Research Article
BibTex RIS Cite

FARKLI EVRELERDE DİZ OSTEOARTRİTİ OLAN HASTALARDA AYAK VE AYAK BİLEĞİ DEĞERLENDİRİLMESİ

Year 2020, Volume: 27 Issue: 4, 463 - 470, 25.12.2020
https://doi.org/10.17343/sdutfd.704497

Abstract

Giriş: Ayak ve ayak bileği profili alt ekstremitenin mekanik dizilimini ve dinamik fonksiyonunu, özellikle diz eklemi mekaniğini değiştirmektedir. Farklı derecelerde diz osteoartriti (OA) olan hastalarda; ayak ve ayak bileği duruşundaki değişiklikleri belirlemek tedavi yaklaşımları açısından oldukça önemlidir. Bu çalışmanın amacı, Kellgren-Lawrence (K-L) ’a göre farklı derecelerde medial kompartman diz OA olan hastaların ayak ve ayak bileği profilindeki değişiklikleri ve etkilenimleri değerlendirmektir.
Yöntem: Tüm hastaların OA evresi, ağırlık taşıyarak çekilen ön-arka ve yan diz radyografilerine göre K-L derecelendirme sistemi kullanılarak belirlendi. Western Ontario ve Mc Master Üniversitesi Osteoartrit İndeksi, hastaların osteoartrite bağlı ağrılarını ve fonksiyonel durumlarını değerlendirmek için kullanıldı. Ayak ve ayak bileği profilinin ve fonksiyonelliklerinin belirlenmesinde Ayak Postür İndeksi (APİ) ve Amerikan Ortopedik Ayak ve Ayak Bileği Derneği Ayak Bileği (AOFAS)-Arka Ayak ve Orta Ayak ölçekleri kullanıldı. Hastaların ayak ağrısı şiddeti görsel analog skala, ayağa özgü sağlıkla ilişkili yaşam kalitesi ise Manchester-Oxford Ayak Anketi kullanılarak değerlendirildi.
Sonuç: Çalışmamıza yaş ortalaması 57,12±12,2 yıl olan toplam 112 hasta dahil edilmiştir. Diz OA şiddetine göre sınıflandırılan hastaların %24’ü Evre 0-1, %24’ü Evre 2, %29’u Evre 3 ve %23’ü Evre 4 grubunu oluşturmuştur. Hastaların ayak değerlendirmesinde kullanılan APİ sonuçlarına göre hastaların %18,4’ü supinasyonda, %42,5’i nötralde ve %39,1’i pronasyonda olarak değerlendirildi. Ayrıca hastaların radyolojik olarak OA şiddeti arttıkça ayak pronasyonu da artmıştır (p <0,005). Diz OA şiddeti Evre 0-1 ve 2 olan hastaların; AOFAS-Arka Ayak, Orta Ayak skorları ve ayak ağrıları diz OA Evre 3 ve 4 olan hastalara göre yüksek bulunurken MOAA puanları daha düşük bulunmuştur (p <0,001).
Tartışma: Çalışmamız farklı evrelerde medial kompartman diz OA şiddeti olan hastaların ayak ve ayak bileği profilinin farklı derecelerde etkilendiğini göstermektedir. Bu yüzden hastalığın ilerlemesindeki risk faktörleri ve uygun tedavi yaklaşımlarının belirlenmesinde mutlaka ayak-ayak bileğinin kapsamlı değerlendirilmesi yapılmalıdır.

