Nazal Septal Deviasyonun Kişilerin Fiziksel Uygunluk Seviyesi Üzerine Etkisi: Pilot Çalışma

Öz

Amaç: Bu çalışma nazal septal deviasyonu olan bireylerin fiziksel uygunluk seviyelerini sağlıklı yaşıtlarıyla karşılaştırmak amacıyla yapıldı.

Gereç ve Yöntem: Araştırma; çalışmaya katılmaya gönüllü olan ve nazal septal deviasyonu olan 10 kişi ile nazal septal deviasyonu ve bilinen herhangi bir sağlık problemi olmayan 10 kişi olmak üzere toplam 20 olgunun katılımı ile gerçekleştirildi. Çalışmaya katılan bireylerin fiziksel uygunluk seviyeleri; 6 dk yürüme testi, kas kuvveti testleri, kassal endurans testleri, esneklik testleri, çeviklik testleri, hız testleri ve denge testleri ile değerlendirilmiştir.

Bulgular: Verilerin analizi sonucunda nazal deviasyonlu bireylerin fiziksel uygunluk parametrelerinden kassal endurans, hız, çeviklik ve denge parametreleri ile abdominal kas kuvveti değerlerinin sağlıklı yaşıtlarına göre daha kötü olduğu belirlendi (p>0,05).

Sonuç: Nazal deviasyonlu bireylerin fiziksel uygunluk seviyeleri sağlıklı yaşıtlarına göre daha düşüktür.  Nazal septal deviasyonun, kişinin nefes almada zorluk ve efor gerektiren aktivitelerde problemler ortaya çıkarması nedeniyle bir kısır döngü oluşturması ve ilerleyen zamanlarda kişilerin kardiovasküler ve kassal enduransının azalmasına da neden olabileceği ve kişilerin günlük yaşam aktivitelerinde problemler ortaya çıkarabileceği düşünülmüştür. Bu nedenle nazal deviasyonlu kişilerde fiziksel uygunluk seviyesi etkilemeden önce, en erken dönemde uygun tedavi protokollerinin uygulanması gereklidir.

Anahtar Kelimeler

• Nazal septal deviasyon,Fiziksel Uygunluk

The Effect of the Nasal Septal Deviation on Pysical Fitness Level: A Pilot Study

Öz

Objective: This study was made to compare the pysical fitness level of the poeple with and without nazal septal deviation.

Material and Method: The study was carried out with 10 people with nazal septal deviation and 10 people without nazal septal deviation, totally with 20 people who voluntary to participate. To evoluate phsical fitness level; 6 minute walk test, muscle strength tests, muscle endurance tests, flexibility tests, agility test, speed tests and balance tests measures were evaluated.

Results: As a result of data analysis; physical fitness parameters especially muscular endurance, speed, agility, balance and abdominal muscle strength of individuals with nasal deviation have been determined to be worse than their healthy peers (p<0.05).

Conclusion: Physical fitness level of the individual with nasal deviation is lower than their healthy peers. Affected pyhsical fitness level in the event of nasal deviation could lead to a reduction in cardiovascular and muscular endurance in the future and we think that it might will make problems with activities of daily living. For this reason, before affecting physical fitness level, appropriate treatment protocols should be applied at an early stage in nasal septal deviation.

