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Risk Factors of Restless Leg Syndrome in Patients with Low Back Pain and Its Effect on Balance: A Comparative Study

Yıl 2021, Cilt: 8 Sayı: 4, 673 - 678, 31.12.2021

Tuba Can Akman Fatih Tekin

https://doi.org/10.34087/cbusbed.912934

Öz

Objective: The aim of this study is to examine the risk factors of Restless Leg Syndrome (RLS) and its effect on balance in patients with chronic low back pain.
Material and method: Ninety-eight cases who had previously applied to Pamukkale University Hospitals with complaints of low back pain and met the inclusion criteria were included. Among these cases, 66 cases with RLS (RLS+) were included in the study group, and 32 cases without RLS (RLS-) were included in the control group. The demographic information of all the cases was taken and evaluated according to the International Restless Legs Scale (IRLS). Activities-Specific Balance Confidence Scale (ABC Scale) was also applied to the subjects in the study group. The data obtained were analyzed with the t test.
Results: While the mean age of the cases in the study group was 47.12±9.74 years, it was 43.50±8.09 years in the control group. Cases’ 67% were determined as RLS+, 33% as RLS-. It was found that those with RLS- had significantly higher ABC Scale scores (p<0.05). The RLS severity of participants with RLS+ was positively correlated with age (r=0,439) and BMI (r=0,406), and a moderate and significant correlation was found with the duration of education (r=-0,440) and balance confidence score (r=-0,467) (p<0.05).
Conclusion: RLS reduces the balance confidence score in patients with chronic non-specific low back pain. RLS is more common in women than men. While RLS severity is not affected by gender, it increases with high BMI and advancing age, and decreases with increasing education level.