References

  • 1.Bitton R. The economic burden of osteoarthritis. The American journal of managed care. 2009;15(8 Suppl):S230-5. 2.Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, et al. Association of flat feet with knee pain and cartilage damage in older adults. Arthritis care & research. 2011;63(7):937-944.
  • 3.Abourazzak F, Kadi N, Azzouzi H, Lazrak F, Najdi A, Nejjari C, et al. A positive association between foot posture index and medial compartment knee osteoarthritis in moroccan people. The open rheumatology journal. 2014;8:96.
  • 4.Al-Bayati Z, Benlidayi IC, Gokcen N. Posture of the foot: Don’t keep it out of sight, out of mind in knee osteoarthritis. Gait & posture. 2018;66:130-134.
  • 5.Reilly K, Barker K, Shamley D, Newman M, Oskrochi G, Sandall S. The role of foot and ankle assessment of patients with lower limb osteoarthritis. Physiotherapy. 2009;95(3):164-169.
  • 6.Souza TR, Pinto RZ, Trede RG, Kirkwood RN, Fonseca ST. Temporal couplings between rearfoot–shank complex and hip joint during walking. Clinical biomechanics. 2010;25(7):745-748.
  • 7.Lafortune M, Cavanagh P, Sommer III HJ, Kalenak A. Foot inversion‐eversion and knee kinematics during walking. Journal of orthopaedic research. 1994;12(3):412-420.
  • 8.Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. Journal of the American Podiatric Medical Association. 2005;95(6):531-541.
  • 9.Erhart JC, Mündermann A, Elspas B, Giori NJ, Andriacchi TP. A variable-stiffness shoe lowers the knee adduction moment in subjects with symptoms of medial compartment knee osteoarthritis. Journal of biomechanics. 2008;41(12):2720-2725.
  • 10.Shakoor N, Lidtke RH, Sengupta M, Fogg LF, Block JA. Effects of specialized footwear on joint loads in osteoarthritis of the knee. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2008;59(9):1214-1220.
  • 11.Nakajima K, Kakihana W, Nakagawa T, Mitomi H, Hikita A, Suzuki R, et al. Addition of an arch support improves the biomechanical effect of a laterally wedged insole. Gait & posture. 2009;29(2):208-213.
  • 12.Shelburne KB, Torry MR, Steadman JR, Pandy MG. Effects of foot orthoses and valgus bracing on the knee adduction moment and medial joint load during gait. Clinical Biomechanics. 2008;23(6):814-821.
  • 13.Levinger P, Menz HB, Fotoohabadi MR, Feller JA, Bartlett JR, Bergman NR. Foot posture in people with medial compartment knee osteoarthritis. Journal of foot and ankle research. 2010;3(1):29.
  • 14.Ohi H, Iijima H, Aoyama T, Kaneda E, Ohi K, Abe K. Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis. BMC musculoskeletal disorders. 2017;18(1):246.
  • 15.Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. Cross‐sectional analysis of foot function, functional ability, and health‐related quality of life in older people with disabling foot pain. Arthritis care & research. 2011;63(11):1592-1598.
  • 16.Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870-2880.
  • 17.Paterson KL, Hinman RS, Hunter DJ, Wrigley TV, Bennell KL. Concurrent foot pain is common in people with knee osteoarthritis and impacts health and functional status: data from the Osteoarthritis Initiative. Arthritis care & research. 2015;67(7):989.
  • 18.Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clinical biomechanics. 2006;21(1):89-98.
  • 19.Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. Journal of foot and ankle research. 2008;1(1):6.