Anahtar Kelimeler

• Nasal Saptal Deviation,Physical Fitness

Kaynakça

1. 1. Ahmad J, Rohrich RJ. The crooked nose. Clinics in plastic surgery 2016; 43(1): 99-113. 2. Aktas D, Kalcioglu MT, Kutlu R ve ark. The Relation Ship Between The Concha Bullosa, Nasal Septal Deviation and Sinusitis. Rhinology. 2003;41:103-6. 3. Keleş B, Öztürk K, Ünaldı D ve ark. Is There Any Relation ship Between Nasal Septal Deviation and Concha Bullosa. Eur J Gen Med. 2010;7(4):359-364. 4. Tahir Mahmood K, Fareed T, Tabbasum R. Management Of Deviated Nasal Septum. J. Pharm. Sci. and Res. 2011;3(1): 918-922. 5. Aydoğdu İ, Saltürk Z, Uyar Y ve ark. Importance Of Nasal Septal Deviation Type On Planning Of Surgery. Journal Of Clinical and Analytical Medicine 2015;6(1): 30-2. 6. Ozkırış M, Mutlu C. The Incidence Of Nasal Septal Deviation In Patients Admitted To Our Ent Clinic. Kartal Eğitim ve Araştırma Hastanesi Tıp Degisi 2010;21(2):72-76. 7. Özkeçeci G, Akçi O, Bucak A ve ark. The Effect of Septoplasty on Pulmonary Artery Pressure and Right Ventricular Function in Nasal Septum Deviation. The American Journal of Cardiology 2016; 117: 32. 8. Ats Committee On Proficiency Standards For Clinical Pulmonary Function Laboratories. Ats Statement: Guidelines for the six-Minute walk Test. Am J Respircritcaremed 2002;166:111 9. Rasekaba T, Lee A, Naughton MT et al. The Six-Minute Walk Test: A Useful Metric For The Cardiopulmonary Patient. Internmed J. 2009; 39:495-501. 10. Okudan N. Exercise Tests Performed İn Chest Diseases Clinics. Solunum Dergisi 2012; 14:32–34. 11. Oskay D, Yakut Y. Bel Ağrısı Olan ve Olmayan Kadınların Fiziksel Uygunluk Parametrelerinin Karşılaştırılması, Göztepe Tıp Dergisi 2011;26(3):117-122. 12. Bakirhan S, Angin S, Karatosun V ve ark. Physical Performance Parameters During Standing Up İn Patients With Unilateral And Bilateral Total Knee Arthroplasty. Act Aorthop Traumatol Turc, 2012;46(5):367-372. 13. Otman AS, Köse N. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Ankara: Yücel Ofset Matbaacılık. 2008. 14. Eyigör S, Karapolat H, İbisoglu İ, ve ark. Does Trans Cutaneous Electrical Nerve Stimulation Or Therapeutic Ultrasound İncrease The Effectiveness Of Exercise For Knee Osteoarthritis: A Randomized Controlled Study, Ağrı. 2008; 20(1): 32-40. 15. Ateşoglu U, The Effect Of Different Warm-Up Varieties Applied To Female On Performance Values. Atatürk Jonmal Of Physıcal Education And Sport Sciences 2007; 9(3):10-21. 16. Adedoyin RA, Erhabor GE, Ojo OD et al. Assessment Of Cardiovascular Fitness Of Patients With Pulmonary Tuberculosis Using Six Minute Walk Test. Taf Preventive Medicine Bulletin, 2010;9(2):99-106. 17. Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik. Ankara: Özdemir Yayıncılık; 1994. 18. Akman M, Yılmaz T, Sapçı T ve ark. Bronş Astmalı Olgularda Üst Solunum Yolu Patolojileri. KBB ve Boyun Cerrahisi Dergisi. 1996; 4:62. 19. Spector SL. The Role Of Allergy In Sinusitis In Adults. J Allergy ClinImmunol. 1992; 90: 518-20. 20. Widdicombe JG. The Physiology Of The Nose. Clinical Chest Medicine. 1986; 7: 159-170. 21. Şapçı T, Alan O, Karavuş A, ve ark. Nazal Obstruksiyonlu Olgularda Flow Volume Spirometri. K.B.B. ve Baş Boyun Cerrahisi Dergisi. 1999, 7(1): 11-16. 22. Ahn JC, Lee WH, We J et al. Nasal septal deviation with obstructive symptoms: Association found with asthma but not with other general health problems. American journal of rhinology & allergy, 2016;30(2):17-20. 23. Chen Y, Dales R, Krewski D. Leisure-Time Energy Expenditure in Asthmatics And Non-Asthmatics. Respiratory Medicine 2001;95:13-18. 24. Mancuso CA, Choi TN, Westermann H, et al. Increasing Physical Activity In Patients With Asthma Through Positive Affect And Self-Affirmation: A Randomized Trial. Archives Of Internal Medicine 2012;172:337-343. 25. Ford ES, Heath GW, Mannino DM et al. Time Physical Activity Patterns Among Us Adults With Asthma. Chest.2003;124, 432-437. 26. Lumsden JM, Derksen FJ, Stıck JA, et al. Use Of Flow-Volume Loops To Evaluate Upper Airvay Obstruction in Exercising Standard Breds. Am J Vel Res. 1990; 54: 766-775. 27. Mellisant CF, Van Noord JA, Van De Woestijine KP, et al. Comparison Of Dynamic Lung Function Indices During Forced And Quiet Breathing in Upper Airway Obstruction. Asthma and Emphysema. Chest, 1990; 98: 77-83. 28. Seraman SS, Gaıssert HA. Upper Airway Obstruction, İn Fishman Ap(Ed), Fishman's Pulmonary Disease And Disorders. Third Edition. New York, McGraw-Hill Book Company. 1998; 1:783-801. 29. Sandler RB, Burdett R, Zaleskiewicz M, et al. Muscle Strength As An Indicator Of The Habitual Level Of Physical Activity. Medicine And Science In Sports And Exercise, 1991;23:1375- 1381. 30. Rantanen T, Guralnik JM, Sakari-Rantala R, et al. Disability, Physical Activity, and Muscle Strength In Older Women: The Women’s Health And Aging Study. Archives Of Physical Medicine And Rehabilitation, 1999;80: 130-135. 31. Marino DM, Marrara KT, Ike D, et al. Study Of Peripheral Muscle Strength And Severity Indexes In Individuals With Chronic Obstructive Pulmonary Disease. Physiotherapy Research International, 2010;15: 135-143. 32. Kurkcuoğlu S, Titiz A, Olcay I. Effect Of Nasal Septal Deviation On Respiratory Function Tests And Arterial Blood Gases. KBB ve BBC Dergisi, 2007;15(3):134-138.