Anahtar Kelimeler

Balance Low back pain Restless leg syndrome Risk factors

Kaynakça

  • Filiz, M.B, Çakır, T, Güncel Tanı Kriterleri ile Huzursuz Bacak Sendromu, Türk Osteoporoz Dergisi, 2015, 21(2), 87-95.
  • Montplaisir, J, Boucher, S, Nicolas, A, Lesperance, P, Gosselin, A, Rompré, P, Lavigne, G, Immobilization tests and periodic leg movements in sleep for the diagnosis of restless leg syndrome, Movement Disorders: Official Journal of the Movement Disorder Society, 1998, 13(2), 324-329.
  • Moreira, N.C.V, Damasceno, R.S, Medeiros, C.A.M, De Bruin, P.F.C, Teixeira, C.A.C, Horta, W.G, De Bruin, V.M.S, Restless leg syndrome, sleep quality and fatigue in multiple sclerosis patients, Brazilian Journal of Medical and Biological Research, 2008, 41(10), 932-937.
  • Ay, S, Evcik, D, Kronik bel ağrılı hastalarda depresyon ve yaşam kalitesi, Yeni Tıp Dergisi, 2008, 25(4), 228-231.
  • Mientjes, M.I.V, Frank, J.S, Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing, Clinical Biomechanics, 1999, 14(10), 710-716.
  • Powell, L.E, Myers, A.M, The activities-specific balance confidence (ABC) scale, The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 1995, 50(1), M28-M34.
  • Ayhan, Ç, Büyükturan, Ö, Kırdı, N, Yakut, Y, Güler, Ç, The Turkish Version of The Activities Specific Balance Confidence (Abc) Scale: Its Cultural Adaptation, Validation and Reliability in Older Adults, Turkish Journal of Geriatrics, 2014, 17(2), 157-163.
  • Allen, R.P, Picchietti, D.L, Garcia-Borreguero, D, Ondo, W.G, Walters, A.S, Winkelman, J.W, Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria–history, rationale, description, and significance, Sleep Medicine, 2014, 15(8), 860-873.
  • Högl, B, Kiechl, S, Willeit, J, Saletu, M, Frauscher, B, Seppi, K, Poewe, W. Restless legs syndrome: a community-based study of prevalence, severity, and risk factors, Neurology, 2005, 64(11), 1920-1924.
  • Rothdach, A.J, Trenkwalder, C, Haberstock, J, Keil, U, Berger, K, Prevalence and risk factors of RLS in an elderly population: the MEMO study, Neurology, 2000, 54(5), 1064-1068.
  • Allen, R.P, Picchietti, D, Hening, W.A, Trenkwalder, C, Walters, A.S, Montplaisi, J, Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology: a report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health, Sleep Medicine, 2003, 4(2), 101-119.
  • Merlino, G, Valente, M, Serafini, A, Gigli, G.L, Restless legs syndrome: diagnosis, epidemiology, classification and consequences, Neurological Sciences, 2007, 28(1), S37-S46.
  • Hening, W, Allen, R.P, Tenzer, P, Winkelman, J.W, Restless legs syndrome: demographics, presentation, and differential diagnosis, Geriatrics, 2007, 62(9), 26-29.
  • Hening, W, Walters, A.S, Allen, R.P, Montplaisir, J, Myers, A, Ferini-Strambi, L, Impact, diagnosis and treatment of restless legs syndrome (RLS) in a primary care population: the REST (RLS epidemiology, symptoms, and treatment) primary care study, Sleep Medicine, 2004, 5(3), 237-246.
  • Phillips, B, Hening, W, Britz, P, Mannino, D, Prevalence and correlates of restless legs syndrome: results from the 2005 National Sleep Foundation Poll, Chest, 2009, 129(1), 76-80.
  • Ulfberg, J, Bjorvatn, B, Leissner, L, Gyring, J, Karlsborg, M, Regeur, L, Partinen, M, Comorbidity in restless legs syndrome among a sample of Swedish adults, Sleep Medicine, 2007, 8(7-8), 768-772.
  • Celle, S, Roche, F, Kerleroux, J, Thomas-Anterion, C, Laurent, B, Rouch, I, Sforza, E, Prevalence and clinical correlates of restless legs syndrome in an elderly French population: the synapse study, Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 2010, 65(2), 167-173.
  • Kim, K.W, Yoon, I.Y, Chung, S, Shin, Y.K, Lee, S.B, Choi, E.A, Kim, J.M, Prevalence, comorbidities and risk factors of restless legs syndrome in the Korean elderly population–results from the Korean Longitudinal Study on Health and Aging, Journal of Sleep Research, 2010, 19(1‐Part‐I), 87-92.
  • Dantas, F.G, Medeiros, J.L.A, Farias, K.S, Ribeiro, C.D, Restless legs syndrome in institutionalized elderly, Arquivos de Neuro-psiquiatria, 2008, 66(2B), 328-330.
  • Chen, W.C, Lim, P.S, Wu, W.C, Chiu, H.C, Chen, C.H, Kuo, H.Y, Woods, H.F, Sleep behavior disorders in a large cohort of Chinese (Taiwanese) patients maintained by long-term hemodialysis, American Journal of Kidney Diseases, 2006, 48(2), 277-284.
  • Tsuboi, Y, Imamura, A, Sugimura, M, Nakano, S, Shirakawa, S, Yamada, T, Prevalence of restless legs syndrome in a Japanese elderly population, Parkinsonism & Related Disorders, 2009, 15(8), 598-601.
  • Yeh, P, Walters, A.S, Tsuang, J.W, Restless legs syndrome: a comprehensive overview on its epidemiology, risk factors, and treatment, Sleep and Breathing, 2012, 16(4), 987-1007.
  • Phillips, B, Young, T, Finn, L, Asher, K, Hening, W.A, Purvis, C, Epidemiology of restless legs symptoms in adults, Archives of Internal Medicine, 2000, 160(14), 2137-2141.
  • Szentkiralyi, A, Molnar, M.Z, Czira, M.E, Deak, G, Lindner, A.V, Szeifert, L, Novak, M, Association between restless legs syndrome and depression in patients with chronic kidney disease, Journal of Psychosomatic Research, 2009, 67(2), 173-180.
  • Berger, K, Luedemann, J, Trenkwalder, C, John, U, Kessler, C, Sex and the risk of restless legs syndrome in the general population, Archive of Internal Medicine, 2004, 164(2), 196-202.
  • Gao, X, Schwarzschild, M.A, Wang, H, Ascherio, A, Obesity and restless legs syndrome in men and women, Neurology, 2009, 72(14), 1255-1261.
  • Zobeiri, M, Shokoohi, A, Restless leg syndrome in diabetics compared with normal controls, Sleep Disorders, 2014, 2014, 1-4.
  • Winter, A.C, Schürks, M, Glynn, R.J, Buring, J.E, Gaziano, J.M, Berger, K, Kurth, T, Vascular risk factors, cardiovascular disease, and restless legs syndrome in women, The American Journal of Medicine. 2013, 126(3), 220-227.
  • Lin, S, Zhang, H, Gao, T, Zhong, F, Sun, Y, Cai, J, Ma, A, The association between obesity and restless legs syndrome: A systemic review and meta-analysis of observational studies, Journal of Affective Disorders, 2018, 235, 384-391.

Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma

Yıl 2021, Cilt: 8 Sayı: 4, 673 - 678, 31.12.2021

Tuba Can Akman Fatih Tekin

https://doi.org/10.34087/cbusbed.912934

Öz

Giriş ve amaç: Bu çalışmanın amacı, kronik bel ağrısı olan hastalarda Huzursuz Bacak Sendromu’nun (HBS) risk faktörlerini ve denge üzerine etkisini incelemektir.
Gereç ve yöntem: Pamukkale Üniversitesi Hastanelerine daha önce bel ağrısı şikayetiyle başvurmuş, dahil edilme kriterlerine uyan 98 olgu dâhil edilmiştir. Bu olgulardan HBS olan (HBS+) 66 olgu çalışma grubuna, HBS olmayan (HBS-) 32 olgu ise kontrol grubuna alınmıştır. Tüm olguların demografik bilgileri alınmış ve Uluslararası HBS Çalışma Grubu HBS Şiddet Skalası’na göre değerlendirmeleri yapılmıştır. Çalışma grubundaki olgulara ayrıca Aktivitelere Özgü Denge Güven Ölçeği (ADG-6) uygulanmıştır.
Bulgular: Çalışma grubundaki olguların ortalama yaşı 47,12±9,74 yılken, kontrol grubundaki olguların 43,50±8,09 yıldı. Olguların %67’si HBS+, %33’ü HBS- olarak belirlenmiştir. HBS- olanların anlamlı şekilde ADG-6 skorlarının daha yüksek olduğu bulunmuştur (p<0,05). HBS+ olan katılımcıların HBS şiddetinin yaş (r=0,439) ve Vücut Kitle İndeksi (VKİ) (r=0,406) ile pozitif yönde, eğitim süresi (r=-0,440) ve denge güven skoru (r=-0,467) ile ise negatif yönde orta düzeyde ve anlamlı ilişkisi tespit edilmiştir (p<0,05).
Sonuç: HBS, kronik non-spesifik bel ağrısı olan hastalarda denge güven skorunu azaltmaktadır. HBS, kadınlarda erkeklerden daha sık görülmektedir. HBS şiddeti ise cinsiyetten etkilenmezken yüksek VKİ ve ilerleyen yaş ile artmakta, eğitim düzeyinin artması ile azalmaktadır.