  • 20.Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis care & research. 2011;63(S11):S240-S52.
  • 21.Akbaba YA, Celik D, Ogut RT. Translation, cross-cultural adaptation, reliability, and validity of Turkish version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. The Journal of Foot and Ankle Surgery. 2016;55(6):1139-42. 22.SooHoo NF, Shuler M, Fleming LL. Evaluation of the validity of the AOFAS Clinical Rating Systems by correlation to the SF-36. Foot & ankle international. 2003;24(1):50-55.
  • 23.Talu B, Bayramlar K, Bek N, Yakut Y. Validity and reliability of the Turkish version of the Manchester-Oxford Foot Questionnaire for hallux valgus deformity evaluation. Acta Orthop Traumatol Turc. 2016;50(2):207-213.
  • 24.Morley D, Jenkinson C, Doll H, Lavis G, Sharp R, Cooke P, et al. The Manchester–Oxford Foot Questionnaire (MOXFQ) development and validation of a summary index score. Bone & joint research. 2013;2(4):66-69.
  • 25.Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and cartilage. 2005;13(1):28-33. 26.Zhang Y, Glynn R, Felson D. Musculoskeletal disease research: should we analyze the joint or the person? The Journal of rheumatology. 1996;23(7):1130-1134.
  • 27.Sadbhawna D, Sonia S. Influence of Different Grades of Knee Osteoarthritis on Foot Posture. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(1):14.
  • 28.Paterson KL, Kasza J, Hunter DJ, Hinman RS, Menz HB, Peat G, et al. The relationship between foot and ankle symptoms and risk of developing knee osteoarthritis: data from the osteoarthritis initiative. Osteoarthritis and cartilage. 2017;25(5):639-646.
  • 29.Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Association of planus foot posture and pronated foot function with foot pain: the Framingham foot study. Arthritis care & research. 2013;65(12):1991-1999.
  • 30.Paterson KL, Kasza J, Hunter DJ, Hinman RS, Menz HB, Peat G, et al. Longitudinal association between foot and ankle symptoms and worsening of symptomatic radiographic knee osteoarthritis: data from the osteoarthritis initiative. Osteoarthritis and cartilage. 2017;25(9):1407-1413.
  • 31.Anzai E, Yamashita K, Matsunaga Y, Sato M, Menz H, Ohta Y. Foot posture and dynamic foot function in people with and without knee osteoarthritis. Osteoarthritis and Cartilage. 2017;25:S131-S2.
  • 32.Maher AJ, Kilmartin TE. An analysis of Euroqol EQ-5D and Manchester Oxford Foot Questionnaire scores six months following podiatric surgery. Journal of foot and ankle research. 2012;5(1):17.
  • 33.Dawson J, Boller I, Doll H, Lavis G, Sharp R, Cooke P, et al. Responsiveness of the Manchester–Oxford foot questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery. The Journal of bone and joint surgery British volume. 2012;94(2):215-221.
  • 34.Hatfield GL, Cochrane CK, Takacs J, Krowchuk NM, Chang R, Hinman RS, et al. Knee and ankle biomechanics with lateral wedges with and without a custom arch support in those with medial knee osteoarthritis and flat feet. Journal of Orthopaedic Research. 2016;34(9):1597-1605.
  • 35.Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, et al. Flat feet are associated with knee pain and cartilage damage in older adults. Arthritis care & research. 2011;63(7).
Year 2020, Volume: 27 Issue: 4, 463 - 470, 25.12.2020
https://doi.org/10.17343/sdutfd.704497

