Hemiplejili Bir Bireyde Paralimpik Boccia Sporunun Etkilerinin İncelenmesi: Olgu Sunumu

Abstract

Amaç: Bu çalışma, hemipleji tanılı bir bireyde Paralimpik Boccia sporunun etkilenen elin fonksiyonel kullanımı, depresyon ve mental durum üzerindeki etkilerini incelemek amacıyla gerçekleştirilmiştir. Gereç ve Yöntem: Araştırma kapsamında Eggers sınıflandırma sistemine göre devre 3’te yer alan iskemik orta serebral arter tutulumlu kronik hemipleji tanılı sağ eli etkilenmiş olan 69 yaşındaki erkek danışana uluslararası olimpiyatlarda yer alan Engelli Boccia Spor uygulamasına dahil edilmiştir. Birey Modifiye Ashworth skalasına göre 2. evrededir. Aktif dirsek ekstansiyon ve fleksiyonu yaparak objelere uzanabilmekte ve kavrama hareketlerini hafif tonus artışıyla gerçekleştirebilmektedir. Huzurevinde gerçekleştirilen araştırmada danışanın depresyon durumunu değerlendirmek için Geriatrik Depresyon Ölçeği; el fonksiyon değerlendirmesinde Jebsen el fonksiyon testi, mental durum için standart mini-mental test kullanıldı. Paralimpik Boccia sporu haftada 4 gün, 45 dakikalık seanslar halinde toplam 8 hafta süreyle uygulandı. Müdahale sonrasında testler tekrarlandı. Sonuçlar: Müdahalenin öncesinde bireyde orta derecede depresyon olduğu görüldü. Müdahale sonrası geriatrik depresyon ölçeği sonucunda olumlu gelişme kaydedildi. Mental fonksiyon açısından yalnızca bir puanlık artış sağlandı. Jebsen el fonksiyon testinde ise Boccia Sporu öncesi ve sonrası skorlar karşılaştırıldığında, testleri tamamlama sürelerinin azaldığı görüldü. Tartışma: Paralimpik Boccia Sporunun hemipleji tanısı almış bu bireyin, mental ve psikolojik durumunu geliştirdiği ve üst ekstremitenin fonksiyonel kullanımı üzerinde olumlu etkilerinin olduğu ve bu spora tamamlayıcı rehabilitasyon uygulamaları içinde yer verilebileceği sonucuna varılmıştır. Ayrıca sporun bir aktivite olarak kullanımı bu bireylerin sosyal katılımları üzerinde de olumlu etkiler meydana getirecektir.

Keywords

• Hemipleji
• ergoterapi
• boccia sporu
• geriatri

Effects of Paralympic Boccia Sports in Hemiplegia Rehabilitation: A Case Report

Abstract

Purpose: This study was carried out to examine the effects of Paralympic Boccia on the functional use of the affected hand, depression, and mental status in an individual with hemiplegia.
Material and Methods: Within the scope of the research, a 69-year-old male client with a diagnosis of chronic hemiplegia with ischemic middle cerebral artery involvement, which is in level 3 according to the Eggers classification system, was included in the Disabled Boccia Sports practice in the international Olympics. This individual, who was in stage 2 on the modified Ashworth scale, can reach objects by active elbow extension and flexion and can perform grasping movements with a slight increase in muscle tonus. In the study which was carried out in a nursing home, Geriatric Depression Scale was used to evaluate the depression status of the client, the Jebsen hand function test was used for hand function evaluation, and standard mini-mental test was used for mental status. Paralympic Boccia sport was performed 4 days a week, in 45-minute sessions, for a total of 8 weeks. After the intervention, the tests were repeated.

Results: It was observed that the individual had moderate depression before the intervention. A positive improvement was noted as a result of the geriatric depression scale after the intervention. Only a one-point increase was achieved in terms of mental function. In the Jebsen hand function test, when the scores before and after Boccia Sport were compared, it was observed that the time to complete the tests decreased.
Discussion: It has been concluded that Paralympic Boccia Sport has improved the mental and psychological state of this individual diagnosed with hemiplegia and had positive effects on the functional use of the upper extremity, and this sport can be included in complementary rehabilitation practices. In addition, the use of sports as an activity will have positive effects on the social participation of these individuals.

Keywords

• Hemiplegia
• occupational therapy
• boccia sports
• geriatrics

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