Vasküler hemiplejik hastaların sağlığı ile ilgili uyarlanmış fiziksel aktivitenin vücut kompozisyonu ve fitnesine katkısı

Öz

Amaç: İnme, 24 saatten fazla süren, vasküler orijinli bir nörolojik eksikliktir. Uyarlanmış fiziksel aktivitelerle ilişkili fonksiyonel rehabilitasyonun, vücut kompozisyonu ve vasküler hemiplejik hastaların sağlığı ile ilgili uygunluk üzerindeki etkisini incelemeyi amaçladık.

Yöntemler: 90 erkek hemiplejik hastanın vücut kompozisyonu ve sağlıkla ilgili uygunluğunu değerlendirmek için oluşturulan olgu-kontrol çalışma yöntemini seçtik, randomizasyondan sonra 40'ının uygulamalı fonksiyonel rehabilitasyon programına aldık. Fonksiyonel rehabilitasyon programına sunulan fiziksel aktiviteler ve kontrol grubunun 50'sine uyarlandı.

Bulgular: İki müdahale programından sonra, deney grubundaki deneklerin toplam yağ, visseral yağ ve kası kontrol grubuna anlamlı olarak değiştirdiğini bulduk (sırasıyla P<0.001, P=0.004 ve P=0.029). Dinlenme kalp hızı, solunum hızı, kas kuvveti, yürüme hızı ve hızı kontrol grubuna göre anlamlı olarak azaldı (belirtilen tüm karşılaştırmalar için P <0.001). Ayrıca istirahat sistolik kan basıncı, istirahat diyastolik kan basıncı, zorlu ekspiratuvar volümü, kas kuvveti ve Motor becerileri kontrol grubuna göre anlamlı olarak düzeldi (Sırasıyla, P=0.048, P=0.027, P=0.003, P=0.015 ve P=0.003).

Sonuç: Bu çalışma, uyarlanmış fiziksel aktivitelerin düzenli olarak uygulanmasıyla ilişkili fonksiyonel rehabilitasyon programının, hemiplejik hastaların morfolojik durumlarını ve fiziksel durumlarını iyileştirmede, fonksiyonel rehabilitasyonun izole kullanımına göre daha faydalı olduğunu göstermektedir.

Anahtar Kelimeler

• Uyarlanmış fiziksel aktivite,Hemipleji,Fitness

Contribution of adapted physical activity on body composition and fitness related to the health of vascular hemiplegic patients

Abstract

Aim: Stroke is a neurological deficit of vascular origin lasting more than 24 hours. We aimed to examine the impact of the functional rehabilitation associated with the practice of adapted physical activities on body composition and fitness related to the health of vascular hemiplegic patients.

Methods: We chose the case-control study method which is consisted to evaluate the body composition and health-related fitness of 90 male hemiplegic patients, after randomization, 40 of whom were in the experimental group undergoing a functional rehabilitation program associated with the practice of adapted physical activities and 50 of the control group submitted to a functional rehabilitation program. 

Results: After the two intervention programs we found that subjects in the experimental group significantly changed total fat, visceral fat and muscle compared  to the control group (P<0.001, P=0.004 and P=0.029, respectively). Their resting heart rate, respiratory rate, muscle strength, walking speed and rate were significantly reduced compared to the control group (P<0.001 for all mentioned comparisons). In addition, their resting systolic blood pressure, resting diastolic blood pressure, forced expiratory volume, muscle strength and Motor skills were significantly improved compared to the control group (P=0.048, P=0.027, P=0.003, P=0.015 and P=0.003, respectively).

Conclusion: This study shows that the functional rehabilitation program associated with the regular practice of adapted physical activities is more beneficial in improving the morphological state and fitness of hemiplegic patients than the isolated use of functional rehabilitation.

Keywords

• Adapted physical activity,Hemiplegia,Fitness

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