Anahtar Kelimeler

Bel Ağrısı Denge , Huzursuz Bacak Sendromu Risk Faktörleri

Kaynakça

  • Filiz, M.B, Çakır, T, Güncel Tanı Kriterleri ile Huzursuz Bacak Sendromu, Türk Osteoporoz Dergisi, 2015, 21(2), 87-95.
  • Montplaisir, J, Boucher, S, Nicolas, A, Lesperance, P, Gosselin, A, Rompré, P, Lavigne, G, Immobilization tests and periodic leg movements in sleep for the diagnosis of restless leg syndrome, Movement Disorders: Official Journal of the Movement Disorder Society, 1998, 13(2), 324-329.
  • Moreira, N.C.V, Damasceno, R.S, Medeiros, C.A.M, De Bruin, P.F.C, Teixeira, C.A.C, Horta, W.G, De Bruin, V.M.S, Restless leg syndrome, sleep quality and fatigue in multiple sclerosis patients, Brazilian Journal of Medical and Biological Research, 2008, 41(10), 932-937.
  • Ay, S, Evcik, D, Kronik bel ağrılı hastalarda depresyon ve yaşam kalitesi, Yeni Tıp Dergisi, 2008, 25(4), 228-231.
  • Mientjes, M.I.V, Frank, J.S, Balance in chronic low back pain patients compared to healthy people under various conditions in upright standing, Clinical Biomechanics, 1999, 14(10), 710-716.
  • Powell, L.E, Myers, A.M, The activities-specific balance confidence (ABC) scale, The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 1995, 50(1), M28-M34.
  • Ayhan, Ç, Büyükturan, Ö, Kırdı, N, Yakut, Y, Güler, Ç, The Turkish Version of The Activities Specific Balance Confidence (Abc) Scale: Its Cultural Adaptation, Validation and Reliability in Older Adults, Turkish Journal of Geriatrics, 2014, 17(2), 157-163.
  • Allen, R.P, Picchietti, D.L, Garcia-Borreguero, D, Ondo, W.G, Walters, A.S, Winkelman, J.W, Restless legs syndrome/Willis–Ekbom disease diagnostic criteria: updated International Restless Legs Syndrome Study Group (IRLSSG) consensus criteria–history, rationale, description, and significance, Sleep Medicine, 2014, 15(8), 860-873.
  • Högl, B, Kiechl, S, Willeit, J, Saletu, M, Frauscher, B, Seppi, K, Poewe, W. Restless legs syndrome: a community-based study of prevalence, severity, and risk factors, Neurology, 2005, 64(11), 1920-1924.
  • Rothdach, A.J, Trenkwalder, C, Haberstock, J, Keil, U, Berger, K, Prevalence and risk factors of RLS in an elderly population: the MEMO study, Neurology, 2000, 54(5), 1064-1068.
  • Allen, R.P, Picchietti, D, Hening, W.A, Trenkwalder, C, Walters, A.S, Montplaisi, J, Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology: a report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health, Sleep Medicine, 2003, 4(2), 101-119.
  • Merlino, G, Valente, M, Serafini, A, Gigli, G.L, Restless legs syndrome: diagnosis, epidemiology, classification and consequences, Neurological Sciences, 2007, 28(1), S37-S46.
  • Hening, W, Allen, R.P, Tenzer, P, Winkelman, J.W, Restless legs syndrome: demographics, presentation, and differential diagnosis, Geriatrics, 2007, 62(9), 26-29.
  • Hening, W, Walters, A.S, Allen, R.P, Montplaisir, J, Myers, A, Ferini-Strambi, L, Impact, diagnosis and treatment of restless legs syndrome (RLS) in a primary care population: the REST (RLS epidemiology, symptoms, and treatment) primary care study, Sleep Medicine, 2004, 5(3), 237-246.
  • Phillips, B, Hening, W, Britz, P, Mannino, D, Prevalence and correlates of restless legs syndrome: results from the 2005 National Sleep Foundation Poll, Chest, 2009, 129(1), 76-80.
  • Ulfberg, J, Bjorvatn, B, Leissner, L, Gyring, J, Karlsborg, M, Regeur, L, Partinen, M, Comorbidity in restless legs syndrome among a sample of Swedish adults, Sleep Medicine, 2007, 8(7-8), 768-772.
  • Celle, S, Roche, F, Kerleroux, J, Thomas-Anterion, C, Laurent, B, Rouch, I, Sforza, E, Prevalence and clinical correlates of restless legs syndrome in an elderly French population: the synapse study, Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 2010, 65(2), 167-173.
  • Kim, K.W, Yoon, I.Y, Chung, S, Shin, Y.K, Lee, S.B, Choi, E.A, Kim, J.M, Prevalence, comorbidities and risk factors of restless legs syndrome in the Korean elderly population–results from the Korean Longitudinal Study on Health and Aging, Journal of Sleep Research, 2010, 19(1‐Part‐I), 87-92.
  • Dantas, F.G, Medeiros, J.L.A, Farias, K.S, Ribeiro, C.D, Restless legs syndrome in institutionalized elderly, Arquivos de Neuro-psiquiatria, 2008, 66(2B), 328-330.
  • Chen, W.C, Lim, P.S, Wu, W.C, Chiu, H.C, Chen, C.H, Kuo, H.Y, Woods, H.F, Sleep behavior disorders in a large cohort of Chinese (Taiwanese) patients maintained by long-term hemodialysis, American Journal of Kidney Diseases, 2006, 48(2), 277-284.
  • Tsuboi, Y, Imamura, A, Sugimura, M, Nakano, S, Shirakawa, S, Yamada, T, Prevalence of restless legs syndrome in a Japanese elderly population, Parkinsonism & Related Disorders, 2009, 15(8), 598-601.
  • Yeh, P, Walters, A.S, Tsuang, J.W, Restless legs syndrome: a comprehensive overview on its epidemiology, risk factors, and treatment, Sleep and Breathing, 2012, 16(4), 987-1007.
  • Phillips, B, Young, T, Finn, L, Asher, K, Hening, W.A, Purvis, C, Epidemiology of restless legs symptoms in adults, Archives of Internal Medicine, 2000, 160(14), 2137-2141.
  • Szentkiralyi, A, Molnar, M.Z, Czira, M.E, Deak, G, Lindner, A.V, Szeifert, L, Novak, M, Association between restless legs syndrome and depression in patients with chronic kidney disease, Journal of Psychosomatic Research, 2009, 67(2), 173-180.
  • Berger, K, Luedemann, J, Trenkwalder, C, John, U, Kessler, C, Sex and the risk of restless legs syndrome in the general population, Archive of Internal Medicine, 2004, 164(2), 196-202.
  • Gao, X, Schwarzschild, M.A, Wang, H, Ascherio, A, Obesity and restless legs syndrome in men and women, Neurology, 2009, 72(14), 1255-1261.
  • Zobeiri, M, Shokoohi, A, Restless leg syndrome in diabetics compared with normal controls, Sleep Disorders, 2014, 2014, 1-4.
  • Winter, A.C, Schürks, M, Glynn, R.J, Buring, J.E, Gaziano, J.M, Berger, K, Kurth, T, Vascular risk factors, cardiovascular disease, and restless legs syndrome in women, The American Journal of Medicine. 2013, 126(3), 220-227.
  • Lin, S, Zhang, H, Gao, T, Zhong, F, Sun, Y, Cai, J, Ma, A, The association between obesity and restless legs syndrome: A systemic review and meta-analysis of observational studies, Journal of Affective Disorders, 2018, 235, 384-391.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Tuba Can Akman 0000-0001-5230-2009

