İnme sonrası bireylerde elastik gövde ortezi kullanımının gövde pozisyon hissi ve denge üzerine anlık etkisi

Abstract

Amaç: Duyu, algı, motor kayıplarına yol açan inme; denge, postüral stabilite ve mobiliteyi etkilemektedir. Gövde pozisyon hissi ve stabilitesi ekstremite fonksiyonları açısından önemlidir. Fizyoterapi ve rehabilitasyonda ortotik cihazlar da dahil olmak üzere, gövde kontrolünün arttırılmasına yönelik çeşitli yöntemler kullanılmaktadır. Bu çalışma, inme sonrası bireylerde elastik gövde ortezinin gövde repozisyon hissi ve denge üzerindeki anlık etkisini araştırmayı amaçladı.

Yöntem: Çalışmaya 28 inme geçirmiş, aynı yaş grubunda 28 sağlıklı, toplam 56 birey dahil edildi. Repozisyon hissi ve denge, gövde ortezli ve ortezsiz olarak, HUMAC NORM izokinetik cihazı, Gövde Bozukluk Ölçeği, İnme Hastaları İçin Postüral Değerlendirme Ölçeği ve Fonksiyonel Uzanma Testleriyle değerlendirildi.

Bulgular: Grup içi ve gruplar arasında gövde korseli ve korsesiz olarak repozisyon hissi bakımından anlamlı farklılık bulunmadı (p˃0,05). İnme Hastaları İçin Postüral Değerlendirme Ölçeği skorları anlamlı değişiklik göstermedi (p˃0,05). Fonksiyonel Uzanma Testinde korse kullanımı lehine hem çalışma hem kontrol grubunda anlamlı farklılık bulundu (sırasıyla p=0,013 and p<0,001). Çalışma grubu Gövde Bozukluk Skalasında korseli ve korsesiz anlamlı değişiklik gösterdi (p=0,003). Fonksiyonel Uzanma ve Gövde Repozisyon Testi ortalama farkları iki grupta da anlamlı farklılık göstermedi (p˃0,05).

Sonuç: Bu çalışmada, elastik gövde ortezi kullanımının bazı fonksiyonel testlerde anlık etkisinin olduğu fakat repozisyon hissi bakımından etkili olmadığı sonucuna varıldı. İnmeli bireylerde repozisyon hissini etkileyen faktörlerin incelenmesini ve bu doğrultuda yeni fizyoterapi uygulamalarının etkinliğinin araştırılmasını önermekteyiz.

Keywords

• Ortez
• pozisyon hissi
• postüral denge
• propriyosepsiyon
• inme

Immediate effect of elastic trunk orthosis on trunk positioning sense and balance in post-stroke individuals

Abstract

Purpose: Stroke; causing sensory, perception, motor loss, affects balance, postural stability and mobility. Position sense of trunk and its stability are important in terms of limb functions. Various methods are used in physiotherapy and rehabilitation, including orthotic devices to increase trunk control. This study aimed to investigate the immediate effect of elastic trunk orthosis on trunk repositioning sense and balance in post-stroke individuals.

Methods: A total of 56, 28 with stroke and 28 age matched healthy individuals, were included into study. Repositioning sense and balance were evaluated with and without a trunk orthosis, using the HUMAC NORM isokinetic device, Trunk Impairment Scale, Postural Assessment Scale for Stroke Patients, and Functional Reach Tests.

Results: There was no significant difference within and between groups on trunk repositioning sense with and without corset use (p˃0.05). Postural Assessment Scale for Stroke Patients scores did not show significant change (p˃0.05). There was a significant difference in favour of corset use in both study and control groups in functional reach test (p=0.013 and p<0.001 respectively). Study group showed significant change with and without corset scores in Trunk Impairment Scale (p=0.003). Mean differences on Functional Reach Test and Trunk Repositioning Test showed no significant difference in both groups (p˃0.05).

Conclusion: The use of trunk orthosis has an immediate effect in some functional tests, but not in terms of repositioning sense were concluded. We propose to examine the factors affecting the repositioning sense in individuals with stroke and to investigate the effectiveness of new physiotherapy applications accordingly.

Keywords

• Orthosis
• Position sense
• Postural balance
• Proprioception
• Stroke

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