HEMİPLEJİKLERDE LEZYON ŞİDDETİ, GÜNLÜK YAŞAM AKTİVİTELERİ VE ALGI BOZUKLUKLARI ARASINDAKİ İLİŞKİ

Yıl 2006, Sayı: 1, 17 - 27, 01.05.2006

Gonca Bumın Mine Uyanık Asuman Ergun Hülya Kayıhan

Öz

Bu çalışmanın amacı hemiplejik hastalarda lezyon şiddeti ve duyu
algı bozukluğu ile duyu algı bozukluğu ve günlük yaşam aktiviteleri (GYA)
arasındaki ilişkiyi incelemekti. Ayrıca sağ ve sol hemiplejik hastalarda
duyu- algı- motor fonksiyonlar karşılaştırıldı.
Çalışmaya yaşları 50–75 arasında olan 45 hemiplejik hasta alındı. Ayres
Güney Kaliforniya Duyu Bütünlüğü Testleri ve Kertesz apraksi testi duyualgı-motor problemleri değerlendirmek için kullanıldı. Barthel İndeksi
GYA’ni değerlendirmek için uygulandı. Bilgisayarlı tomografi
sınıflandırması (BTS) lezyon şiddetini saptamak için yapıldı.
Sol hemiplejiklerde GYA ve şekil zemin algısı (ŞZA) (r:0.42), GYA ve
desen kopya etme (DKE) (r:0.50) ile GYA ve praxis (r:0.42) arasında, sağ
hemiplejiklerde GYA ve ŞZA (r:0.40), GYA ve DKE ( r:0.49) ile GYA ve
praxis (r:0.39) arasında anlamlı bir ilişki vardı. Tüm hastalarda lezyon
şiddeti ile GYA ve duyu-algı-motor testler arasında anlamlı bir ilişki
bulundu (r:0.69, p<0.05). Sağ ve sol hemiplejik hastalarda duyu-algı
fonksiyonları karşılaştırıldığında DKE ve ŞZA da anlamlı bir fark vardı
(p<0.05).
Bu çalışmanın sonuçları hemiplejik hastalarda GYA’de bağımsızlık
derecesini artırmak için duyu algı problemlerinin detaylı değerlendirilmesi
gerektiğini gösterdi. Ayrıca BT tarama bulgularının hemiplejik hastaların
prognozunu tahmin etmede önemli olduğu görüldü. Duyu algı
fonksiyonlarının detaylı değerlendirilmesi hastaya göre değişebilecek
tedaviyi planlamaya yardım eder.

Anahtar Kelimeler

Günlük yaşam aktiviteleri, hemipleji, duyu-algı-motor problemler

THE RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING, LESION SEVERITY AND PERCEPTUAL DEFICITS IN HEMIPLEGICS

Öz

The aim of this study was to investigate the relationship
between sensory perception dysfunction and activities of daily living
(ADL), and to investigate the relationship between sensory perception
dysfunction and severity of lesion in hemiplegic patients. Also it was
compared the sensory-perceptual-motor function in right and left
hemiplegic patients.
45 stroke patients with ages ranged from 50-75 years were included the
study. The Ayres Southern California Sensory Integration Tests (SCSIT)
and Kertesz apraxia test were used to assess sensory-perceptual-motor
problems. Barthel Index was used to assess ADL. Computerized
tomography (CT) classification was performed to determine severity of
lesion.
There was a significant correlation between Figure Ground (FG) and ADL
(r: 0.42), Design Copying (DC) and ADL (r: 0.50), praxis and ADL (0.42) in
left hemiplegics; FG and ADL (r: 0.40), DC and ADL (r: 0.49), apraxia and
ADL (r: 0.39) in right hemiplegics. There was a significant correlation
between ADL, sensory perceptual motor tests and CT results in all
patients (r: 0.69) (p<0.05).When sensory-perception functions were
compared between right and left hemiplegics; there was a significant
difference in DC and FG test (p<0.05).
The results of this study showed the importance of a detailed evaluation
of sensory-perception problems to increase the degree of independence
in ADL in hemiplegics. Also, we concluded that CT scan findings are
important in prediction of outcome of stroke patients. Detailed evaluation
of sensory perception functions help to plan the treatment which could be
change according to patient.

Anahtar Kelimeler

Activities of daily living, hemiplegics, sensory-perceptualmotor problems

Kaynakça

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