Bu çalışmanın amacı akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin mobilite düzeyi ve klinik sonuçlar üzerine etkisini incelemektir. Yöntem: Çalışmaya bir üniversite hastanesinin nöroloji servisinde akut inme tanısı ile takip edilen 74 birey gönüllük esasına uygun olarak dahil edildi. Hastaların yaş, cinsiyet, eğitim gibi demografi k bilgileri kaydedildi. Hastaların mobilite düzeyi Fizyoterapi Fonksiyonel Mobilite Profi li (FFMP) ile, klinik sonuçlar Klinik Sonuçlar Değişim Skalası (KSDS) ile rehabilitasyon programı başlamadan önce ve klinikten taburcu olduğu sırada, fi zyoterapi programına katılım düzeyi Pittsburgh Rehabilitasyon Katılım Skalası (PRKS) ile her seans sonrası değerlendirildi. Bulgular: Bireylerin 48’i kadın 26’sı erkek, yaş ortalaması 68.84±12.35 yıl, ortalama hastanede kalış süresi 7.23±4.36 gün idi. FFMP puanı ilk ölçümde 41.18±18.00, son ölçümde 46.72±16.27 puan, iki ölçüm arası fark 5.54±8.78 puan, KSDS puanı ilk ölçümde 57.36±25.08, son ölçümde 64.75±20.92 puan, iki ölçüm arası fark 7.39±12.18 puan, PRKS ortalama puanı 4.60±1.06 olarak bulundu. PRKS ortalama puanı ile FFMP ve KSDS ilk ve son ölçüm puanları arasında pozitif yönde anlamlı bir ilişki saptandı (p<0.01). PRKS ile FFMP ve KSDS fark puanları arasında istatiksel olarak anlamlı bir ilişki saptanmadı (p>0.05). Sonuç: Elde edilen sonuçlar akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin fonksiyonel mobilite düzeyini ve klinik sonuçları etkilediğini göstermektedir.
1. Sudlow CL, Warlow CP. Comparing Stroke Incidence Worldwide: What
Makes Studies Comparable? Stroke 1996;27(3):550-558.
2. Visser-Meily A, Post M, Gorter JW, Berlekom SBV, Bos TVD, Lindeman
E. Rehabilitation Of Stroke Patients Needs A Family-Centred Approach.
Disabil Rehabil 2006;28(24):1557–1561.
3. Kayıhan H. Hemiplejide İş ve Uğraşı Tedavisi 2. Baskı. Ankara: Volkan
Matbacılık; 1989: 9-10.
4. Obiako OR, Oparah SK, Ogunniyi A. Prognosis And Outcome Of Acute
Stroke In The University College Hospital Ibadan, Nigeria. Niger J Clin
Pract 2011;14(3):359-362.
5. Fallahpour M, Tham K, Joghataei MT, Jonsson H. Perceived Participation
And Autonomy: Aspects Of Functioning And Contextual Factors Predicting
Participation After Stroke. J Rehabil Med 2011;43(5):388-397.
6. Brett CE, Sykes C, Pires-Yfantouda R. Interventions To Increase Engagement
With Rehabilitation In Adults With Acquired Brain İnjury: A Systematic
Review. Neuropsychol Rehabil 2017;27(6):959-982.
7. Paolucci S, Di Vita A, Massicci R, Traballesi M, Bureca I, Matano A, et al.
Impact Of Participation On Rehabilitation Results: A Multivariate Study.
Eur J Phys Rehabil Med 2012;48(3):455-466.
8. Yang SY, Kong KH. Level And Predictors Of Participation In Patients
With Stroke Undergoing Inpatient Rehabilitation. Singapore Med J
2013;54(10):564-568.
9. Trammell M, Kapoor P, Swank C, Driver S. Improving Practice With Integration
Of Patient Directed Activity During Inpatient Rehabilitation. Clin
Rehabil 2017;31(1):3-10.
10. Laferrière L, Brosseau L, Narezny M, Ryan M, Tibi G, Chardon JW. Reliability
And The Validity Of The Physiotherapy Functional Mobility Profi le
Questionnaire. Physiother Theory Pract 2001; 17:217-228.
11. Salter K, Jutai J, Foley N, Teasell R. Clinical Outcome Variables Scale: A
Retrospective Validation Study In Patients After Stroke. J Rehabil Med
2010;42(7):609-613.
12. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. The
Pittsburgh Rehabilitation Participation Scale: Reliability And Validity Of A
Clinician-Rated Measure Of Participation In Acute Rehabilitation. Arch
Phys Med Rehabil 2004;85(3):380-384.
13. Özdamar K. SPSS İle Biyoistatistik. 5. Baskı. Eskişehir: Kaan Kitabevi;
2003:99-130.
14. Kristensen HK, Tistad M, Koch Lv, Ytterberg C. The Importance of Patient
Involvement In Stroke Rehabilitation. PLoS One 2016;11(6):1-13.
15. Danks KA, Pohlig RT, Roos M, Wright TR, Reisman DS. Relationship Between
Walking Capacity, Biopsychosocial Factors, Self-effi cacy, And Walking
Activity In Persons Poststroke. J Neurol Phys Ther 2016;40(4):232-
238.
16. Ren Y, Xu T, Wang L, Yang CY, Guo X, Harvey RL, et al. Develop A Wearable
Ankle Robot For In-Bed Acute Stroke Rehabilitation. Conf Proc IEEE
Eng Med Biol Soc; 2011;7483-7486.
17. Morghen S, Morandi A, Guccione AA, Bozzini M, Guerini F, Gatti R, et al.
The Association Between Patient Participation And Functional Gain Following
Inpatient Rehabilitation. Aging Clin Exp Res 2017;29(4):729-736.
18. Carr J, Shepherd R. Neurological Rehabilitation: Optimizing motor performance.
1 st edition. Oxford: Butterworth-Heinemann; 1998:20-28.
19. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. CF.
Signifi cance Of Poor Patient Participation In Physical And Occupational
Therapy For Functional Outcome And Length Of Stay. Arch Phys Med
Rehabil 2004;85(10):1599-1601.
20. Talkowski JB, Lenze EJ, Munin MC, Harrison C, Brach JS. Patient Participation
And Physical Activity During Rehabilitation And Future Functional
Outcomes In Patients After Hip Fracture. Arch Phys Med Rehabil
2009;90(4):618-622.
21. 21. Wressle E, Eeg-Olofsson AM, Marcusson J, Henriksson C. Improved
Client Participation In The Rehabilitation Process Using A Client-Centred
Goal Formulation Structure. J Rehabil Med 2002;34(1):5-11.
22. 22. Warner G, Packer T, Villeneuve M, Audulv A, Versnel J. A Systematic
Review Of The Effectiveness Of Stroke Self-Management Programs For
Stroke Survivors. Disabil Rehabil 2015; 37(23):2141-2163.
23. 23. Wilson CM, Mitchell CL, Hebert KM. Cerebellar Stroke Occupational
Therapy And Physical Therapy Management From Intensive Care Unit To
Outpatient: A Case Report. Cureus 2017;9(12):1-23.
24. Cumming TB, Thrift AG, Collier JM, Churilov L, Dewey HM, Donnan GA,
et al. Very Early Mobilization After Stroke Fast-Tracks Return To Walking:
Further Results From The Phase II AVERT Randomized Controlled Trial.
Stroke 2011;42(1):153-158.
25. Sundseth A, Thommessen B, Rønning OM. Outcome After Mobilization
Within 24 Hours Of Acute Stroke: A Randomized Controlled Trial. Stroke
2012;43(9):2389-2394.
26. Imura T, Nagasawa Y, Fukuyama H, Imada N, Oki S, Araki O. Effect
Of Early And Intensive Rehabilitation In Acute Stroke Patients: Retrospective
Pre-/Post-Comparison In Japanese Hospital. Disabil Rehabil
2018;40(12):1452-1455.
27. Diserens K, Moreira T, Hirt L, Faouzi M, Grujic J, Bieler G, et al. Early
Mobilization Out Of Bed After Ischaemic Stroke Reduces Severe Complications
But Not Cerebral Blood Flow: A Randomized Controlled Pilot
Trial. Clin Rehabil 2012;26(5):451-459.
