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Covid-19 pandemisinde idyopatik skolyozlu bireylerde azalmış rehabilitasyon uyumu, fiziksel aktivite ve yaşam kalitesi

Yıl 2022, Cilt: 9 Sayı: 3, 196 - 204, 19.12.2022
https://doi.org/10.15437/jetr.1038912

Öz

Amaç: Bu çalışmanın amacı, COVID-19 pandemisi sırasında ve öncesinde idyopatik skolyozlu (İS) bireylerin rehabilitasyona uyumunu, fiziksel aktivite (FA) düzeylerini ve yaşam kalitesini karşılaştırmaktı. Yöntem: Bu çalışma, 9-18 yaşları arasında İS tanılı 74 bireyi içeriyordu. Egzersiz tedavisi protokollerine uyumu değerlendirmek için; Egzersize Uyumu Derecelendirme Ölçeği (EUDÖ), FA düzeylerini değerlendirmek için; Uluslararası Fiziksel Aktivite Anketi (UFAA), yaşam kalitesini değerlendirmek için ise; Skolyoz Araştırma Derneği-22 Hasta Anketi (SRS-22) kullanıldı. Bulgular: Bireylerin pandemide EUDÖ Bölüm B puanı azalırken (p=0,041) Bölüm C (p=0,636) ve toplam puanları (p=0,54) değişmedi. Ayrıca FA düzeyleri azaldı (p=0,001), oturma saatleri arttı (p<0,001). Beden imajı, ağrı ve tedaviden memnuniyet puanları değişmezken, fonksiyon, mental sağlık, ara toplam ve toplam puanlarında (sıra ile p=0,876, p=0,092, p=0,224, p=0,008, p<0,001, p<0,001, p<0,001) azalma görüldü. Sonuç: Pandemi sürecinde İS'li bireylerin rehabilitasyon uyumu olumsuz etkilenmiş, FA seviyeleri düşmüş, sedanter davranış artmış ve yaşam kaliteleri azalmıştır. İS'li bireylerde pandemi döneminde diğer faktörlerin yanı sıra, FA düzeylerinin azalması da yaşam kalitesini ve rehabilitasyon sürecini olumsuz etkilemiş olabilir. Yapılacak çalışmalar ışığında İS'li bireylerin rehabilitasyonunda diğer faktörlerin yanında fiziksel aktiviteye de önem verilmesi önerilebilir.
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Kaynakça

