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Background: Rehabilitation process requires insight into the health consequences as perceived by the patients in addition to the assessment of impairments by clinician-based measures. Objective: The study was designed to assess relations among various knee measurements and activity, and health-related quality of life. Methods: One-hundred- one adult subjects after unilateral sport knee injury were involved. Correlations of clinical measurements (tight muscle atrophy, knee range of motion, knee muscle strength) with activity (tested with Oxford Knee Score) and eight subscales of the Short Form Health Survey-36 were estimated. Results: General health and mental health were not related to impaired body structure and function after sport knee injury. Strong relationship between perceived activity and body pain was demonstrated and activity was highly associated with participation in social life. We observed a weak relationship between knee muscle strength and social functioning. Conclusions: We found that perceived activity can provide useful information about pain, knee muscle weakness and social functioning, and vice versa. Izhodišča: Za oceno izida rehabilitacije je poleg objektivnih kliničnih meritev pomembna tudi bolnikova ocena lastnega zdravja. Namen: V raziskavi smo želeli ugotoviti povezanost objektivnih kliničnih meritev z bolnikovo oceno svojih težav med hojo in z zdravjem povezano kakovostjo lastnega življenja. Metode: Sodelovala je 101 odrasla oseba po poškodbi kolena pri športu. Ocenili smo korelacije med kliničnimi meritvami (atrofija stegenskih mišic, pasivna gibljivost kolen, moč kolenskih mišic) in bolnikovo oceno svojih težav med hojo (Oxfordska lestvica za oceno kolena) ter med meritvami in bolnikovo oceno od zdravja odvisne kakovosti lastnega življenja na posameznih področjih (ocene po osmih podlestvicah Kratkega vprašalnika o zdravju-36). Rezultati: Ugotovili smo, da organska strukturna oz. funkcijska okvara pri posamezniku ni povezana z njegovo oceno lastnega splošnega in duševnega zdravja po poškodbi kolena pri športu. Močno pa sta povezani njegova ocena lastne dejavnosti in bolečine ter njegova telesna dejavnost s sodelovanjem športnika v socialnem življenju. Le blaga do zmerna povezanost pa je med oslabelostjo kolenskih mišic in socialnim udejstvovanjem bolnikov. Zaključek: Bolnikova ocena lastne telesne dejavnosti po športni poškodbi kolena je lahko koristna informacija o njegovi bolečini, stopnji oslabelosti kolenskih mišic in o njegovem socialnem udejstvovanju ter obratno. |