The Effect of Participation in The Physiotherapy Program Level on Mobility Level and Clinical Outcomes in Acute Stroke Individuals
Year 2018,
Volume: 4 Issue: 3, 150 - 157, 28.09.2018
The aim of this study is to examine effect of the level of participation in the physiotherapy program on the level of mobility and clinical outcomes in individuals with acute stroke. Methods: 74 patients were included who acute stroke diagnoses were followed neurology department in one university hospital in this study. Demographic characteristics of patients’ as age, gender, education were recorded in the study. Patients’ mobility levels with Physiotherapy Functional Mobility Profi le (PFMP), clinic outcomes with Clinical Outcome Variables Scale (COVS) were evaluated before rehabilitation program and at the time of discharge from the clinic, the level of participation in the physiotherapy program was evaluated with the Pittsburgh Rehabilitation Participation Scale (PRPS) after each treatment session. Results: Participiants’ 48 individuals were female, 26 male, mean ages of participiants was 68.84±12.35 years old, mean duration of hospital stay was 7.23±4.36 days. It was found PFMP score 41.18±18.00 in fi rst measurement, 46.72±16.27 points in last measurement, difference between two measurements 5.54±8.78 points, COVS score 57.36±25.08 in fi rst measurement, 64.75±20.92 points in last measurement, difference between two measurements 7.39±12.18 points, mean score of PRPS 4.60±1.06 points. There is a positive signifi cance relationship between fi rst and last measurement points of PFMP’ and COVS’ points and mean points of PRPS (p<0.01). There was no statistically signifi cant relationship between PRPS and PFMP and COVS difference scores (p>0.05). Conclusion: The results showed that the level of participation in the physiotherapy program in acute stroke patients affects the level of functional mobility and clinical outcomes.
1. Sudlow CL, Warlow CP. Comparing Stroke Incidence Worldwide: What
Makes Studies Comparable? Stroke 1996;27(3):550-558.
2. Visser-Meily A, Post M, Gorter JW, Berlekom SBV, Bos TVD, Lindeman
E. Rehabilitation Of Stroke Patients Needs A Family-Centred Approach.
Disabil Rehabil 2006;28(24):1557–1561.
3. Kayıhan H. Hemiplejide İş ve Uğraşı Tedavisi 2. Baskı. Ankara: Volkan
Matbacılık; 1989: 9-10.
4. Obiako OR, Oparah SK, Ogunniyi A. Prognosis And Outcome Of Acute
Stroke In The University College Hospital Ibadan, Nigeria. Niger J Clin
Pract 2011;14(3):359-362.
5. Fallahpour M, Tham K, Joghataei MT, Jonsson H. Perceived Participation
And Autonomy: Aspects Of Functioning And Contextual Factors Predicting
Participation After Stroke. J Rehabil Med 2011;43(5):388-397.
6. Brett CE, Sykes C, Pires-Yfantouda R. Interventions To Increase Engagement
With Rehabilitation In Adults With Acquired Brain İnjury: A Systematic
Review. Neuropsychol Rehabil 2017;27(6):959-982.
7. Paolucci S, Di Vita A, Massicci R, Traballesi M, Bureca I, Matano A, et al.
Impact Of Participation On Rehabilitation Results: A Multivariate Study.
Eur J Phys Rehabil Med 2012;48(3):455-466.
8. Yang SY, Kong KH. Level And Predictors Of Participation In Patients
With Stroke Undergoing Inpatient Rehabilitation. Singapore Med J
2013;54(10):564-568.
9. Trammell M, Kapoor P, Swank C, Driver S. Improving Practice With Integration
Of Patient Directed Activity During Inpatient Rehabilitation. Clin
Rehabil 2017;31(1):3-10.
10. Laferrière L, Brosseau L, Narezny M, Ryan M, Tibi G, Chardon JW. Reliability
And The Validity Of The Physiotherapy Functional Mobility Profi le
Questionnaire. Physiother Theory Pract 2001; 17:217-228.
11. Salter K, Jutai J, Foley N, Teasell R. Clinical Outcome Variables Scale: A
Retrospective Validation Study In Patients After Stroke. J Rehabil Med
2010;42(7):609-613.
12. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. The
Pittsburgh Rehabilitation Participation Scale: Reliability And Validity Of A
Clinician-Rated Measure Of Participation In Acute Rehabilitation. Arch
Phys Med Rehabil 2004;85(3):380-384.
13. Özdamar K. SPSS İle Biyoistatistik. 5. Baskı. Eskişehir: Kaan Kitabevi;
2003:99-130.
14. Kristensen HK, Tistad M, Koch Lv, Ytterberg C. The Importance of Patient
Involvement In Stroke Rehabilitation. PLoS One 2016;11(6):1-13.
