Halliwick Yönteminin İnmeli Geriatrik Hastada Denge ve Fonksiyonel Düzey Üzerine Etkileri

Abstract

Halliwick Yönteminin İnmeli Geriatrik Hastada Denge ve Fonksiyonel Düzey Üzerine Etkileri

 

Özet

Bu çalışmanın amacı inmeli geriatrik bir olguda Halliwick yönteminin denge ve fonksiyonel düzey üzerine etkilerini incelemektir. Kronik iskemik inme tanılı konvansiyonel tedaviye uyum sağlayamamış ve bağımlılık düzeyi artmış 82 yaşında bir kadın hasta olgu olarak seçildi. Olgunun fonksiyonel düzeyi Zamanlı Kalk Yürü Testi (ZKY) ile denge düzeyi Berg Denge Ölçeği (BDÖ) ile ve günlük yaşam aktivitelerindeki bağımsızlık düzeyi ise Barthel İndeksiyle değerlendirildi. Olguya sekiz hafta boyunca haftada iki gün 45 dakika, 1.30 cm derinliğinde ve 320 C sıcaklığında bir havuzda Halliwick yönteminin zihinsel uyum ve farklı rotasyon kontrol adımları uygulandı. Yapılan ilk değerlendirmede olgunun ZKY testi 102 saniye, BDÖ ve Barthel İndeksinin sonuçları ise sırasıyla 6 ve 15 puan olarak kaydedildi. Olgu; tedavi sonrasında ZKY testini 80 saniyede tamamlarken, BDÖ’den 16 puan, Bathel İndeksin’den ise 40 puan aldı.

Halliwick yöntemi bu olguda herhangi bir yan etki oluşturmadan güvenle uygulanmıştır. Bununla birlikte uygulanan tedavi sonrası olgunun gövde kontrolü ve dengesinde anlamlı gelişmelere neden olmuştur.

Anahtar Kelimeler: Halliwick, İnme, Geriatri, İmmobil

 

The Effects of the Halliwick Method on Balance and Functional Level in a Immobile Stroke Geriatric Case 

 

Abstract

The purpose of this study is to examine the effects of the Halliwick method on balance and functional level in a immobile stroke geriatric case. An 82-year-old woman with a diagnosis of chronic ischemic stroke was unable to adapt conventional treatment, and her independency decreased. She received Halliwick exercise for 45-minutes two days per week in eight weeks. Timed Up and Go (TUG) test was used for functional level, balance was evaluated with Berg Balance Scale (BBS) and Barthel was used to measure performance in activities of daily living. Mental adjustment and variation of rotational control steps of Halliwick method were used in a 1.30 cm depth and 320 C the water temperature pool. In the initial assessment the scores of TUG test was 102 seconds whereas BBS and Barthel index were 6 and 15 consecutively. Following the treatment TUG test was completed in 80 seconds, while BBS and Barthel scores were 16 and 40.

Aquatic treatment methods have been applied safely without any side effect in this case. Additionally the trunk control and balance of the case were significantly increased.

Keywords: Halliwick, Stroke, Geriatrics, Immobile.

Keywords

• Halliwick,İnme,Geriatri,immobil

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