Kronik Obstrüktif Akciğer Hastalığında Üst Ekstremite Fonksiyonel Değerlendirmesi: Bir Derleme Makalesi

Year 2022, Issue: 16, 302 - 312, 30.04.2022

Muhammed Yurtseven

https://doi.org/10.38079/igusabder.970389

Cited By: 1

Abstract

Kronik obstrüktif akciğer hastalığı (KOAH), genellikle zararlı partiküllere veya gazlara ciddi bir şekilde maruz kalmanın neden olduğu hava yolu inflamasyonu ve alveolar anormalliklere bağlı kalıcı solunum semptomları ve hava akımı kısıtlanması ile karakterize, yaygın, önlenebilir ve tedavi edilebilir bir hastalıktır. Genellikle bu hastalıkla beraber karşılaşılan semptomlar dispne, öksürük ve balgamdır. KOAH, esas olarak bir solunum sistemi hastalığı olmasına rağmen, bozulmuş solunum fonksiyonu, KOAH'lı bireylerin yaşadığı problemlerden sadece bir tanesidir. Ekspiratuar hava akımı sınırlaması ve dispneye ek olarak, KOAH'lı hastalarda sıklıkla kardiyovasküler hastalıklar, osteoporoz, ekstremite kas disfonksiyonu ve psikolojik bozukluklar gibi komorbiditeler mevcuttur. Bunların tümü fonksiyonel kapasitenin azalmasına ve günlük yaşam aktivitelerine kısıtlı katılıma katkıda bulunur. Fonksiyonel değerlendirme içerik olarak; ayakta durma, temel vücut pozisyonunu değiştirme, yürüme, ayakta durma, nesneleri tutma ve taşıma gibi üst ve alt ekstremite aktivitelerine odaklanır. Literatüre bakıldığında KOAH’lı hastalarda üst ekstremite fonksiyonel değerlendirmelerine yönelik sınırlı sayıda çalışma mevcuttur. Bu nedenle bu derlemenin amacı, KOAH’lı hastalarda üst ekstremite fonksiyonel değerlendirmesi için kullanılan yöntemlerle ilgili bilgileri sunmaktır.

Keywords

Kronik obstrüktif akciğer hastalığı, üst ekstremite, değerlendirme, fiziksel fonksiyonel performans

Upper Extremity Functional Evaluation in Chronic Obstructive Pulmonary Disease: A Review Article

Abstract

Chronic obstructive pulmonary disease (COPD) is a common, preventable and treatable that is characterized by persistent respiratory symptoms and airflow inflammation that is due to airway and alveolar abnormalities usually caused by significant exposure to noxious particles or gases. The symptoms usually associated with this disease are dyspnea, cough and sputum. Despite the fact that chronic obstructive pulmonary disease is primarily a respiratory disease, impaired respiratory function is only one aspect of the disability experienced by individuals with chronic obstructive pulmonary disease. In addition to expiratory flow limitation and dyspnea, patients with chronic obstructive pulmonary disease often have comorbidities such as cardiovascular diseases, osteoporosis, limb muscle dysfunction, and psychological disorders. All of these contribute to the limitation of functional capacity and limited participation in activities of daily living. Functional assessment should focus on upper extremity physical functional activities such as standing, changing basic body position, walking, standing, holding and carrying objects. In the literature, there are limited studies on upper extremity functional evaluations in patients with chronic obstructive pulmonary disease. Therefore, the purpose of this review is to present information about the methods used for upper extremity functional assessment in patients with chronic obstructive pulmonary disease.

Keywords

Chronic obstructive pulmonary disease, upper extremity, assessment, physical functional performance

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