15. Danks KA, Pohlig RT, Roos M, Wright TR, Reisman DS. Relationship Between
Walking Capacity, Biopsychosocial Factors, Self-effi cacy, And Walking
Activity In Persons Poststroke. J Neurol Phys Ther 2016;40(4):232-
238.
16. Ren Y, Xu T, Wang L, Yang CY, Guo X, Harvey RL, et al. Develop A Wearable
Ankle Robot For In-Bed Acute Stroke Rehabilitation. Conf Proc IEEE
Eng Med Biol Soc; 2011;7483-7486.
17. Morghen S, Morandi A, Guccione AA, Bozzini M, Guerini F, Gatti R, et al.
The Association Between Patient Participation And Functional Gain Following
Inpatient Rehabilitation. Aging Clin Exp Res 2017;29(4):729-736.
18. Carr J, Shepherd R. Neurological Rehabilitation: Optimizing motor performance.
1 st edition. Oxford: Butterworth-Heinemann; 1998:20-28.
19. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. CF.
Signifi cance Of Poor Patient Participation In Physical And Occupational
Therapy For Functional Outcome And Length Of Stay. Arch Phys Med
Rehabil 2004;85(10):1599-1601.
20. Talkowski JB, Lenze EJ, Munin MC, Harrison C, Brach JS. Patient Participation
And Physical Activity During Rehabilitation And Future Functional
Outcomes In Patients After Hip Fracture. Arch Phys Med Rehabil
2009;90(4):618-622.
21. 21. Wressle E, Eeg-Olofsson AM, Marcusson J, Henriksson C. Improved
Client Participation In The Rehabilitation Process Using A Client-Centred
Goal Formulation Structure. J Rehabil Med 2002;34(1):5-11.
22. 22. Warner G, Packer T, Villeneuve M, Audulv A, Versnel J. A Systematic
Review Of The Effectiveness Of Stroke Self-Management Programs For
Stroke Survivors. Disabil Rehabil 2015; 37(23):2141-2163.
23. 23. Wilson CM, Mitchell CL, Hebert KM. Cerebellar Stroke Occupational
Therapy And Physical Therapy Management From Intensive Care Unit To
Outpatient: A Case Report. Cureus 2017;9(12):1-23.
24. Cumming TB, Thrift AG, Collier JM, Churilov L, Dewey HM, Donnan GA,
et al. Very Early Mobilization After Stroke Fast-Tracks Return To Walking:
Further Results From The Phase II AVERT Randomized Controlled Trial.
Stroke 2011;42(1):153-158.
25. Sundseth A, Thommessen B, Rønning OM. Outcome After Mobilization
Within 24 Hours Of Acute Stroke: A Randomized Controlled Trial. Stroke
2012;43(9):2389-2394.
26. Imura T, Nagasawa Y, Fukuyama H, Imada N, Oki S, Araki O. Effect
Of Early And Intensive Rehabilitation In Acute Stroke Patients: Retrospective
Pre-/Post-Comparison In Japanese Hospital. Disabil Rehabil
2018;40(12):1452-1455.
27. Diserens K, Moreira T, Hirt L, Faouzi M, Grujic J, Bieler G, et al. Early
Mobilization Out Of Bed After Ischaemic Stroke Reduces Severe Complications
But Not Cerebral Blood Flow: A Randomized Controlled Pilot
Trial. Clin Rehabil 2012;26(5):451-459.
Başkurt, F., Günal, A., & Başkurt, Z. (2018). Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm, 4(3), 150-157.
AMA
Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. September 2018;4(3):150-157.
Chicago
Başkurt, Ferdi, Ayla Günal, and Zeliha Başkurt. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm 4, no. 3 (September 2018): 150-57.
EndNote
Başkurt F, Günal A, Başkurt Z (September 1, 2018) Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm 4 3 150–157.
IEEE
F. Başkurt, A. Günal, and Z. Başkurt, “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”, Journal of Human Rhythm, vol. 4, no. 3, pp. 150–157, 2018.
ISNAD
Başkurt, Ferdi et al. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm 4/3 (September 2018), 150-157.
JAMA
Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. 2018;4:150–157.
MLA
Başkurt, Ferdi et al. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm, vol. 4, no. 3, 2018, pp. 150-7.
Vancouver
Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. 2018;4(3):150-7.