KOAH ve Astımda Vücut Farkındalığı, Solunum ve Periferik Kas Fonksiyonları: Retrospektif Bir Çalışma

Abstract

AMAÇ Kronik obstrüktif akciğer hastalığı (KOAH) ve astım, her ikisi de yaygın solunum hastalıkları olmakla birlikte, patofizyolojileri ve klinik bulguları bakımından farklılık gösterir. KOAH ve astımı olan bireylerde solunum ve periferik fonksiyonlar ile vücut farkındalığı üzerindeki karşılaştırmalı etkilerin anlaşılması, tedavi stratejilerinin iyileştirilmesi açısından önemlidir. YÖNTEM Çalışmaya 18 KOAH hastası (9 kadın, 9 erkek, 62,77±4,58 yaş) ve 32 astım hastası (28 kadın, 4 erkek, 43,43±15,16 yaş) katılmıştır. Solunum fonksiyonu, maksimum inspiratuar basınç (MIP) ve maksimum ekspiratuar basınç (MEP), el kavrama kuvveti (HGS) ölçülmüş ve kaydedilmiştir. Vücut farkındalığı, Vücut Farkındalık Anketi (BAQ) ile değerlendirilmiştir. SONUÇLAR Yaş ve cinsiyete göre düzeltilmiş verilere göre, KOAH hastalarında FEV1%, FVC% ve FEF25-75% değerleri astım hastalarına göre daha düşüktü (sırasıyla p<0,001, p=0,01 ve p<0,001). MIP, MEP ve HGS değerleri KOAH'lı bireylerde daha yüksekti (sırasıyla p=0,014, p<0,001 ve p=0,030). BAQ puanları gruplar arasında benzerdi (p=0,768). TARTIŞMA Bu çalışma, KOAH ve astım arasında pulmoner fonksiyonlar, solunum ve periferik kas kuvveti açısından önemli farklılıklar olduğunu vurgulamaktadır. KOAH ve astımın ekstrapulmoner etkilerindeki farklılıklara rağmen benzer vücut farkındalığı, vücut farkındalığının pulmoner rehabilitasyon programları bağlamında ele alınması gereken karmaşık ve çok boyutlu bir kavram olduğunu göstermektedir.

Keywords

• astım
• kronik obstrüktif akciğer hastalığı
• kas kuvveti
• somatosensoriyel algı

Body Awareness, Respiratory and Peripheral Muscle Functions in COPD versus Asthma: A Retrospective Study

Abstract

Purpose: Chronic obstructive pulmonary disease (COPD) and asthma are both common respiratory diseases, but differ in their pathophysiology and clinical findings. Understanding the comparative effects of respiratory and peripheral functions and body awareness in individuals with COPD and asthma is important for improving management strategies. Method: Eighteen individuals with COPD (9F, 9M, 62.774.58 years) and 32 individuals with asthma (28F, 4M, 43.4315.16 years) participated in the study. Pulmonary function, maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP), handgrip strength (HGS) were measured and recorded. Body awareness was assessed with Body Awareness Questionnaire (BAQ). Results: According to age and sex adjusted data, FEV1%, FVC%, FEF25-75% in individuals with COPD were lower than those with asthma (p<0.001, p=0.010, and p<0.001, respectively). The MIP, MEP and HGS values were higher in COPD (p=0.014, p<0.001, p=0.030). The BAQ scores were similar between groups (p=0.768). Discussion: This study highlights significant differences between COPD and asthma in terms of pulmonary functions and respiratory and peripheral muscle strength. The similar body awareness despite differences in extrapulmonary effects of COPD and asthma suggests that body awareness is a complex and multidimensional concept that needs to be addressed within the context of pulmonary rehabilitation programs.

Keywords

• asthma
• chronic obstructive respiratory disease
• muscle strength
• somatosensory perception

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