Erken dönem inmeli bireylerde oral hacim algısı ile aspirasyon riskinin incelenmesi
Küçük Resim Yok
Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bolu Abant İzzet Baysal Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu çalışmanın amacı inmeli bireylerin oral hacim algısını ve aspirasyon riskini değerlendirmek ve oral hacim algısı ile aspirasyon riski arasındaki ilişkiyi belirlemektir. Çalışmaya yaş ortalaması 69,72±12,36 yıl olan toplam 32 birey dahil edildi. Bireylerin aspirasyon riskini belirlemek ve onları aspirasyon riski olan ve aspirasyon riski olmayan gruplarına bölmek için Gugging Yutma Tarama Testi kullanıldı. Oral algı değerlendirmesi için Sıvılarda Hacim Değişikliği Algısı Testi, nörolojik defisitin seviyesi için National Institutes of Health İnme Skalası ve fonksiyonel durum için Barthel İndeksi gibi çeşitli testler kullanıldı. Aspirasyon riski olan ve olmayan grupları arasında National Institutes of Health İnme Skalası skorları, Barthel İndeks skorları (p<0.05) ve Sıvılarda Hacim Değişikliği Algısı Testi skorları (p<0.001) açısından anlamlı fark bulundu. Spearman's Korelasyon Analizi sonucunda aspirasyon riski ile Sıvılarda Hacim Değişikliği Algısı Testi skorları arasında orta seviyede negatif ilişki saptandı (r:-0,639; p<0.001). Aspirasyon riski ile oral hacim algısı skorları arasında ilişki bulundu. Ayrıca bu çalışma, aspirasyon riski olan inmeli bireylerin bulunduğu grupta oral algı yeteneklerinin düşük olduğunu ortaya koydu. Bu gruptaki bireylerin yardım almadan tüketilecek maksimum sıvı hacmini kendi imkanlarıyla yönetmelerinin güvenilir olmadığı sonucuna varıldı. Bu gruptaki bireylerin rehabilitasyonuna oral hacim algısı değerlendirme ve eğitimlerinin eklenmesini önermekteyiz.
The aim of this study is to evaluate the oral volume perception and aspiration risk of individuals with stroke and to determine the relationship between oral volume perception and aspiration risk. A total of 32 individuals with a mean age of 69.72±12.36 years were included in the study. The Gugging Swallowing Screening Test was used to determine the risk of aspiration of individuals and to divide them into groups with aspiration risk and no aspiration risk. Various tests such as Oral Perception of Liquid Volume Changes to determine the level of oral perception, National Institutes of Health Stroke Scale to determine the level of neurological deficit and Barthel Index to determine their functional status were used. There was a significant difference between the groups with and without aspiration risk in terms of National Institutes of Health Stroke Scale scores, Barthel Index scores (p<0.05) and Oral Perception of Liquid Volume Changes scores (p<0.001). As a result of Spearman's Correlation Analysis, a moderate negative correlation was found between aspiration risk and the Oral Perception of Liquid Volume Changes scores (r:-0,639; p<0.001). A relation was found between aspiration risk and oral perception. This study revealed that subjects in the group at risk of aspiration have low oral perception abilities. It was concluded that subjects in this group are unreliable to determine the maximum volume of fluid to be consumed without help. We suggest adding the evaluations and training of oral perception of bolus volume in rehabilitation of patients in this group.
The aim of this study is to evaluate the oral volume perception and aspiration risk of individuals with stroke and to determine the relationship between oral volume perception and aspiration risk. A total of 32 individuals with a mean age of 69.72±12.36 years were included in the study. The Gugging Swallowing Screening Test was used to determine the risk of aspiration of individuals and to divide them into groups with aspiration risk and no aspiration risk. Various tests such as Oral Perception of Liquid Volume Changes to determine the level of oral perception, National Institutes of Health Stroke Scale to determine the level of neurological deficit and Barthel Index to determine their functional status were used. There was a significant difference between the groups with and without aspiration risk in terms of National Institutes of Health Stroke Scale scores, Barthel Index scores (p<0.05) and Oral Perception of Liquid Volume Changes scores (p<0.001). As a result of Spearman's Correlation Analysis, a moderate negative correlation was found between aspiration risk and the Oral Perception of Liquid Volume Changes scores (r:-0,639; p<0.001). A relation was found between aspiration risk and oral perception. This study revealed that subjects in the group at risk of aspiration have low oral perception abilities. It was concluded that subjects in this group are unreliable to determine the maximum volume of fluid to be consumed without help. We suggest adding the evaluations and training of oral perception of bolus volume in rehabilitation of patients in this group.
Açıklama
Sağlık Bilimleri Enstitüsü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation
