Parkinson hastalarına yönelik bir rehabilitasyon programının reaksiyon ve hareket zamanı üzerine etkileri: bir elektromiyografik çalışma

Year 2022, , 504 - 510, 30.06.2022

Nurhan Kızıl Halil Öğüt , Esra Okuyucu , Hayal Güler , Cahit Özer , Ayşe Dicle Turhanoğlu

https://doi.org/10.17826/cumj.1017006

Abstract

Amaç: Çalışmanın amacı Parkinson Hastalığı (PH) hastalarına özel egzersizlerden oluşan bir rehabilitasyon programının reaksiyon zamanı (RZ), hareket zamanı (HZ), yaşam kalitesi ve hastalık aktivitesi üzerindeki etkilerini araştırmaktır.
Gereç ve Yöntem: Çalışmaya toplam 26 idiyopatik PH hastası dahil edildi. Hastalara 16 hafta süresince Parkinson hastalığına özgü olan egzersizler uygulandı. Hastaların değerlendirilmesi tedavi öncesi ve sonrası olacak şekilde yapıldı. Hastalık şiddeti Birleşik Parkinson Hastalığı Derecelendirme Ölçeği (BPHDÖ) ile yapılırken, yaşam kalitesi değerlendirmesi Kısa Form-36 (KF-36) ile ölçüldü. RZ ve HZ değerlendirmesi elektromiyografik ölçümler kullanılarak yapıldı.
Bulgular: Egzersiz programı öncesi ve sonrası BPHDÖ toplam ve alt bölüm değerleri ile KF-36 yaşam kalitesi değerlendirmesinde istatistiksel olarak anlamlı sayılabilecek bir fark tespit edilmedi. 16 haftalık egzersiz programı sonrası hastaların RZ değerlerinde program öncesine göre kıyasla (sırasıyla, Deltoit RZ 370.46 ± 25’den 219.58 ± 17, Biseps RZ 370.42 ± 27’den 216.49 ± 14 ve Triseps RZ 445.21 ± 31’den 247.53 ± 23) anlamlı bir düşüş tespit edildi.
Sonuç: PH'de hastalığa özgü bir rehabilitasyon programı RZ değerlerinde belirgin bir azalmaya yol açmaktadır. Egzersizin hastalık aktivitesi, yaşam kalitesi ve HZ değerleri üzerinde istatistiksel olarak anlamlı bir etkisi olmamasına rağmen yine de düzelme sağladığı görüldü.

Keywords

Egzersiz, Parkinson Hastalığı, elektromiyografi

Supporting Institution

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Project Number

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Thanks

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Effects of a rehabilitation program for Parkinson’s patients on reaction and movement time: an electromyographic study

Abstract

Purpose: The aim of the study was to investigate the effects of a rehabilitation program consisting of specific exercises for Parkinson's Disease (PD) patients on reaction time (RT), movement time (MT), quality of life and disease activity.
Materials and Methods: A total of 26 idiopathic PD patients were included in the study. The exercises specific to Parkinson’s were applied to the patients for 16 weeks. The evaluation of the patients were done before and after the treatment. The disease severity was measured with Unified Parkinson’s Disease Rating Scale (UPDRS), quality of life was measured with Short Form-36 (SF-36). RT and MT measurements were done electromyographically.
Results: There was no statistically significant difference in UPDRS total and sub-section values and SF-36 quality of life evaluation before and after the exercise program. While a significant decrease was observed in the RT values of the patients after the 16 week exercise program compared to prior to the program (Deltoid RT 370.46 ± 25 to 219.58 ± 17, biceps RT 370.42 ± 27 to 216.49 ± 14 and triceps RT 445.21 ± 31 to 247.53 ± 23, respectively).
Conclusion: In PD, the rehabilitation program specific to the disease leads to a significant decrease in RT. Although the exercise has no statistically significant effect on disease activity, quality of life and MT values, it was seen that it still led to improvement.

Keywords

Exercise, Parkinson’s Disease, electromyography

Project Number

Yok

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