Fiziksel Tıp ve Rehabilitasyon Polikliniğine Başvuran 18 Yaş Altı Hastaların Değerlendirilmesi
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızın amacı fiziksel tıp ve rehabilitasyon polikliniğine kas-iskelet sistemi ağrısı ve sağlık kurulu içinbaşvuran 18 yaş ve altı hastaların demografik ve klinik özelliklerinin değerlendirilmesidir.Gereç ve Yöntemler: Çalışmamızda Haziran 2019-Haziran 2020 tarihleri arasında kas iskelet sisteminde ağrı şikayetive engelli sağlık kurulu için başvuran 18 yaş ve altı hastalara ait veriler kesitsel ve retrospektif araştırma modelişeklinde incelendi. Hastaların demografik ve klinik özellikleri kaydedildi. Kas-iskelet sistemi ağrısıyla başvuranhastaların ağrı etiyolojisi ve bölgesi, ağrı süresi, ailede romatolojik hastalık öyküsü ve uygulanan tedavileri kaydedildi.Bulgular: Çalışmaya 1000 hasta dahil edildi. Hastaların %23,4’ü kas iskelet sisteminde ağrı şikayetiyle, %67,8‘iengelli sağlık kuruluna başvurmak amacıyla ve %8,8’i ise fizyoterapi için gerekli olan sağlık raporuna başvurmuştu.Kas iskelet sistemi ağrısıyla başvuran hastaların %57,3’ü kız, %42,7’si erkekti ve yaş ortalaması 13,42±4,36 idi. En sıkağrı etiyolojisi enflamatuvar artritlerdi (%42,3). En fazla başvuru şikayeti el bilek ve el eklemlerinde ağrı (%23,9) vebel-sırt ağrısı (%22,6) idi. Hastaların %51,3’ünde akut, %48,7’sinde kronik ağrı vardı. Ailede romatizmal hastalıköyküsü hastaların %8,1’inde mevcuttu. %50,9 medikal tedavi, %31,2 ev egzersiz programı, %9,4 medikal tedavi ve evegzersiz programı, %7,3 fizyoterapi ve %1,3 konservatif tedavi uygulandı.Sonuç: Çalışmamızda çocukluk çağı kas iskelet sistemi ağrı şikayetinin en sık nedeni enflamatuvar artritler olarak tespitedildi. Çocuk hastaların daha çok fizyoterapi alabilmek, sosyal ve eğitsel haklardan yararlanmak amacıyla polikliniğebaşvurduğu saptandı. Bu nedenle ülkemizde çocuklarda kas-iskelet sistemi ağrısı ve engellilik ile ilgili çok merkezliçalışmaların yapılmasına ihtiyaç vardır.
Aim: The aim of our study is to evaluate the demographic and clinical characteristics the patients under the age of 18 admitted to the physical and rehabilitation outpatient clinic. Material and Methods: The data of patients aged 18 and under who applied for musculoskeletal system pain and for the disability health board were analyzed retrospectively. Demographic and clinical characteristics of the patients were recorded. Pain etiology and region, pain duration, family history of rheumatologic disease and treatments were recorded for the musculoskeletal system pain. Results: 1000 patients were included in the study. 23.4% of the patients complained of pain in the musculoskeletal system, 67.8% applied to the health board and 8.8% applied to the medical report required for the physiotherapy. 57.3% of the patients who applied with musculoskeletal pain were female and 42.7% were male and the average age was 13.42±4.36. The most common pain etiology was inflammatory arthritis. The most common complaints were the wristhand joints pain and low back pain. The musculoskeletal pain was acute in 51.3% and cronic in the 48.7% of the patients. The family history of the rheumatic disease was in 8.1%. 50.9% medical treatment, 31.2% home exercise program, 9.4% medical treatment and home exercise program, 7.3% physiotherapy and 1.3% conservative treatmen were applied. Conclusion: The most common cause of childhood musculoskeletal pain complaint was inflammatory arthritis. It was found that pediatric patients applied to the outpatient clinic in order to get more physiotherapy and benefit from social and educational rights. Therefore, in our country multicenter studies on musculoskeletal pain and disability are needed.
Aim: The aim of our study is to evaluate the demographic and clinical characteristics the patients under the age of 18 admitted to the physical and rehabilitation outpatient clinic. Material and Methods: The data of patients aged 18 and under who applied for musculoskeletal system pain and for the disability health board were analyzed retrospectively. Demographic and clinical characteristics of the patients were recorded. Pain etiology and region, pain duration, family history of rheumatologic disease and treatments were recorded for the musculoskeletal system pain. Results: 1000 patients were included in the study. 23.4% of the patients complained of pain in the musculoskeletal system, 67.8% applied to the health board and 8.8% applied to the medical report required for the physiotherapy. 57.3% of the patients who applied with musculoskeletal pain were female and 42.7% were male and the average age was 13.42±4.36. The most common pain etiology was inflammatory arthritis. The most common complaints were the wristhand joints pain and low back pain. The musculoskeletal pain was acute in 51.3% and cronic in the 48.7% of the patients. The family history of the rheumatic disease was in 8.1%. 50.9% medical treatment, 31.2% home exercise program, 9.4% medical treatment and home exercise program, 7.3% physiotherapy and 1.3% conservative treatmen were applied. Conclusion: The most common cause of childhood musculoskeletal pain complaint was inflammatory arthritis. It was found that pediatric patients applied to the outpatient clinic in order to get more physiotherapy and benefit from social and educational rights. Therefore, in our country multicenter studies on musculoskeletal pain and disability are needed.
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Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi
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11
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