Fatih Tekin 0000-0001-7829-7957

Yayımlanma Tarihi 31 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 8 Sayı: 4

Kaynak Göster

APA Can Akman, T., & Tekin, F. (2021). Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 8(4), 673-678. https://doi.org/10.34087/cbusbed.912934
AMA Can Akman T, Tekin F. Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma. CBU-SBED. Aralık 2021;8(4):673-678. doi:10.34087/cbusbed.912934
Chicago Can Akman, Tuba, ve Fatih Tekin. “Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri Ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8, sy. 4 (Aralık 2021): 673-78. https://doi.org/10.34087/cbusbed.912934.
EndNote Can Akman T, Tekin F (01 Aralık 2021) Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8 4 673–678.
IEEE T. Can Akman ve F. Tekin, “Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma”, CBU-SBED, c. 8, sy. 4, ss. 673–678, 2021, doi: 10.34087/cbusbed.912934.
ISNAD Can Akman, Tuba - Tekin, Fatih. “Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri Ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 8/4 (Aralık 2021), 673-678. https://doi.org/10.34087/cbusbed.912934.
JAMA Can Akman T, Tekin F. Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma. CBU-SBED. 2021;8:673–678.
MLA Can Akman, Tuba ve Fatih Tekin. “Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri Ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma”. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, c. 8, sy. 4, 2021, ss. 673-8, doi:10.34087/cbusbed.912934.
Vancouver Can Akman T, Tekin F. Bel Ağrısı Olan Hastalarda Huzursuz Bacak Sendromunun Risk Faktörleri ve Denge Üzerine Etkisi: Karşılaştırmalı Bir Çalışma. CBU-SBED. 2021;8(4):673-8.
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