İnmeli Bireylerde Korse Kullanımının Denge ve Kas Aktivasyonu Üzerine Etkisinin İncelenmesi
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Tarih
2018
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info:eu-repo/semantics/openAccess
Özet
Amaç:Bu çalışmanın amacı, inmeli bireylerde korse kullanımının denge ve kas aktivasyonu üzerine etkilerini belirlemek olarak planlandı.Yöntemler:Çalışmaya dahil edilen 44 inmeli birey, rastgele yöntemle korse kullanan (n=23) ve korse kullanmayan (n=21) grup olarak ikiye ayrıldı. Tüm bireyler iki hafta süresince, haftada 5 kez fizyoterapi programına alındı. Korse kullanan gruptaki bireylere fizyoterapi programına ek olarak, sabah kalkış saatinden akşam yatış saatine kadar elastik lumbal korse kullandırıldı. Tüm bireylerin statik dengeleri Tetrax Denge Cihazı (TDC), dinamik dengeleri Berg Denge Skalası (BDS) ve Fonksiyonel Uzanma Testi (FUT), Transversus Abdominus (TrA) kas kuvveti ise stabilizer cihazı (Basınç Biofeedback Ünit) kullanılarak değerlendirildi. Değerlendirmeler tedavi öncesi (TÖ), tedavi ortası 1. hafta (TO 1. H) ve tedavi sonrası (TS) olmak üzere 3 defa yapıldı.Bulgular:2 haftalık korse kullanımının sonucunda; FUT, BDS ve Tetrax parametrelerinden Ağırlık Dağılım İndeksi (ADİ) ölçümlerinde anlamlı fark bulundu (p<0,05). Stabilizer cihazla yapılan ölçümlerde ve Tetrax parametrelerinden Fourier Harmonik İndeks (FHİ), 7. Frekans bandı (F7), 8. Frekans bandı (F8) ve Stabilite İndeksinde (Sİ) TÖ, TO 1. H ve TS gruplar arasında fark yoktu (p>0,05).Sonuç:İnmeli bireylerde kısa süreli korse kullanımının, elastik korsenin gövde hareketlerini engellememesi, gövde kasları için sürekli olarak hatırlatıcı olması ve farkındalığı arttırıcı bir görev üstlenmesi nedeniyle, inme rehabilitasyonunda konvansiyonel fizyoterapi programına ilave edilebileceği düşüncesindeyiz.
Purpose:The aim of this study was to investigate the effect of corset use on balance and muscle activation in stroke patients.Methods:Forty-four individuals were included this study, divided randomly in two seperate groups, corset group (n=23) and without corset group (n=21). All patients received a physical therapy programme every workday for 2 weeks. The corset group, in addition to physical therapy, used an elastic lomber corset from getting up till going back to sleep. Static balance values of patients were measured with Tetrax Balance Systems (TBS), dynamic balance was measured with Berg Balance Scale (BBS) and Functional Forward Reach Test (FRT) and Transversus abdominus muscle strength was assessed with stabilizer device (Pressure Biofeedback Unit). The evaluations were made 3 times; before treatment, middle of treatment, and 1 and 2 weeks after treatment.Results:There was significant difference in favor of corset group for FRT, BBS and Tetrax WDI (Weight Distribution Index) after 2 weeks' usage of corset (p<0.05). There was no significant difference for Tetrax FHI, F7-F8 scores and stabilizer scores between pretreatment, 1 week and 2 weeks after treatment (p>0.05).Conclusion:We believe that short-term use of corsets in stroke patients may be added to the conventional physiotherapy program in stroke rehabilitation because it does not restrict trunk movements, is a constant reminder for trunk muscles, and increases awareness.
Purpose:The aim of this study was to investigate the effect of corset use on balance and muscle activation in stroke patients.Methods:Forty-four individuals were included this study, divided randomly in two seperate groups, corset group (n=23) and without corset group (n=21). All patients received a physical therapy programme every workday for 2 weeks. The corset group, in addition to physical therapy, used an elastic lomber corset from getting up till going back to sleep. Static balance values of patients were measured with Tetrax Balance Systems (TBS), dynamic balance was measured with Berg Balance Scale (BBS) and Functional Forward Reach Test (FRT) and Transversus abdominus muscle strength was assessed with stabilizer device (Pressure Biofeedback Unit). The evaluations were made 3 times; before treatment, middle of treatment, and 1 and 2 weeks after treatment.Results:There was significant difference in favor of corset group for FRT, BBS and Tetrax WDI (Weight Distribution Index) after 2 weeks' usage of corset (p<0.05). There was no significant difference for Tetrax FHI, F7-F8 scores and stabilizer scores between pretreatment, 1 week and 2 weeks after treatment (p>0.05).Conclusion:We believe that short-term use of corsets in stroke patients may be added to the conventional physiotherapy program in stroke rehabilitation because it does not restrict trunk movements, is a constant reminder for trunk muscles, and increases awareness.
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Kaynak
Acıbadem Üniversitesi Sağlık Bilimleri Dergisi
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Cilt
9
Sayı
1