  • 1. WHO. Director-General’s opening remarks at the media briefing on COVID-19 – 11 March 2020 [Internet] [cited 2021 Sept 4]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • 2. Wang J, Gong Y, Chen Z, et al. Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors. Sleep Med. 2020;74:199-203.
  • 3. Giorgi PD, Villa F, Gallazzi E, et al. The management of emergency spinal surgery during the COVID-19 pandemic in Italy: a preliminary report. Bone Joint J. 2020;102:671-6.
  • 4. Dorfman L, Nassar R, Ohana DB, et al. Pediatric inflammatory bowel disease and the effect of COVID-19 pandemic on treatment adherence and patients’ behavior. Pediatr Res. 2021;90:637-41.
  • 5. Dantas LO, Barreto RPG, Ferreira CHJ. Digital physical therapy in the COVID-19 pandemic. Braz J Phys Ther. 2020;24:381-383.
  • 6. Negrini S, Donzelli S, Aulisa AG, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3.
  • 7. Rahimi S, Kiaghadi A, Fallahian N. Effective factors on brace compliance in idiopathic scoliosis: a literature review. Disabil Rehabil Assist Technol. 2020;15:917-923.
  • 8. Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al. Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11:20.
  • 9. Jordan JL, Holden MA, Mason EE, et al. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010;2010:CD005956
  • 10. Holden MA, Haywood KL, Potia TA, et al. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014;3:10.
  • 11. López-Medina C, Ladehesa-Pineda L, Gómez-García I, et al. Treatment adherence during the COVID-19 pandemic and the impact of confinement on disease activity and emotional status: a survey in 644 rheumatic patients. Joint Bone Spine. 2021;88:1050-85.
  • 12. Garrido-Cumbrera M, Marzo-Ortega H, Christen L, et al. Assessment of impact of the COVID-19 pandemic from the perspective of patients with rheumatic and musculoskeletal diseases in Europe: results from the REUMAVID study (phase 1). RMD Open. 2021;7:e001546.
  • 13. Cobb JR. Outline for the study of scoliosis, American Academy of Orthopaedic Surgeons. Instr Course Lect. 1948;5:261-75.
  • 14. Richards BS, Bernstein RM, D’Amato CR, et al. Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine. 2005;30:2068-75.
  • 15. Newman-Beinart NA, Norton S, Dowling D, et al. The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy. 2017;103:180-5.
  • 16. Lee PH, Macfarlane DJ, Lam TH, et al. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. Int J Behav Nutr. 2011;8:115.
  • 17. Saglam M, Arikan H, Savci S, et al. International Physical Activity Questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-84.
  • 18. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28:63-9.
  • 19. Alanay A, Cil A, Berk, H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30:2464-8.
  • 20. Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149-60.
  • 21. Zapata KA, Wang-Price SS, Fletcher TS, et al. Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis. Scoliosis Spinal Disord. 2018;13:11.
  • 22. Bassett SF. The assessment of patient adherence to physiotherapy rehabilitation. New Zea J Physiother. 2003;31:60-6.
  • 23. Grover S, Sahoo S, Mehra A, et al. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J Psychiatry. 2020;62:354-62.
  • 24. Rossi R, Socci V, Talevi D, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Front. Psychiatry. 2020;11:790.
  • 25. Donzelli S, Zaina F, Martinez G, et al. Adolescents with idiopathic scoliosis and their parents have a positive attitude towards the Thermobrace monitor: results from a survey. Scoliosis Spinal Disord. 2017;12:12.
  • 26. Puccinelli PJ, da Costa TS, Seffrin A, et al. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health. 2021;21:425.
  • 27. Amro A, Albakry S, Jaradat M, et al. Musculoskeletal disorders and association with social media use among university students at the quarantine time of COVID-19 outbreak. Journal of Physical Medicine and Rehabilitation Studies. 2020;1:1-6.
  • 28. Chopra S, Larson AN, Kaufman KR, et al. Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis. PLoS One. 2020;15:e0238181.
  • 29. Diarbakerli E, Grauers A, Möller H, et al. Adolescents with and without idiopathic scoliosis have similar self-reported level of physical activity: a cross-sectional study. Scoliosis Spinal Disord. 2016;11:17.
  • 30. Amăricăi E, Suciu O, Onofrei RR, et al. Respiratory function, functional capacity, and physical activity behaviours in children and adolescents with scoliosis. J Int Med Res. 2020;48:300060519895093.
  • 31. Ravens-Sieberer U, Kaman A, Erhart M, et al. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur Child Adolesc Psychiatry. 2021;31:879-89.
  • 32. Qi M, Li P, Moyle W, et al. Physical activity, health-related quality of life, and stress among the Chinese adult population during the COVID-19 pandemic. Int J Environ Res Public Health. 2020; 17: 6494.

Decreased rehabilitation adherence, physical activity, and quality of life in individuals with idiopathic scoliosis in the COVID-19 Pandemic

Yıl 2022, Cilt: 9 Sayı: 3, 196 - 204, 19.12.2022
https://doi.org/10.15437/jetr.1038912

Öz

Purpose: This study compares the rehabilitation adherence, physical activity (PA) levels, and quality of life (QoL) of individuals with idiopathic scoliosis (IS) during and before the COVID-19 Pandemic. Methods: This study included 74 individuals with IS between the ages of 9 and 18 years. The Exercise Adherence Rating Scale (EARS) was used to assess adherence to exercise therapy protocols, the International Physical Activity Questionnaire Short Form (IPAQ) was used to evaluate PA levels, and the Scoliosis Research Society-22 Patient Questionnaire (SRS-22) was used to measure QoL. Results: Section B score of the EARS decreased (p=0.041), while Section C (p=0.636) and summed scores (p=0.54) did not change during the pandemic. The PA of the participants decreased (p=0.001), hours of sitting increased (p<0.001). While the body image, pain, and treatment satisfaction scores did not change; the function, mental health, subtotal, and total scores of the participants (respectively p=0.876, p=0.092, p=0.224, p=0.008, p<0.001, p<0.001, p<0.001) decreased. Conclusion: The rehabilitation adherence in individuals with IS was affected negatively, PA levels decreased, sedentary behaviors increased, and QoL of participants decreased during the pandemic. In addition to other factors, the decreased PA levels in the pandemic period may have negatively affected QoL and rehabilitation process in participants with IS. In the light of future studies, it may be recommended to give importance to physical activity as well as other factors in the rehabilitation of individuals with IS.

Kaynakça

  • 1. WHO. Director-General’s opening remarks at the media briefing on COVID-19 – 11 March 2020 [Internet] [cited 2021 Sept 4]. Available from: https://www.who.int/director-general/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020.
  • 2. Wang J, Gong Y, Chen Z, et al. Sleep disturbances among Chinese residents during the Coronavirus Disease 2019 outbreak and associated factors. Sleep Med. 2020;74:199-203.
  • 3. Giorgi PD, Villa F, Gallazzi E, et al. The management of emergency spinal surgery during the COVID-19 pandemic in Italy: a preliminary report. Bone Joint J. 2020;102:671-6.
  • 4. Dorfman L, Nassar R, Ohana DB, et al. Pediatric inflammatory bowel disease and the effect of COVID-19 pandemic on treatment adherence and patients’ behavior. Pediatr Res. 2021;90:637-41.
  • 5. Dantas LO, Barreto RPG, Ferreira CHJ. Digital physical therapy in the COVID-19 pandemic. Braz J Phys Ther. 2020;24:381-383.
  • 6. Negrini S, Donzelli S, Aulisa AG, et al. 2016 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis Spinal Disord. 2018;13:3.
  • 7. Rahimi S, Kiaghadi A, Fallahian N. Effective factors on brace compliance in idiopathic scoliosis: a literature review. Disabil Rehabil Assist Technol. 2020;15:917-923.
  • 8. Berdishevsky H, Lebel VA, Bettany-Saltikov J, et al. Physiotherapy scoliosis-specific exercises–a comprehensive review of seven major schools. Scoliosis Spinal Disord. 2016;11:20.
  • 9. Jordan JL, Holden MA, Mason EE, et al. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010;2010:CD005956
  • 10. Holden MA, Haywood KL, Potia TA, et al. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014;3:10.
  • 11. López-Medina C, Ladehesa-Pineda L, Gómez-García I, et al. Treatment adherence during the COVID-19 pandemic and the impact of confinement on disease activity and emotional status: a survey in 644 rheumatic patients. Joint Bone Spine. 2021;88:1050-85.
  • 12. Garrido-Cumbrera M, Marzo-Ortega H, Christen L, et al. Assessment of impact of the COVID-19 pandemic from the perspective of patients with rheumatic and musculoskeletal diseases in Europe: results from the REUMAVID study (phase 1). RMD Open. 2021;7:e001546.
  • 13. Cobb JR. Outline for the study of scoliosis, American Academy of Orthopaedic Surgeons. Instr Course Lect. 1948;5:261-75.
  • 14. Richards BS, Bernstein RM, D’Amato CR, et al. Standardization of criteria for adolescent idiopathic scoliosis brace studies: SRS Committee on Bracing and Nonoperative Management. Spine. 2005;30:2068-75.
  • 15. Newman-Beinart NA, Norton S, Dowling D, et al. The development and initial psychometric evaluation of a measure assessing adherence to prescribed exercise: the Exercise Adherence Rating Scale (EARS). Physiotherapy. 2017;103:180-5.
  • 16. Lee PH, Macfarlane DJ, Lam TH, et al. Validity of the international physical activity questionnaire short form (IPAQ-SF): A systematic review. Int J Behav Nutr. 2011;8:115.
  • 17. Saglam M, Arikan H, Savci S, et al. International Physical Activity Questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111:278-84.
  • 18. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine. 2003;28:63-9.
  • 19. Alanay A, Cil A, Berk, H, et al. Reliability and validity of adapted Turkish Version of Scoliosis Research Society-22 (SRS-22) questionnaire. Spine. 2005;30:2464-8.
  • 20. Faul F, Erdfelder E, Buchner A, et al. Statistical power analyses using G* Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009;41:1149-60.
  • 21. Zapata KA, Wang-Price SS, Fletcher TS, et al. Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis. Scoliosis Spinal Disord. 2018;13:11.
  • 22. Bassett SF. The assessment of patient adherence to physiotherapy rehabilitation. New Zea J Physiother. 2003;31:60-6.
  • 23. Grover S, Sahoo S, Mehra A, et al. Psychological impact of COVID-19 lockdown: An online survey from India. Indian J Psychiatry. 2020;62:354-62.
  • 24. Rossi R, Socci V, Talevi D, et al. COVID-19 pandemic and lockdown measures impact on mental health among the general population in Italy. Front. Psychiatry. 2020;11:790.
  • 25. Donzelli S, Zaina F, Martinez G, et al. Adolescents with idiopathic scoliosis and their parents have a positive attitude towards the Thermobrace monitor: results from a survey. Scoliosis Spinal Disord. 2017;12:12.
  • 26. Puccinelli PJ, da Costa TS, Seffrin A, et al. Reduced level of physical activity during COVID-19 pandemic is associated with depression and anxiety levels: an internet-based survey. BMC Public Health. 2021;21:425.
  • 27. Amro A, Albakry S, Jaradat M, et al. Musculoskeletal disorders and association with social media use among university students at the quarantine time of COVID-19 outbreak. Journal of Physical Medicine and Rehabilitation Studies. 2020;1:1-6.
  • 28. Chopra S, Larson AN, Kaufman KR, et al. Accelerometer based assessment of daily physical activity and sedentary time in adolescents with idiopathic scoliosis. PLoS One. 2020;15:e0238181.
  • 29. Diarbakerli E, Grauers A, Möller H, et al. Adolescents with and without idiopathic scoliosis have similar self-reported level of physical activity: a cross-sectional study. Scoliosis Spinal Disord. 2016;11:17.
  • 30. Amăricăi E, Suciu O, Onofrei RR, et al. Respiratory function, functional capacity, and physical activity behaviours in children and adolescents with scoliosis. J Int Med Res. 2020;48:300060519895093.
  • 31. Ravens-Sieberer U, Kaman A, Erhart M, et al. Impact of the COVID-19 pandemic on quality of life and mental health in children and adolescents in Germany. Eur Child Adolesc Psychiatry. 2021;31:879-89.
  • 32. Qi M, Li P, Moyle W, et al. Physical activity, health-related quality of life, and stress among the Chinese adult population during the COVID-19 pandemic. Int J Environ Res Public Health. 2020; 17: 6494.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Gözde Yagcı 0000-0002-4603-7162

Merve Karatel 0000-0003-4837-2359

Halil Gökhan Demirkıran 0000-0001-5612-5599

Yavuz Yakut 0000-0001-9363-0869

Yayımlanma Tarihi 19 Aralık 2022
Gönderilme Tarihi 20 Aralık 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 9 Sayı: 3

Kaynak Göster

Vancouver Yagcı G, Karatel M, Demirkıran HG, Yakut Y. Decreased rehabilitation adherence, physical activity, and quality of life in individuals with idiopathic scoliosis in the COVID-19 Pandemic. JETR. 2022;9(3):196-204.