HEMİPLEJİKLERDE LEZYON ŞİDDETİ, GÜNLÜK YAŞAM AKTİVİTELERİ VE ALGI BOZUKLUKLARI ARASINDAKİ İLİŞKİ

Öz

Bu çalışmanın amacı hemiplejik hastalarda lezyon şiddeti ve duyu algı bozukluğu ile duyu algı bozukluğu ve günlük yaşam aktiviteleri (GYA) arasındaki ilişkiyi incelemekti. Ayrıca sağ ve sol hemiplejik hastalarda duyu- algı- motor fonksiyonlar karşılaştırıldı. Çalışmaya yaşları 50–75 arasında olan 45 hemiplejik hasta alındı. Ayres Güney Kaliforniya Duyu Bütünlüğü Testleri ve Kertesz apraksi testi duyualgı-motor problemleri değerlendirmek için kullanıldı. Barthel İndeksi GYA’ni değerlendirmek için uygulandı. Bilgisayarlı tomografi sınıflandırması (BTS) lezyon şiddetini saptamak için yapıldı. Sol hemiplejiklerde GYA ve şekil zemin algısı (ŞZA) (r:0.42), GYA ve desen kopya etme (DKE) (r:0.50) ile GYA ve praxis (r:0.42) arasında, sağ hemiplejiklerde GYA ve ŞZA (r:0.40), GYA ve DKE ( r:0.49) ile GYA ve praxis (r:0.39) arasında anlamlı bir ilişki vardı. Tüm hastalarda lezyon şiddeti ile GYA ve duyu-algı-motor testler arasında anlamlı bir ilişki bulundu (r:0.69, p<0.05). Sağ ve sol hemiplejik hastalarda duyu-algı fonksiyonları karşılaştırıldığında DKE ve ŞZA da anlamlı bir fark vardı (p<0.05). Bu çalışmanın sonuçları hemiplejik hastalarda GYA’de bağımsızlık derecesini artırmak için duyu algı problemlerinin detaylı değerlendirilmesi gerektiğini gösterdi. Ayrıca BT tarama bulgularının hemiplejik hastaların prognozunu tahmin etmede önemli olduğu görüldü. Duyu algı fonksiyonlarının detaylı değerlendirilmesi hastaya göre değişebilecek tedaviyi planlamaya yardım eder.

Anahtar Kelimeler

• Günlük yaşam aktiviteleri, hemipleji, duyu-algı-motor problemler

THE RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING, LESION SEVERITY AND PERCEPTUAL DEFICITS IN HEMIPLEGICS

Öz

The aim of this study was to investigate the relationship between sensory perception dysfunction and activities of daily living (ADL), and to investigate the relationship between sensory perception dysfunction and severity of lesion in hemiplegic patients. Also it was compared the sensory-perceptual-motor function in right and left hemiplegic patients. 45 stroke patients with ages ranged from 50-75 years were included the study. The Ayres Southern California Sensory Integration Tests (SCSIT) and Kertesz apraxia test were used to assess sensory-perceptual-motor problems. Barthel Index was used to assess ADL. Computerized tomography (CT) classification was performed to determine severity of lesion. There was a significant correlation between Figure Ground (FG) and ADL (r: 0.42), Design Copying (DC) and ADL (r: 0.50), praxis and ADL (0.42) in left hemiplegics; FG and ADL (r: 0.40), DC and ADL (r: 0.49), apraxia and ADL (r: 0.39) in right hemiplegics. There was a significant correlation between ADL, sensory perceptual motor tests and CT results in all patients (r: 0.69) (p<0.05).When sensory-perception functions were compared between right and left hemiplegics; there was a significant difference in DC and FG test (p<0.05). The results of this study showed the importance of a detailed evaluation of sensory-perception problems to increase the degree of independence in ADL in hemiplegics. Also, we concluded that CT scan findings are important in prediction of outcome of stroke patients. Detailed evaluation of sensory perception functions help to plan the treatment which could be change according to patient.

Anahtar Kelimeler

• Activities of daily living, hemiplegics, sensory-perceptualmotor problems

Kaynakça

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