MULTİPL SKLEROZLU BİREYLERDE STABİLİTE LİMİTLERİ VE DÜŞME RİSKİ ARASINDAKİ İLİŞKİNİN İNCELENMESİ

Öz

Amaç: Bu çalışmanın amacı, Multipl Skleroz (MS)’lu bireylerde stabilite limitleri (SL) ile düşme riski arasındaki ilişkiyi incelemektir. Yöntem: Çalışmaya 18-50 yaş aralığında, Expanded Disability Status Scale (EDSS) skoru ≤ 4, son 6 ay içerisinde atak geçirmeyen ve son 6 ay içerisinde düşme hikâyesi olan 30 MS’li birey dâhil edildi. Bireylerin demografik bilgileri kaydedildi. Dört yöndeki (anterior, posterior, lateral- sol, sağ) SL, Bertec Balance Check ScreenerTM (Model BP5050; Bertec Corporation, Columbus, OH, USA) ile değerlendirildi. Düşme riski ise Zamanlı Kalk ve Yürü Testi (ZKYT) ile değerlendirildi. Dört yöndeki SL ile ZKYT skoru arasındaki ilişkileri incelemek için Spearman korelasyon testi kullanıldı. Sonuçlar: Çalışmaya katılan 30 bireyin (18 kadın, 12 erkek) yaş ortalaması 37,66±8,86 yıl idi. Anterior-posterior SL ile ZKYT skorları arasında negatif yönde iyi derecede (r =-0,616), lateral solsağ SL ile ZKYT skorları arasında negatif yönde orta derecede (r =-0,463) anlamlı bir ilişki bulundu (p<0,05). Stabilite Limitleri Stabilite Skoru (SLSS) ile ZKYT skorları arasında ise negatif yönde iyi derecede (r =-0,683) anlamlı bir ilişki bulundu (p<0,05). Tartışma: MS’li bireylerde SL, düşme için önemli bir faktördür. Biyomekanik yeterliliğin ve dinamik dengenin önemli bir göstergesi olan SL azaldıkça düşme riski artmaktadır. Düşme yaşayan MS’li bireyler SL açısından mutlaka değerlendirilmeli ve rehabilitasyon programında SL’nin geliştirilmesine de yer verilmelidir.

Anahtar Kelimeler

• Düşmeler
• Multipl Skleroz
• Postural Denge

AN INVESTIGATION OF THE ASSOCIATION BETWEEN LIMITS OF STABILITY AND RISK OF FALL IN INDIVIDUALS WITH MULTIPLE SCLEROSIS

Öz

Purpose: To investigate the association between Limits of Stability (LoS) and risk of fall in patients with Multiple Sclerosis (MS). Methods: Thirty patients with an age range of 18-50 years, Expanded Disability Status Scale (EDSS) score ≤4, who did not have an attack in the last 6 months and had a history of falls in the last 6 months were included. Demographic information of the patients was recorded. Fourdirectional (anterior, posterior, lateral – left, right) LoS were measured with Bertec Balance Check ScreenerTM (Model BP5050; Bertec Corporation, Columbus, OH, USA). The risk of fall was measured with Timed Up and Go Test (TUG). Spearman correlation test was used to examine the association between four-directional LoS and TUG. Results: The mean age of 30 patients (18 Female, 12 Male) who participate in the study was 37.66±8.86 years. It was found that a good negative correlation (r=-0.616) between anteriorposterior LoS and TUG, a moderate negative correlation (r=-0.463) between left-right LoS and TUG (p<0.05). A good negative correlation (r=-0.683) was found between LoS Stability Score (LoSSS) and TUG (p<0.05). Conclusion: LoS is an important factor for falls in patients with MS. As the LoS, which are an important indicator of biomechanical competence and dynamic balance, decrease, the risk of falls increases in patients with MS. MS patients who experience falls should be evaluated in terms of LoS and the improvement of LoS should be included in the rehabilitation program.

Anahtar Kelimeler

• Falls
• Multiple Sclerosis
• Postural Balance

Kaynakça

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