SCIE. 2019; 30(4): 343-348 | DOI: 10.14744/scie.2019.64326

Investigation of Upper Extremity Functionality in Adolescent Patients with Idiopathic Scoliosis Undergoing Scoliosis Surgery

Nusret Ök¹, Nihal Büker², Raziye Þavkýn², Gökhan Bayrak², Ali Çaðdaþ Yörükoðlu¹, Ahmet Esat Kýter¹, Ýlker Arýk^3
1Department of Orthopedics and Traumatology, Pamukkale University Faculty of Medicine, Denizli, Turkey
²Department of Physical Therapy and Rehabilitation, Pamukkale University School of Physical Therapy and Rehabilitation, Denizli, Turkey
³Department of Orthopedics and Traumatology, Ereðli State Hospital, Konya, Turkey

INTRODUCTION: The effect of adolescent idiopathic scoliosis (AIS) on shoulder dysfunction and upper limb functionality is still not poorly understood. In this study, we aimed to investigate the effects of AIS on upper extremity functionality and quality of life.
METHODS: Thirty-seven patients who had undergone surgery for adolescent idiopathic scoliosis participated in this study. Upper extremity functionality was evaluated using Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH-T) questionnaire, hand-grip strength Jamar hand dynamometer, and health-related quality of life was assessed using SF-36, and Scoliosis Research Society-22r Health-Related Quality of Life questionnaire (SRS-22).
RESULTS: The mean age of the patients was 17.08±2.96 years and the mean follow-up period was 34.44±25.37 months. The average DASH-T score was found 14.79±17.35. Patients quality of life scores was good level. The average right hand grip strength was 19.84±8.89 kg while left hand grip strength was 18.97±8.01 kg. There was no statistically significant difference between right and left hand grip strength (p=0.67). There was a moderate negative correlation with DASH-T and SRS-22 pain (r=-0.46, p=0.01) and SF-36 pain (r=0.54, p=0.01), and a weak positive correlation with SF-36 social function (r=-0.38, p=0.03). There was no statistically significant relationship between Cobb angle (Δ) and SRS-22, SF-36, DASH-T and hand grip strength.
DISCUSSION AND CONCLUSION: Further studies may examine the effects of surgery on upper extremity functionality, hand-grip strength, and quality of life in patients with AIS using both objective and patient-reported assessment tools.

Keywords: Adolescent idiopathic scoliosis, DASH-T; SRS-22.

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Skolyoz Cerrahisi Uygulanan Adolesan Ýdiyopatik Skolyozlu Hastalarda Üst Ekstremite Fonksiyonelliðinin Ýncelenmesi

Nusret Ök¹, Nihal Büker², Raziye Þavkýn², Gökhan Bayrak², Ali Çaðdaþ Yörükoðlu¹, Ahmet Esat Kýter¹, Ýlker Arýk^3
1Pamukkale Üniversitesi Ortopedi ve Travmatoloji Anabilim Dalý
²Pamukkale Üniversitesi Fizik Tedavi ve Rehabilitasyon Yüksek Okulu
³Ereðli Devlet Hastanesi, Konya

GÝRÝÞ ve AMAÇ: Adolesan idiyopatik skolyozun (AIS) omuz disfonksiyonu ve üst ekstremite fonksiyonelliði üzerine olan etkisi halen tam olarak anlaþýlmamýþtýr. Bu çalýþmada AIS’in üst ekstremite fonksiyonelliði ve yaþam kalitesi üzerine etkilerini araþtýrmayý amaçladýk.
YÖNTEM ve GEREÇLER: Çalýþmaya adolesan idiyopatik skolyoz nedeniyle ameliyat edilen 37 hasta katýldý. Üst ekstremite fonksiyonelliði, Kol, Omuz ve El Sorunlarý Anketiyle (DASH-T), kaba kavrama kuvveti Jamar el dinamometresiyle, yaþam kalitesi SF-36 ve Skolyoz Araþtýrma Cemiyetinin Saðlýk Ýliþkili Yaþam Kalitesi-22 (SRS-22) ile deðerlendirildi.
BULGULAR: Hastalarýn yaþ ortalamasý 17.08±2.96 yýl, ortalama takip süresi 34.44±25.37 aydý. DASH-T skoru 14.79±17.35 idi. Hastalarýn yaþam kalitesi skorlarý iyi düzeydeydi. Sað el kaba kavrama kuvveti 19.84±8.89 kg, sol el kaba kavrama kuvveti 18.97±8.01 kg idi. Sað ve sol el kaba kavrama kuvveti arasýnda istatistiksel olarak anlamlý fark yoktu (p=0.67). DASH-T ile SRS-22 aðrý (r=-0.46, p=0.01) ve SF-36 aðrý (r=0.54, p=0.01) arasýnda orta düzeyde negatif, SF-36 sosyal fonksiyon ile zayýf pozitif bir iliþki vardý. (r=-0.38, p=0.03). Cobb açýsý (Δ) ile SRS-22, SF-36, DASH-T ve el kaba kavrama kuvveti arasýnda istatistiksel olarak anlamlý bir iliþki yoktu.
TARTIÞMA ve SONUÇ: Ýleri çalýþmalar, hem objektif hem de hasta tarafýndan bildirilen deðerlendirme araçlarýný kullanarak AIS’li hastalarda cerrahinin üst ekstremite fonksiyonelliði, kaba kavrama kuvveti ve yaþam kalitesi üzerine etkilerini inceleyebilir.

Anahtar Kelimeler: Adölesan idiopatik skolyoz, DASH-T, SRS-22

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