Manual Dexterity, Balance, and Trunk Control in Patients with Alzheimer's Disease: A Cross-Sectional Study

Öz

Aim: The study's objectives were to assess manual dexterity in those with Alzheimer's Disease (AD) and healthy older adults, as well as to look into the relationships between manual dexterity and balance and trunk control in patients with AD. Material and Methods: The study involved 32 patients with AD and 32 healthy older adults matched for gender and age. Manual dexterity was assessed with the Nine Hole Peg Test (NHPT); balance with The Berg Balance Scale (BBS), The Four Square Step Test (FSST) and The One Leg Standing Test (OLST); trunk control with the Trunk Impairment Scale (TIS). Results: The dominant and nondominant NHPT times were higher in patients with AD compared to healthy older adults (p<0.05). The dominant and nondominat NHPT were associated with BBS, FSST, OLST, and TIS in patients with AD (r between -0.375 and -0.755; p<0.05 for all). Conclusion: Manual dexterity was affected in patients with AD compared to healthy older adults and manual dexterity was related to balance and trunk control in patients with AD. In patients with AD, bilateral hand dexterity should be assessed from an early stage, and it should not be ignored that practices that improve balance and trunk control may have positive effects on hand functions during hand rehabilitation.

Anahtar Kelimeler

• Alzheimer’s Disease
• manual dexterity
• balance
• trunk control

Etik Beyan

Written ethical approval was obtained from Gazi University Clinical Research Ethics Committee on 16.05.2022. (Decision Number: 352).

Alzheimer Hastalarında El Becerisi, Denge ve Gövde Kontrolü: Kesitsel Bir Araştırma

Öz

Amaç: Çalışmanın amacı, Alzheimer hastalarında ve sağlıklı yaşlı yetişkinlerde el becerisini değerlendirmek ve Alzheimer hastalarında el becerisi ile denge ve gövde kontrolü arasındaki ilişkileri incelemekti. Gereç ve Yöntemler: Çalışmaya 32 Alzheimer hastası ile cinsiyet ve yaş açısından eşleştirilmiş 32 sağlıklı yaşlı yetişkin katılmıştır. El becerisi Dokuz Delikli Peg Testi (DDPT) ile; denge Berg Denge Ölçeği (BDÖ), Dört Adım Kare Testi (DAKT) ve Tek Ayak Üzerinde Durma Testi (TADT) ile; gövde kontrolü Gövde Bozukluğu Ölçeği (GBÖ) ile değerlendirildi. Bulgular: Dominant ve nondominant DDPT süreleri sağlıklı yaşlı yetişkinlere kıyasla Alzheimer hastalarında daha yüksekti (p<0.05). Alzheimer hastalarında dominant ve nondominat DDPT, BDÖ, DAKT, TADT ve GBÖ ile ilişkiliydi (r -0.375 ile -0.755 arasında; tümü için p<0.05). Sonuç: Alzheimer hastalarında el becerisi sağlıklı yaşlı yetişkinlere kıyasla etkilenmiştir ve Alzheimer hastalarında el becerisi denge ve gövde kontrolü ile ilişkilidir. Alzheimer hastalarda bilateral el becerisi erken dönemden itibaren değerlendirilmeli, el rehabilitasyonu sırasında denge ve gövde kontrolünü geliştiren uygulamaların el fonksiyonları üzerinde olumlu etkileri olabileceği göz ardı edilmemelidir.

Anahtar Kelimeler

• Alzheimer Hastalığı
• el becerisi
• denge
• gövde kontrolü

Kaynakça

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