Multipl Skleroz hastalarında özürlülük düzeyi ile kas kuvveti, denge güveni, kinezyofobi, bilişsel işlevler ve yaşam kalitesi arasındaki ilişki

Öz

Amaç: Bu araştırmanın amacı, Multipl Skleroz (MS) hastalarında özürlülük düzeyi ile kas kuvveti, düşme korkusu, kinezyofobi, bilişsel işlevler ve yaşam kalitesi arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Araştırma fizik tedavi ve rehabilitasyon kliniğinde yatan ve polikliniğe başvuran multipl skleroz tanısı almış toplam 31 hasta ile yapıldı.Araştırmanın verileri, hasta tanıtım formu,genişletilmiş özürlülük durum ölçeği (EDSS), Pinçmetre, dijital manuel dinamometre, el dinamometresi, Aktiviteye Özgü Denge Güven Ölçeği, Tampa Kinezyofobi Ölçeği, Sembol Sayı Modaliteler Testi, SF-12 ölçekleri kullanılarak toplandı. Verilerin değerlendirilmesinde; Shapiro-Wilk testi,Paired Sample t-Test, Wilcoxon İşaretli Sıralar Testi, Independent Sample t-Test, Mann-Whitney U Testi kullanıldı. P<0.05 değeri istatistiksel olarak anlamlı kabul edildi. Bulgular: MS hastalarında düşme riskinin yüksek olduğu ve bu durumun hem fiziksel hem de bilişsel kapasiteyi olumsuz etkilediği gözlemlenmiştir.Düşme korkusuna bağlı olarak gelişen kinezyofobi, fiziksel aktivite düzeyinin azalmasına ve kas kuvvetinde düşüşe yol açmıştır. Buna bağlı olarak özürlülük seviyesinin arttığı, bu artışın da bilişsel işlevlerde bozulma ve yaşam kalitesinde azalma ile ilişkili olduğu belirlenmiştir. Sonuç: Elde edilen bulgular, MS hastalarının rehabilitasyon süreçlerinde yalnızca fiziksel değil, bilişsel ve psikososyal unsurların da dikkate alınması gerektiğini ortaya koymaktadır. Bu doğrultuda, bireyselleştirilmiş ve çok yönlü fizyoterapi yaklaşımlarının geliştirilmesi önem arz etmektedir.

Anahtar Kelimeler

• Düşme korkusu
• Kas kuvveti
• Kinezyofobi
• Multipl skleroz
• Özürlülük

Destekleyen Kurum

Yoktur.

Etik Beyan

Araştırmanın yürütülmesi için İstanbul Arel Üniversitesi Etik Kurulu’ndan onay alınmıştır (Karar No: 2024/23, Tarih: 03.12.2024). Veri toplama öncesi katılımcılardan yazılı ve sözlü bilgilendirilmiş onam alınmıştır.

Teşekkür

Yoktur.

Relationship between disability level and muscle strength, balance confidence, kinesiophobia, cognitive function, and quality of life in patients with Multiple Sclerosis

Öz

ABSTRACT Aim: This study aimed to investigate the relationship between disability level and muscle strength, fear of falling, kinesiophobia, cognitive functions, and quality of life in individuals with Multiple Sclerosis (MS). Material and Methods: A cross-sectional and descriptive study was conducted with 31 patients with MS receiving inpatient or outpatient care at two physical therapy and rehabilitation clinics in Istanbul. Data were collected through face-to-face interviews using the Patient Information Form, Expanded Disability Status Scale (EDSS), pinch gauge, digital manual dynamometer, hand dynamometer, Activities-Specific Balance Confidence Scale, Tampa Scale of Kinesiophobia (TSK), Symbol Digit Modalities Test (SDMT), and SF-12 Health Survey. Statistical analyses included the Shapiro–Wilk test, Paired Samples t-Test, Wilcoxon Signed-Rank Test, Independent Samples t-Test, and Mann–Whitney U Test. Statistical significance was set at p < 0.05. Results: It has been observed that people with MS have a high risk of falling, and that this condition negatively affects both physical and cognitive abilities. Kinesophobia, which develops as a result of the fear of falling, has led to a decrease in physical activity levels and a decline in muscle strength. Consequently, it has been determined that disability levels have increased, and this increase is associated with impaired cognitive function and a decline in quality of life. Conclusion: The results underscore the necessity of considering not only physical limitations but also cognitive and psychosocial factors in the comprehensive rehabilitation of MS patients. Developing individualized, evidence-based, and multidisciplinary physiotherapy strategies is crucial for improving functional independence, emotional resilience, and overall health outcomes in this population.

Anahtar Kelimeler

• Muscle Strength
• Kinesiophobia
• Multiple Sclerosis
• Disability
• Fear of Falling

Destekleyen Kurum

None

Etik Beyan

Approval for the conduct of this study was obtained from the Ethics Committee of Istanbul Arel University (Decision No. 2024/23, Date: December 3, 2024). Written and verbal informed consent was obtained from participants prior to data collection.

Teşekkür

None.

Kaynakça

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