Yıl 2020, Cilt 27 , Sayı 1, Sayfalar 45 - 53 2020-03-01

Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi
Short term effects of home exercise program on severity of disease and quality of life in patients with Parkinson’s disease

Elif Esen ÖZDEMİR [1] , Serpil SAVAŞ [2]


Amaç: Parkinson hastalığı, kronik nörodejeneratif bir hastalık olup hastaların yaşam kalitesini ciddi biçimde bozmaktadır. Bu çalışmada ev egzersiz programının Parkinson hastalarının yaşam kalitesi üzerine kısa dönemdeki etkisini araştırmayı amaçladık.

Gereç ve Yöntem: Bu çalışmaya toplam 30 Parkinson hastası alınmıştır. Tüm hastaların demografik ve klinik verileri kaydedilmiş, hastalık şiddetini değerlendirmek için Birleşik Parkinson Hastalığı Değerleme Ölçeği (BPHDÖ), yaşam kalitesini değerlendirmek için Parkinson Hastalığı Anketi (PDQ-39), doldurulmuştur. Hastalar randomize olarak olarak iki gruba ayrılmıştır. Gruplardan birine bir aylık ev egzersiz programı verilmiştir (grup1).  Diğer gruba mevcut farmakolojik tedavileri dışında ek girişim veya öneride bulunulmamıştır (grup2). Grup 1’deki hastalar bir ay sonra PDQ-39 ve BPHDÖ ile tekrar değerlendirilmiştir.

Bulgular: İlk değerlendirmede gruplar arasında demografik ve klinik özellikler, hastalık şiddeti ve yaşam kalitesi skorları açısından istatistiksel olarak anlamlı farklılık yoktu. Ev egzersiz programı alan hastaların PDQ-39 ve BPDHÖ skorlarının hem egzersiz öncesi durumlarıyla karşılaştırıldığında, hem de ev egzersiz programı almayan Parkinson hastalarıyla karşılaştırıldığında anlamlı olarak daha iyi olduğu belirlendi. Ev egzersiz programı alan hastaların egzersiz sonrası değerlendirmelerinde PDQ-39 mobilite, günlük yaşam aktiviteleri, kognitif durum, iletişim, beden konforsuzluğu ve total skorları ve BPHDÖ düşünce-davranış-ruhsal durum, günlük yaşam aktiviteleri, motor muayene ve total skorları anlamlı olarak iyileşmiş bulundu. (p<0.05)

Sonuç: Parkinson hastalarında, ev egzersiz programı sonrasında, yaşam kalitesi ve hastalık şiddetinde anlamlı iyileşme olmaktadır.  Ev egzersiz programlarının Parkinson hastalarının tedavi planın bir parçası haline getirilmesinin, hastaların yaşam kalitesini arttıracağı düşüncesindeyiz.

Objective: Parkinson’s disease is a chronic neurodegenerative disease that seriously deteriorates of quality of life of the patients. In this study we aimed to investigate short term effects of home exercise program on quality of life in patients with Parkinson’s disease.

Materials and Methods: Thirty patients with Parkinson’s disease were included in this study. Demographical  and clinical data of all patients were recorded, Unified Parkinson’s Disease Rating Scale (UPDRS) was filled to evaluate severity of illness and Parkinson’s Disease Questionnaire (PDQ-39) was filled to evaluate quality of life. Patients were randomly allocated into two groups as group 1 (n=15) and group 2 (n=15). One month duration home exercise program were given to one group (group1). No extra intervention or advice other than their pharmachological treatment were given  to the other group (group2). One month later, patients in group 1 were reevaluated by PDQ-39 and UPDRS.

Results: There was no statistically significant difference between groups in relation to demographical and clinical features, severity of disease and quality of life scores at the initial evaluation. The PDQ-39 and UPDRS scores of the patients who have taken home exercise programs were found to be significantly better compared to both their own pre-exercise status and to the patients who did not get any exercise program. In the post-exercise evaluation, mobility, activities of daily living, emotional well-being, cognitions, communication, bodily discomfort and total scores of PDQ-39  and mentation, behavior and mood, activities of daily living, motor examination and total scores of UPDRS of the patients who have taken home exercise programs were found to get significantly better. (p<0.05)

Conclusion: In patients with Parkinson’s disease, severity of disease and quality of life gets significantly better after taking a home exercise program. In our opinion, making home exercise programs a part of the treatment plan of patients with Parkinson’s disease will increase their quality of life.

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Birincil Dil tr
Konular Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Orcid: 0000-0002-8649-9476
Yazar: Elif Esen ÖZDEMİR (Sorumlu Yazar)
Kurum: ANKARA ATATÜRK EĞİTİM VE ARAŞTIRMA HASTANESİ
Ülke: Turkey


Yazar: Serpil SAVAŞ
Kurum: SÜLEYMAN DEMİREL ÜNİVERSİTESİ TIP FAKÜLTESİ
Ülke: Turkey


Tarihler

Başvuru Tarihi : 4 Ekim 2018
Kabul Tarihi : 14 Şubat 2019
Yayımlanma Tarihi : 1 Mart 2020

Bibtex @araştırma makalesi { sdutfd467225, journal = {SDÜ Tıp Fakültesi Dergisi}, issn = {1300-7416}, eissn = {2602-2109}, address = {}, publisher = {Süleyman Demirel Üniversitesi}, year = {2020}, volume = {27}, pages = {45 - 53}, doi = {10.17343/sdutfd.467225}, title = {Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi}, key = {cite}, author = {ÖZDEMİR, Elif Esen and SAVAŞ, Serpil} }
APA ÖZDEMİR, E , SAVAŞ, S . (2020). Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi. SDÜ Tıp Fakültesi Dergisi , 27 (1) , 45-53 . DOI: 10.17343/sdutfd.467225
MLA ÖZDEMİR, E , SAVAŞ, S . "Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 45-53 <https://dergipark.org.tr/tr/pub/sdutfd/issue/52788/467225>
Chicago ÖZDEMİR, E , SAVAŞ, S . "Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi". SDÜ Tıp Fakültesi Dergisi 27 (2020 ): 45-53
RIS TY - JOUR T1 - Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi AU - Elif Esen ÖZDEMİR , Serpil SAVAŞ Y1 - 2020 PY - 2020 N1 - doi: 10.17343/sdutfd.467225 DO - 10.17343/sdutfd.467225 T2 - SDÜ Tıp Fakültesi Dergisi JF - Journal JO - JOR SP - 45 EP - 53 VL - 27 IS - 1 SN - 1300-7416-2602-2109 M3 - doi: 10.17343/sdutfd.467225 UR - https://doi.org/10.17343/sdutfd.467225 Y2 - 2019 ER -
EndNote %0 SDÜ Tıp Fakültesi Dergisi Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi %A Elif Esen ÖZDEMİR , Serpil SAVAŞ %T Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi %D 2020 %J SDÜ Tıp Fakültesi Dergisi %P 1300-7416-2602-2109 %V 27 %N 1 %R doi: 10.17343/sdutfd.467225 %U 10.17343/sdutfd.467225
ISNAD ÖZDEMİR, Elif Esen , SAVAŞ, Serpil . "Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi". SDÜ Tıp Fakültesi Dergisi 27 / 1 (Mart 2020): 45-53 . https://doi.org/10.17343/sdutfd.467225
AMA ÖZDEMİR E , SAVAŞ S . Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 45-53.
Vancouver ÖZDEMİR E , SAVAŞ S . Ev egzersiz programının Parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi. SDÜ Tıp Fakültesi Dergisi. 2020; 27(1): 53-45.