Abstract

References

  • 1.Bitton R. The economic burden of osteoarthritis. The American journal of managed care. 2009;15(8 Suppl):S230-5. 2.Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, et al. Association of flat feet with knee pain and cartilage damage in older adults. Arthritis care & research. 2011;63(7):937-944.
  • 3.Abourazzak F, Kadi N, Azzouzi H, Lazrak F, Najdi A, Nejjari C, et al. A positive association between foot posture index and medial compartment knee osteoarthritis in moroccan people. The open rheumatology journal. 2014;8:96.
  • 4.Al-Bayati Z, Benlidayi IC, Gokcen N. Posture of the foot: Don’t keep it out of sight, out of mind in knee osteoarthritis. Gait & posture. 2018;66:130-134.
  • 5.Reilly K, Barker K, Shamley D, Newman M, Oskrochi G, Sandall S. The role of foot and ankle assessment of patients with lower limb osteoarthritis. Physiotherapy. 2009;95(3):164-169.
  • 6.Souza TR, Pinto RZ, Trede RG, Kirkwood RN, Fonseca ST. Temporal couplings between rearfoot–shank complex and hip joint during walking. Clinical biomechanics. 2010;25(7):745-748.
  • 7.Lafortune M, Cavanagh P, Sommer III HJ, Kalenak A. Foot inversion‐eversion and knee kinematics during walking. Journal of orthopaedic research. 1994;12(3):412-420.
  • 8.Van Gheluwe B, Kirby KA, Hagman F. Effects of simulated genu valgum and genu varum on ground reaction forces and subtalar joint function during gait. Journal of the American Podiatric Medical Association. 2005;95(6):531-541.
  • 9.Erhart JC, Mündermann A, Elspas B, Giori NJ, Andriacchi TP. A variable-stiffness shoe lowers the knee adduction moment in subjects with symptoms of medial compartment knee osteoarthritis. Journal of biomechanics. 2008;41(12):2720-2725.
  • 10.Shakoor N, Lidtke RH, Sengupta M, Fogg LF, Block JA. Effects of specialized footwear on joint loads in osteoarthritis of the knee. Arthritis Care & Research: Official Journal of the American College of Rheumatology. 2008;59(9):1214-1220.
  • 11.Nakajima K, Kakihana W, Nakagawa T, Mitomi H, Hikita A, Suzuki R, et al. Addition of an arch support improves the biomechanical effect of a laterally wedged insole. Gait & posture. 2009;29(2):208-213.
  • 12.Shelburne KB, Torry MR, Steadman JR, Pandy MG. Effects of foot orthoses and valgus bracing on the knee adduction moment and medial joint load during gait. Clinical Biomechanics. 2008;23(6):814-821.
  • 13.Levinger P, Menz HB, Fotoohabadi MR, Feller JA, Bartlett JR, Bergman NR. Foot posture in people with medial compartment knee osteoarthritis. Journal of foot and ankle research. 2010;3(1):29.
  • 14.Ohi H, Iijima H, Aoyama T, Kaneda E, Ohi K, Abe K. Association of frontal plane knee alignment with foot posture in patients with medial knee osteoarthritis. BMC musculoskeletal disorders. 2017;18(1):246.
  • 15.Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. Cross‐sectional analysis of foot function, functional ability, and health‐related quality of life in older people with disabling foot pain. Arthritis care & research. 2011;63(11):1592-1598.
  • 16.Thomas MJ, Roddy E, Zhang W, Menz HB, Hannan MT, Peat GM. The population prevalence of foot and ankle pain in middle and old age: a systematic review. Pain. 2011;152(12):2870-2880.
  • 17.Paterson KL, Hinman RS, Hunter DJ, Wrigley TV, Bennell KL. Concurrent foot pain is common in people with knee osteoarthritis and impacts health and functional status: data from the Osteoarthritis Initiative. Arthritis care & research. 2015;67(7):989.
  • 18.Redmond AC, Crosbie J, Ouvrier RA. Development and validation of a novel rating system for scoring standing foot posture: the Foot Posture Index. Clinical biomechanics. 2006;21(1):89-98.
  • 19.Redmond AC, Crane YZ, Menz HB. Normative values for the foot posture index. Journal of foot and ankle research. 2008;1(1):6.
  • 20.Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual analog scale for pain (vas pain), numeric rating scale for pain (nrs pain), mcgill pain questionnaire (mpq), short‐form mcgill pain questionnaire (sf‐mpq), chronic pain grade scale (cpgs), short form‐36 bodily pain scale (sf‐36 bps), and measure of intermittent and constant osteoarthritis pain (icoap). Arthritis care & research. 2011;63(S11):S240-S52.
