Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi

Yıl 2018, Cilt: 4 Sayı: 3, 150 - 157, 28.09.2018

Ferdi Başkurt Ayla Günal Zeliha Başkurt

Öz

Bu çalışmanın amacı akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin mobilite düzeyi ve klinik sonuçlar üzerine etkisini incelemektir. Yöntem: Çalışmaya bir üniversite hastanesinin nöroloji servisinde akut inme tanısı ile takip edilen 74 birey gönüllük esasına uygun olarak dahil edildi. Hastaların yaş, cinsiyet, eğitim gibi demografi k bilgileri kaydedildi. Hastaların mobilite düzeyi Fizyoterapi Fonksiyonel Mobilite Profi li (FFMP) ile, klinik sonuçlar Klinik Sonuçlar Değişim Skalası (KSDS) ile rehabilitasyon programı başlamadan
önce ve klinikten taburcu olduğu sırada, fi zyoterapi programına katılım düzeyi Pittsburgh Rehabilitasyon Katılım Skalası (PRKS) ile her seans sonrası değerlendirildi. Bulgular: Bireylerin 48’i kadın 26’sı erkek, yaş ortalaması 68.84±12.35 yıl, ortalama hastanede kalış süresi 7.23±4.36 gün idi. FFMP puanı ilk ölçümde 41.18±18.00, son ölçümde 46.72±16.27 puan, iki ölçüm arası fark 5.54±8.78 puan, KSDS puanı ilk ölçümde 57.36±25.08, son ölçümde 64.75±20.92 puan, iki ölçüm arası fark 7.39±12.18 puan, PRKS ortalama puanı 4.60±1.06 olarak bulundu. PRKS ortalama puanı ile FFMP ve KSDS ilk ve son ölçüm puanları arasında pozitif yönde anlamlı bir ilişki saptandı (p<0.01). PRKS ile FFMP ve KSDS fark puanları arasında istatiksel olarak anlamlı bir ilişki saptanmadı (p>0.05). Sonuç: Elde edilen sonuçlar akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin fonksiyonel mobilite düzeyini ve klinik sonuçları etkilediğini göstermektedir. 

Anahtar Kelimeler

İnme, katılım, mobilite, klinik sonuçlar

The Effect of Participation in The Physiotherapy Program Level on Mobility Level and Clinical Outcomes in Acute Stroke Individuals

Öz

The aim of this study is to examine effect of the level of participation in the physiotherapy program on the level of mobility and clinical outcomes in individuals with acute stroke. Methods: 74 patients were included who acute stroke diagnoses were followed neurology department in one university hospital in this study. Demographic characteristics of patients’ as age, gender, education were recorded in the study. Patients’ mobility levels with Physiotherapy Functional Mobility Profi le (PFMP), clinic outcomes with Clinical Outcome Variables Scale (COVS) were evaluated before rehabilitation program and at the time of discharge from the clinic, the level of participation in the physiotherapy program was evaluated with the Pittsburgh Rehabilitation Participation Scale (PRPS) after each treatment session. Results: Participiants’ 48 individuals were female, 26 male, mean ages of participiants was 68.84±12.35 years old, mean duration of
hospital stay was 7.23±4.36 days. It was found PFMP score 41.18±18.00 in fi rst measurement, 46.72±16.27 points in last measurement, difference between two measurements 5.54±8.78 points, COVS score 57.36±25.08 in fi rst measurement, 64.75±20.92 points in last measurement, difference between two measurements 7.39±12.18 points, mean score of PRPS 4.60±1.06 points. There is a positive signifi cance relationship between fi rst and last measurement points of PFMP’ and COVS’ points and mean points of PRPS (p<0.01). There was no statistically signifi cant relationship between PRPS and PFMP and COVS difference scores (p>0.05). Conclusion: The results showed that the level of participation in the physiotherapy program in acute stroke patients affects the level of functional mobility and clinical outcomes. 

Anahtar Kelimeler

Stroke, participation, mobility, clinical outcomessignal

Kaynakça

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