RESULTS OF SIX-WEEK PHYSIOTHERAPY PROGRAM IN A PATIENT WITH METABOLIC SYNDROME UNDERGOING BARIATRIC AND METABOLIC SURGERY: CASE REPORT

Öz

In this study, the results of the physiotherapy program of a patient undergoing bariatric and metabolic surgery due to the diagnosis of Metabolic Syndrome (MetS) were discussed. A 6-week physiotherapy program (5 days/week; 1 hour/day) was applied to a 52-year-old male patient who developed bilateral lower extremity edema and widespread muscle atrophy because of surgery. The circumference measurement, manual muscle test, standing on one leg with eyes closed-opened, and fatigue severity were evaluated before treatment. Tampa Kinesophobia Scale (TKS), Nottingham Health Profile (NHP), WHO-5 Well-Being/Quality of Life Index, and the Short-Form International Physical Activity Questionnaire (IPAQ) were used. The physiotherapy program was composed of electrical stimulation, pneumatic compression, proprioceptive neuromuscular facilitation techniques. Breathing, strengthening, and balance exercises. At the end of the treatment, edema in both ankles decreased by an average of 4.5 cm. The duration of standing on one leg with eyes closed and opened increased by 7 seconds. The TKS score decreased by 6 points, The IPAQ-Short Form score increased by 246 MET-min/week. The results of the case showed that physiotherapy approaches might be useful in the management of symptoms seen after bariatric and metabolic surgery in the diagnosis of MetS.

Anahtar Kelimeler

• Metabolic Syndrome
• Obesity
• Muscle weakness
• Quality of life

BARİATRİK VE METABOLİK CERRAHİ GEÇİREN METABOLİK SENDROMLU OLGUDA ALTI HAFTALIK FİZYOTERAPİ PROGRAMI SONUÇLARI

Öz

Bu çalışmada Metabolik Sendrom (MetS) tanısı nedeniyle bariatrik ve metabolik cerrahi geçiren olgunun fizyoterapi programı sonuçları tartışıldı. Cerrahi sonrası bilateral alt ekstremite ödemi ve yaygın kas atrofisi gelişen 52 yaşındaki erkek olguya 6 hafta (5 gün/hafta; 1 saat/gün) fizyoterapi programı uygulandı. Tedavi öncesi çevre ölçümü, manuel kas testi, gözler açık-kapalı tek ayaküstünde durma ve yorgunluk şiddeti değerlendirmeleri yapıldı. Tampa Kinezyofobi Ölçeği (TKÖ), Nottingham Sağlık Profili (NSP), WHO-5 İyilik Hali/Yaşam Kalitesi İndeksi ve Uluslararası Fiziksel Aktivite Anketi (UFAA)-Kısa Formu kullanıldı. Fizyoterapi programı elektrik stimülasyonu, pnömatik kompresyon, proprioseptif nöromuskuler fasilitasyon teknikleri, solunum, kuvvetlendirme ve denge egzersizlerinden oluşturuldu. Tedavi sonunda her iki ayak bileğindeki ödem ortalama 4.5 cm azaldı. Gözler açık ve kapalı tek ayaküstünde durma süreleri 7 sn arttı. TKÖ 6 puan düştü. UFAA-Kısa Form skoru 246 MET-dk/hafta arttı. Olgunun sonuçları MetS tanısında bariatrik ve metabolik cerrahi sonrasında görülen bulguların yönetiminde fizyoterapi yaklaşımlarının yararlı olabileceğini gösterdi.

Anahtar Kelimeler

• Metabolik sendrom
• Obezite
• Kas zayıflığı
• Yaşam kalitesi

Kaynakça

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