, Rasmussen LA. Regular physical activity prevents development of chronic pain and activation of central neurons. J Appl Physiol. 2013; 114: 725-733.
- 9.) Ylinen J, Nykanen M, Kautiainen H, Hakkinen A. Evaluation of repeatability of pressure algometry on the neck muscles for clinical use. Man Ther. 2007; 12: 192-197.
- 10.) Visscher C, Lobbezoo F, Naeije M. Comparison of algometry and palpation in the recognition of temporomandibular disorder pain complaints. J. Oral Facial Pain Headache. 2004; 18: 214-219.
- 11.) Fischer AA. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 1987; 30: 115-126.
- 12.) Savcı S, İnal İnce D, Arıkan H, Güçlü Gündüz A, Korkmaz Çetişli N, Armutlu K. Six minute walk test as a measure of functional exercise capacity in multiple sclerosis. Journal of Disability and Rehabilitation. 2005; 27: 1365-1371.
- 13.) Ünver B, Karatosun V, Kahraman T, Kalkan S. Reliability of the six minute walk test after total hip arthroplasty. Hip İnt. 2013; 23: 541-545.
- 14.) Page MG, Katz J, Escobar EMR, et al. Distinguishing problematic from nonproblematic postsurgical pain: a pain trajectory analysis after total knee arthroplasty. Pain. 2015; 156: 460–468.
- 15.) Hébert-Losier K, Newsham-West RJ, Schneiders AG. Raising the standards of the calf-raise test: A systematic review. J Sci Med Sport. 2009; 12:594-602.
- 16.) Ross MD, Fontenot EG. Test-retest reliability of the standing heel rise test. J Sport Reh. 2000: 9; 117-123.
- 17.) Sağlam M, Arikan H, Savci S, İnal İnce D, Boşnak Güçlü M. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010; 111: 278-284.
- 18.) Kuyucu E, Koçyiğit F, Erdil M. The association of calcaneal spur length and clinical and functional parameters in plantarfasciitis. International Journal of Surgery. 2015; 21: 28-31.
- 19.) Akkaya S, Akkaya N, Yıldız N, et al. The association of physical examination findings and functional status with radiological and clinical variables in plantar heel pain. Romatol Tıp Rehab. 2011; 21: 1-5.
- 20.) Irving DB, Cook JL, Young MA, Menz HB. Obesity and pronated foot type may increase the risk of chronic plantar heel pain: a matched case-control study. BMC Musculoskelet Disord. 2007; 17: 8:41.
- 21.) Valizadeh MA, Afshar A, Hassani E, Tabrizi A, Rezalo S, Dourandish N. Relationship between anthropometric findings and results of cortico steroid injections treatment in chronic plantar heel pain. Anesth Pain Med. 2018; 8(1): e64357, doi: 10.5812/aapm.64357.
- 22.) Irving DB, Cook JL, Menz HB. Factors associated with chronic plantar heelpain: a systematic review. J Sci Med Sport. 2006; 9 (1-2): 11–22.
- 23.) Van Leeuwen KD, Rogers J, Winzenberg T, Van Middelkoop M. Higher body mass index is associated with plantar fasciopathy/’plantarfasciitis’: systematic review and meta-analysis of various clinical and imaging risk factors. Br J Sports Med. 2016; 50(16): 972–81.
- 24.) Pais SR, Palma M, Roque A, Marreiros A. Physical activity can influence pain intensity in community living elderly subjects with osteoarthritis. Abstracts / Osteoarthritis and Cartilage. 2018; 26: 60-474.
- 25.) Heneweer H, Vanhees L, Picavet HS. Physical activity and low back pain: A u-shaped relation? Pain. 2009; 143: 21–25.
- 26.) Büyükturan Ö, Sezgin H, Yetis M, Ulcay T, Büyükturan B. Relationship between ankle muscle strength and pain andcalcaneal spur length in individuals with exercise habit: a pilot study. Annals of Yoga and Physical Therapy. 2017; 2(1): 1020.
There are 26 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original research article |
| Authors | |
| Publication Date | December 31, 2020 |
| Submission Date | March 31, 2020 |
| Published in Issue | Year 2020 Volume: 53 Issue: 3 |
