Background/aim: The aim of this study was to assess the reliability and validity of Turkish version of the Xerostomia Inventory XI in patients with primary Sjögren's Syndrome (pSS). Materials and methods:A cross-sectional survey study design and analysis were used to assess the reliability and validity of the Xerostomia Inventory XI. A total of 69 patients with pSS (5 males, 64 females; mean age=54.81±8.77 years) were included. The Xerostomia Inventory XI (TR) was applied twice at an interval of 15 days. The test-retest reliability was assessed with the intraclass correlation coefficient (ICC), and the internal consistency of multi-item subscales by calculating Cronbach alpha values. The correlations between ESSPRI, basal and stimulated salivary flow (BSF-SSF), Oral Health Impact Profile-14 (OHIP-14) and Oral Health-Related Quality of Life-UK (OHRQoL-UK) Questionnaire were evaluated to determine the construct validity. Results:The ICC value for test/retest reliability of the Xerostomia Inventory XI (TR) was 0.993. The internal consistency was 0.869. There were low to high correlations between Xerostomia Inventory XI (TR) and ESSPRI, BSF, SSF, OHIR-14 total and OHRQoL-UK total. Conclusion:The Turkish version of the Xerostomia Inventory XI was found to be clinically valid and reliable to be used in clinical evaluations and rehabilitation interventions in patients with pSS.
Objective=The aim of this study was to examine the functional limitations of foot/ankle in terms of age in individuals with Rheumatoid Arthritis (RA). Material-Method=Forty individuals diagnosed with RA were included in the study. Individuals with RA were divided into two groups (under 65 years old (n:24) and 65 years old and over (n:16)).Functional status of foot/ankle were evaluated with Foot and Ankle Outcome Score (FAOS), general health status with Visual Analogue Scale (VAS), and disability level with Health Assessment Questionnaire (HAQ). FAOS consists of five subtests: pain, other symptoms, activities of daily living, sport and recreational function, and foot/ankle related quality of life. Relationships between continuous variables were evaluated with Pearson Correlation Analysis. Results=HAQ had low to moderate correlation with FAOS_pain (r:-0.435), FAOS_activities of daily living (r:-0.647), FAOS_sport and recreational function (r:-0.495) and FAOS_total (r:-0.582) in RA with under 65 years old while HAQ had moderate to high correlation with FAOS_other symptoms (r:-0.579), FAOS_pain (r:-0.702), FAOS_activities of daily living (r:-0.868), FAOS_sport and recreational function (r:-0.683) and FAOS_total (r:-0.806) (p<0.05) in RA with 65 years old and over. In addition, VAS had moderate correlation with FAOS_pain (r:-0.517), FAOS_activities of daily living (r:-0.590), FAOS_sport and recreational function (r:-0.550) and FAOS_total (r:-0.587) in RA with 65 years old and over (p<0.05). Conclusion=Although functional limitations related to foot/ankle affect disability levels of RA of all ages, this effect is greater for RA aged 65 and over.In addition, functional limitations related to foot/ankle cause a worse perception of general health status of RA patients aged 65 and over.
BackgroundJuvenile Idiopathic Arthritis (JIA) is the most common rheumatic disease of childhood. Although its etiology is not known exactly; Immunological susceptibility and environmental factors (infections, stress, trauma) are emphasized (1). These children have low activity levels since a young age, and significant problems are observed in the realization of daily living activities (2).ObjectivesThis study aims to compare the physical fitness of children/adolescents with Juvenile Idiopathic Arthritis (JIA) and their healthy peers.MethodsSeventy children/adolescents (mean age: 13.40±2.31 years 35 JIA; mean age: 12.94±2.31 years 35 healthy) were included in the study. After recording demographic data, the functionality levels of the children/adolescents with JIA were evaluated by CHAQ (Childhood Health Assessment Questionnaire), all lower extremity muscle strengths were evaluated by the manual muscle test device, and the physical fitness levels were evaluated by the Brockport physical fitness test battery which is grip strength, push-up test, curl-up test, trunk lift test, shoulder stretch, back saver sit-reach test, calf, triceps, subscapular skinfold thickness and PACER 20 meter test. While the disease activities of children/adolescents with JIA were evaluated with JADAS-27 (Juvenile Arthritis Disease Activity Score); quality of life were evaluated with the PedsQL 3.0 Arthritis Module (Pediatric Quality of Life Inventory).ResultsAs a result of the comparative analysis; In terms of functionality which is CHAQ dressing (p=0.008), eating (p=0.011), reaching (p=0.001), rising (p=0.001), walking (p=0.001), holding (p=0.016), hygiene (p=0.011), activity (p=0.00), total score (p=0.00), pain (p=0.00), general well-being (p=0.00) in terms of all sub-parameters, there was found to be significant in favor of healthy children/adolescents (p<0,05). In terms of physical fitness which is grip strength (p=0,041), PACER 20 meter test (p=0,00), trunk lift test (p=0.018) and curl-up (p=0.00) tests, there was a significant difference in favor of the healthy group (p<0,05). There was no significant difference between the groups in terms of other physical fitness tests (p>0.05). When all lower extremity muscle strengths were compared, only right hip external rotation (p=0.023) showed a difference in muscle strength. There was no correlation between JADAS-27 score and physical fitness scores (p>0.05) of children/adolescents with JIA, except for the push-up test (p=0.01). In terms of JADAS-27 score and some PedsQL child form which is pain, total score and activities of daily living of children/adolescents with JIA; there was a significant relationship. In terms of JADAS-27 score and some PedsQL parent form which is pain and total score of children/adolescents with JIA; there was a significant relationship. However there was no relationship in terms of the other parameters (p>0.05).ConclusionAccording to the results of our study, it was observed that the functionality and physical fitness levels of children/adolescents with JIA were lower than their healthy peers, and physical fitness was not affected by disease activity. However, it has been observed that the disease ability of children/adolescents with JIA affects the quality of life of both themselves and their families. For all these reasons, it is very important to encourage children/adolescents with JIA in terms of participation in physical activity and exercise, with informative training aimed at improving their physical fitness.References[1]Fink CW. Proposal for the development of classification criteria for idiopatic arthritides of childhood. J Rheumatol 1995; 22: 1566-69.[2]Bohr, A.H.; Nielsen, S.; Muller, K.; Karup Pedersen, F.; Andersen, L.B. Reduced physical activity in children and adolescents with Juvenile Idiopathic Arthritis despite satisfactory control of inflammation. Pediatr Rheumatol Online J 2015, 13, 57.Disclosure of InterestsNone declared
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