Motor Donma Parkinson Hastalarında Yürüme ve Denge Fonksiyonlarını Etkiler mi?

Yıl 2021, , 556 - 572, 31.12.2021

Ayşegül Usta , Ayla Fil Balkan , Yeliz Salcı , Semra Topuz , Gül Çakmaklı , Songül Aksoy , Kadriye Armutlu , Bülent Elibol

https://doi.org/10.21020/husbfd.932935

Öz

Amaç: Parkinson hastalarında motor donma, hareketin beklenmedik bir anında aniden gerçekleşmesi sebebiyle hastalarda denge kaybı, yürüyüş bozuklukları ve düşmeye neden olmaktadır. Bu nedenle çalışmamızın amacı, Motor donması olan parkinson hastalarında denge ve yürüyüşü değerlendirmektir.

Gereç Yöntem: Çalışmaya, 10 motor donması olan Parkinson hastası, 10 motor donması olmayan hasta ile yaş ve cinsiyet bakımından benzer 10 sağlıklı birey dahil edilmiştir. Bireylerin demografik özellikleri kaydedilmiştir. Statik denge değerlendirmesi için Tandem Duruş Testi; Dinamik denge değerlendirmesi için Bilgisayarlı Dinamik Postürografi (BDP) ve Zamanlı Kalk Yürü Testi (ZKYT) uygulanmıştır. Bireylerin yürüyüşleri ise GaitRite elektronik yürüme yolu ve 10 m yürüme testi ile değerlendirilmiştir.

Bulgular: Gruplar arasında statik ve dinamik denge testleri ile yürüyüş testleri bakımından anlamlı farklılık bulunmuştur (p<0,005). Gruplar ikişerli olarak karşılaştırıldığında motor donması olan grup ile donması olmayan grup arasında denge ve yürüyüş bakımından fark görülmemiştir. Statik ve dinamik denge testleri bakımından her iki Parkinson grubu ile sağlıklı kontroller arasında farklılık varken (p<0,05); yürüyüş parametreleri açısından motor donması olan hastalar ile sağlıklı kontroller arasında fark mevcutken (p<0,05), donması olmayan hastalar ile sağlıklı kontroller arasında fark görülmemiştir (p>0,05).

Sonuç: Parkinson hastalarında motor donma, sağlıklı kontrollere kıyasla statik ve dinamik denge ile yürüyüşü olumsuz etkilemektedir. Yürüyüş değişkenleri, sağlıklı grupla kıyaslandığında motor donması olan grupta motor donması olmayan gruba göre daha fazla etkilenmiştir

Anahtar Kelimeler

Parkinson hastalığı, Motor Donma, Denge, Yürüyüş

Destekleyen Kurum

Bulunmamaktadır.

Does Motor Freezing Affect Gait and Balance Functions in Parkinson's Patients?

Öz

Objective: Motor freezing in Parkinson's Disease (PD) causes loss of balance, gait disturbances and falls due to the sudden occurrence of movement at an unexpected moment. Therefore, the aim of our study is to evaluate balance and gait in Parkinson's patients with motor freezing.

Materials and Methods: 10 PD patients with motor freezing, 10 PD patients without motor freezing and 10 healthy individuals with similar age and gender were included in the study.. Demographic characteristics of the individuals were recorded. Tandem Stance Test for static balance assessment; Computed Dynamic Posturography (CDP) and Timed Up and Go Test were used for dynamic balance assessment. The gait was evaluated with the GaitRite electronic walkway and 10 m walking test.

Results: A significant difference was found between the groups in terms of static and dynamic balance and walking tests (p <0.005). When the groups were compared in pairs, there was no difference between the motor freezers and non-motor freezers in terms of balance and gait. While there was significant difference between both Parkinson’s groups and healthy controls in terms of static and dynamic balance tests (p <0.05); the difference between patients with freezers and healthy controls in terms of gait parameters (p <0.05) was not observed non-freezers and healthy controls (p> 0.05).

Conclusion: Motor freezing affects static and dynamic balance and also gait negatively in Parkinson's patients compared to healthy controls. Gait variables were affected more in the group with motor freeze compared to the healthy group than in the group without motor freeze.

Anahtar Kelimeler

Parkinson Disease, Motor Freezing, Balance, Gait

Kaynakça

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