  • 21.Akbaba YA, Celik D, Ogut RT. Translation, cross-cultural adaptation, reliability, and validity of Turkish version of the American Orthopaedic Foot and Ankle Society Ankle-Hindfoot Scale. The Journal of Foot and Ankle Surgery. 2016;55(6):1139-42. 22.SooHoo NF, Shuler M, Fleming LL. Evaluation of the validity of the AOFAS Clinical Rating Systems by correlation to the SF-36. Foot & ankle international. 2003;24(1):50-55.
  • 23.Talu B, Bayramlar K, Bek N, Yakut Y. Validity and reliability of the Turkish version of the Manchester-Oxford Foot Questionnaire for hallux valgus deformity evaluation. Acta Orthop Traumatol Turc. 2016;50(2):207-213.
  • 24.Morley D, Jenkinson C, Doll H, Lavis G, Sharp R, Cooke P, et al. The Manchester–Oxford Foot Questionnaire (MOXFQ) development and validation of a summary index score. Bone & joint research. 2013;2(4):66-69.
  • 25.Tüzün EH, Eker L, Aytar A, Daşkapan A, Bayramoğlu M. Acceptability, reliability, validity and responsiveness of the Turkish version of WOMAC osteoarthritis index. Osteoarthritis and cartilage. 2005;13(1):28-33. 26.Zhang Y, Glynn R, Felson D. Musculoskeletal disease research: should we analyze the joint or the person? The Journal of rheumatology. 1996;23(7):1130-1134.
  • 27.Sadbhawna D, Sonia S. Influence of Different Grades of Knee Osteoarthritis on Foot Posture. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(1):14.
  • 28.Paterson KL, Kasza J, Hunter DJ, Hinman RS, Menz HB, Peat G, et al. The relationship between foot and ankle symptoms and risk of developing knee osteoarthritis: data from the osteoarthritis initiative. Osteoarthritis and cartilage. 2017;25(5):639-646.
  • 29.Menz HB, Dufour AB, Riskowski JL, Hillstrom HJ, Hannan MT. Association of planus foot posture and pronated foot function with foot pain: the Framingham foot study. Arthritis care & research. 2013;65(12):1991-1999.
  • 30.Paterson KL, Kasza J, Hunter DJ, Hinman RS, Menz HB, Peat G, et al. Longitudinal association between foot and ankle symptoms and worsening of symptomatic radiographic knee osteoarthritis: data from the osteoarthritis initiative. Osteoarthritis and cartilage. 2017;25(9):1407-1413.
  • 31.Anzai E, Yamashita K, Matsunaga Y, Sato M, Menz H, Ohta Y. Foot posture and dynamic foot function in people with and without knee osteoarthritis. Osteoarthritis and Cartilage. 2017;25:S131-S2.
  • 32.Maher AJ, Kilmartin TE. An analysis of Euroqol EQ-5D and Manchester Oxford Foot Questionnaire scores six months following podiatric surgery. Journal of foot and ankle research. 2012;5(1):17.
  • 33.Dawson J, Boller I, Doll H, Lavis G, Sharp R, Cooke P, et al. Responsiveness of the Manchester–Oxford foot questionnaire (MOXFQ) compared with AOFAS, SF-36 and EQ-5D assessments following foot or ankle surgery. The Journal of bone and joint surgery British volume. 2012;94(2):215-221.
  • 34.Hatfield GL, Cochrane CK, Takacs J, Krowchuk NM, Chang R, Hinman RS, et al. Knee and ankle biomechanics with lateral wedges with and without a custom arch support in those with medial knee osteoarthritis and flat feet. Journal of Orthopaedic Research. 2016;34(9):1597-1605.
  • 35.Gross KD, Felson DT, Niu J, Hunter DJ, Guermazi A, Roemer FW, et al. Flat feet are associated with knee pain and cartilage damage in older adults. Arthritis care & research. 2011;63(7).
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Articles
Authors

Merve Karapınar

Ferdi Başkurt

Zeliha Başkurt

Meric Unal

Publication Date December 25, 2020
Submission Date March 17, 2020
Acceptance Date May 20, 2020
Published in Issue Year 2020 Volume: 27 Issue: 4

Cite

Vancouver Karapınar M, Başkurt F, Başkurt Z, Unal M. FARKLI EVRELERDE DİZ OSTEOARTRİTİ OLAN HASTALARDA AYAK VE AYAK BİLEĞİ DEĞERLENDİRİLMESİ. Med J SDU. 2020;27(4):463-70.

                                                                                               14791 


Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.