GENÇ BİREYLERDE BOYUN FLEKSÖR ENDURANSI, FONASYON ZAMANI VE TEPE EKSPİRATUAR AKIM HIZI ARASINDA İLİŞKİ VAR MIDIR?

Yıl 2018, Cilt: 29 Sayı: 1, 46 - 51, 24.04.2018

Çetin Sayaca Hasan Erkan Kılınç Nurhan Aliye Sayaca Numan Demir Ayşe Karaduman

https://doi.org/10.21653/tjpr.355010

Öz

Amaç: Çalışmamızın amacı, disfaji rehabilitasyonunda sıklıkla kullanılan, boyun fleksör kas
enduransı, fonasyon zamanı ve tepe ekspiratuar akım hızı arasında bir ilişki olup olmadığını
araştırmaktı.
Yöntem: Bu çalışmaya 61 sağlıklı birey (31 kadın, 30 erkek) dahil edildi. Çalışmaya katılan bireylerin
yaş ortalaması 20,7±1,33 (19-25) yıldı. Bireylerin demografik özellikleri kaydedildi. Boyun fleksör
kas enduransı sırtüstü yatar pozisyonda yapıldı. Hastalardan başlarını yatak üzerinde yaklaşık iki
parmak kadar kaldırmaları istendi. Hastaların pozisyonu koruyabildikleri süre kaydedildi. Fonasyon
süresi için, katılımcı dik pozisyonda otururken, derin inspirasyondan sonra güçlü ve uzun süre /a/
söylemesi istendi ve süre kaydedildi. PEFmetre ile tepe ekspiratuar akım hızı değerlendirildi.
Sonuçlar: İstatistiksel olarak, boyun fleksör kas enduransı ve fonasyon süresi arasında (r=0,475,
p<0,001), boyun fleksör kas enduransı ve tepe ekspiratuar akım hızı arasında (r=0,421, p=0,001),
fonasyon süresi ve tepe ekspiratuar akım hızı (r=0,421, p=0,001) arasında anlamlı pozitif bir ilişki
bulundu.
Tartışma: Boyun fleksör kas enduransı ve fonasyon süresi, boyun fleksör kas enduransı ve zirve
ekspiratuar akım oranı, fonasyon süresi ve tepe ekspiratuar akım hızı arasında orta derecede pozitif
yönlü ilişki vardı. Disfaji rehabilitasyonunda boyun fleksör kas endurans egzersizleri ve fonasyon
egzersizleri kullanılabilir. Bu egzersizlerin yutma güçlüğü çeken hastalar üzerinde de araştırılması
gereklidir. 

Anahtar Kelimeler

Disfaji, Boyun Kasları, Fonasyon, Tepe Ekspiratuar Akım Hızı

IS THERE ANY RELATIONSHIP BETWEEN THE NECK FLEXOR MUSCLES ENDURANCE, PHONATION TIME AND PEAK EXPIRATORY FLOW RATE IN YOUNG INDIVIDUALS?

Öz

Purpose: The aim of this study was to investigate the correlation between neck flexor muscle endurance, phonation time, and peak expiratory flow rate that are used very often in the
rehabilitation of dysphagia. Methods: Sixty-one healthy individuals participated in this study (31 females and 30 males). The mean age of the subjects was 20.7±1.33 (19 to 25) years. Demographic characteristics of individuals were recorded. Neck flexor muscles endurance test was performed in supine position. Subjects were asked to lift their head about two fingers above the bed. Time that subjects could maintain the position was recorded. Phonation time was measured while sitting upright position. After a strong inspiration the patients were asked to sustain a vowel sound /a/ as strong and long as possible. Peak expiratory flow (PEF) rate was evaluated using a peak flowmeter. Results: Statistically, there were positive relationships between neck flexor muscles endurance and phonation time (r=0.475, p<0.001), neck flexor muscles endurance and PEF (r=0.421, p=0.001), and phonation time and PEF (r=0.421, p=0.001). Conclusion: There were positive, moderate correlations between the flexor muscle endurance and phonation time, and between flexor muscle endurance and PEF and also between phonation time and PEF. Neck flexor muscle endurance exercises and phonation exercises could be used in dysphagia rehabilitation. These exercises also need to be investigated in patients with swallowing difficulty. In addition, to prevent patients from the negative effects of the aspiration, expiratory breathing exercises could be included in rehabilitation programs. 

Anahtar Kelimeler

Dysphagia, Neck Muscles, Phonation, Peak Expiratory Flow Rate

Kaynakça

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