Publication: Multipl skleroz hastalarında inspiratuar kas eğitiminin denge ve gövde kontrolü üzerine etkisinin incelenmesi
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2023-08-26
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Amaç: Çalışmanın amacı Multiple Skleroz (MS) hastalarında verilen inspiratuar kas eğitiminin
denge ve gövde kontrolü üzerindeki etkisinin araştırılmasıdır. Yöntem: Çalışmaya İstanbul Prof. Dr.
Cemil Taşçıoğlu Şehir Hastanesi nöroloji polikliniğine başvuran, EDSS skoru 1.5-5.5 aralığındaki MS
hastaları dahil edildi. Bireylerin demografik verileri alındıktan sonra solunum kas kuvveti ve solunum
fonksiyon testi değerlendirildi. Ayrıca denge değerlendirmesi için Mini-BESTest, gövde kontrolü için
Gövde Bozukluk Ölçeği, fonksiyonel kapasite için 2 dakika yürüme testi, düşme riski için Aktiviteye
Özgü Denge Güven Ölçeği, düşme korkusu için Uluslararası Düşme Etkinlik Ölçeği, yaşam kalitesi
içinse MS’e Özgü Yaşam Kalitesi Ölçeği kullanıldı. Hastalar iki gruba ayrılarak her iki gruba da denge
egzersizleri verildi; tedavi grubuna ek olarak solunum kas eğitimi verildi. Egzersizler haftada 1 gün
gözetimli, 4 gün evde olacak şekilde haftada 5 gün olacak şekilde ayarlandı. Hastaların 8 haftalık
eğitimlerinin sonunda testler yeniden yapıldı. Hastaların günlük takibi telefonla gerçekleştirildi.
Bulgular: Çalışmaya 26 hasta dahil edildi. Gruplar arasında tedavi öncesi karşılaştırmada istatiksel
olarak anlamlı bir fark saptanmadı. Tedavi sonrasındaki değişimlerin karşılaştırılmasında ise denge
(p=0,002), gövde kontrolü (p=0,015), düşme riski (p=0,04), düşme korkusu (p=0,02) ve yaşam kalitesi
testi mental sağlık alt skoru (p=0,008) tedavi grubunda daha iyi çıkarken, yaşam kalitesi fiziksel sağlık
alt skoru ve yürüme mesafesi sonuçlarında iki grup arasında anlamlı fark bulunmadı. Sonuç: İnspiratuar
kas eğitimi uygulanan grupta denge ve gövde kontrolü diğer gruba göre daha fazla iyileşti. MS
hastalarında verilen denge eğitimine ek olarak solunum kas eğitimi verilmesi hastaların rehabilitasyon
etkinliğini artırabilir.
Aim: The aim of the study is to investigate the effect of inspiratory muscle training given in Multiple Sclerosis (MS) patients on balance and postural control. Method: MS patients with EDSS 1.5- 5.5, who applied to Istanbul Prof. Dr. Cemil Taşçıoğlu City Hospital neurology clinic, were included in the study. After the demographic data of the individuals were obtained, respiratory muscle strength and pulmonary function test of individuals were evaluated. In addition, Mini-BESTest for balance assessment, Trunk Impairment Scale for trunk control, 2-minute walking test for functional capacity, Activity-Specific Balance Confidence Scale for fall risk, International Fall Efficacy Scale for fear of falling, and MS-Specific Quality Of Life Scale For quality of life used. The patients were divided into two groups and both groups were given balance exercises; In addition to the treatment group, inspiratory muscle training was given. The exercises were arranged to be 1 day a week with supervision, 4 days at home, 5 days a week. Daily follow-up of the patients was carried out by telephone. Results: 26 patients were included in the study. There was no statistically significant difference between the groups in the pre-treatment comparison. In comparison of changes after treatment, balance (p=0.002), trunk control (p=0.015), risk of falling (p=0.04), fear of falling (p=0.02), and quality of life test mental health subgroups score (p=0.008) was better in the treatment group, there was no significant difference between the two groups in the quality of life physical health subscore and walking distance results. Conclusion: Balance and trunk control improved more in the inspiratory muscle training group than in the other group. In addition to the balance training given in MS patients, respiratory muscle training can increase the rehabilitation efficiency of the patients.
Aim: The aim of the study is to investigate the effect of inspiratory muscle training given in Multiple Sclerosis (MS) patients on balance and postural control. Method: MS patients with EDSS 1.5- 5.5, who applied to Istanbul Prof. Dr. Cemil Taşçıoğlu City Hospital neurology clinic, were included in the study. After the demographic data of the individuals were obtained, respiratory muscle strength and pulmonary function test of individuals were evaluated. In addition, Mini-BESTest for balance assessment, Trunk Impairment Scale for trunk control, 2-minute walking test for functional capacity, Activity-Specific Balance Confidence Scale for fall risk, International Fall Efficacy Scale for fear of falling, and MS-Specific Quality Of Life Scale For quality of life used. The patients were divided into two groups and both groups were given balance exercises; In addition to the treatment group, inspiratory muscle training was given. The exercises were arranged to be 1 day a week with supervision, 4 days at home, 5 days a week. Daily follow-up of the patients was carried out by telephone. Results: 26 patients were included in the study. There was no statistically significant difference between the groups in the pre-treatment comparison. In comparison of changes after treatment, balance (p=0.002), trunk control (p=0.015), risk of falling (p=0.04), fear of falling (p=0.02), and quality of life test mental health subgroups score (p=0.008) was better in the treatment group, there was no significant difference between the two groups in the quality of life physical health subscore and walking distance results. Conclusion: Balance and trunk control improved more in the inspiratory muscle training group than in the other group. In addition to the balance training given in MS patients, respiratory muscle training can increase the rehabilitation efficiency of the patients.
Description
Keywords
Multiple Skleroz, Solunum Kas Eğitimi, Denge, Gövde Kontrolü, Multiple Sclerosis, Respiratory Muscle Training, Balance, Trunk Control
Citation
DUMAN ÖZKAN T., OĞUZ S., ÜNAL E., EMİR C., POLAT M. G., \"Multipl Skleroz HAstalarında İnspiratuar KAs Eğitiminin Denge ve Gövde Kontrolü Üzerine Etkisinin İncelenmesi\", 13 th International Medicine and Health Sciences Researches Congress, Türkiye, 26 Ağustos 2023, ss.98-99