BibTex RIS Kaynak Göster

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

Yıl 2006, Sayı: 1, 17 - 27, 01.05.2006

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.

Kaynakça

  • Garraway WM, Whisnant JP, Drury I. The continuing decline in the incidence of stroke. Mayo Clin Proc. 1983; 58:520-523.
  • Abreu BC. Interdisciplinary approach to the adult visual perceptual function-dysfunction continuum. In: Abreu B, editor. Physical Disabilities Manual. New York: Raven Press; 1981: 151-82.
  • Pohjasvaara T, Erkinjuntti T, Vataja R, Kaste M. Comparison of stroke features and disability in daily life in patients with ischemic stroke aged 55 to 70 and 71 to 85 years. Stroke 1997; 28: 729-735.
  • Pedersen PM, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Orientation in the acute and chronic stroke patient: impact on ADL and social activities. The Copenhagen stroke study. Arch Phys Med Rehabil. 1996; 77: 336-339.
  • Kwa VI, Limburg M, de Haan RJ. The role of cognitive impairment in the quality of life after ischemic stroke. J Neurol 1996; 243: 599-604.
  • Aström M, Asplund K, AströmT. Psychosocial function and life satisfaction after stroke. Stroke 1992; 23: 527-531.
  • Bernspang B, Asplund K, Eriksson S, Fugl Meyer AR. Motor and perceptual impairments in acute stroke patients: effects on self care ability. Stroke 1987; 18: 1081-1086.
  • Filialtraut J, Arsenault AB, Dutil E, Bourbonnais D. Motor function and activities of daily living assessments: a study of three tests for persons with hemiplegia. Am. J. Occup. Ther. 1991; 45: 806-809.
  • Lincoln NB, Blackburn M, Ellis S, et al. An investigation of factors affecting progress of patients on a stroke unit. J Neurol Neurosurg Psychiatry 1989; 52: 493-496.
  • Sea MC, Henderson A, Cermak SA. Patterns of visual spatial inattention and their functional significance in stroke patients. Arch Phys Med Rehabil. 1993; 74: 355-360.
  • Bechinger D, Tallis R. Perceptual disorders in neurological disease. Br J Occup Ther 1986; 49: 282-284. 12. Lincoln NB, Drummond AE, Berman P. Perceptual impairment and its impact on rehabilitation outcome. Disabil Rehabil. 1997; 19: 231-234.
  • Carter LT, Olivera DO, Duponte J, Lynch SV. The relationship of cognitive skills performance to activities of daily living in stroke patients. Am J Occup Ther 1988; 42: 449-454.
  • Tatemichi TK, Desmons DW, Stern Y, Paik M, Sane M, Baigella E. Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. J Neurol Neurosurg Psychiatry 1994; 57: 202-207.
  • Hajek VE, Gagnon S, Ruderman JE. Cognitive and functional assessments of stroke patients: an analysis of their relation. Arch Phys Med Rehabil. 1997; 78: 1331-1337. 16. Brockman RK, Rubio K, Van Deusen J. Relation of perceptual and body image dysfunction to activities of daily living of persons after stroke. Am J Occup Ther 1995; 49: 551-559. 17. Bernspang B, Viitamen M, Eriksson S. Impairments of perceptual and motor functions: their influence on self care ability 4 to 6 years after stroke. Occup Ther J Res 1989; 9: 27-37.
  • Titus MND, Gall NG, Yerxa EJ, Roberson TA, Mack W. Correlation of perceptual performance and activities of daily living in stroke patients. Am J Occup Ther 1991; 45: 410-418. 19. Chaudhuri G, Harvey RF, Larry D, Sulton P, Lambert RW. Computerized tomography head scans as predictors of functional outcome of stroke patients. Arch Phys Med Rehabil. 1988; 69: 496-498.
  • Kertesz A, Ferro JM. Lesion size and location in ideomotor apraxia. Brain 1984; 107: 921-933.
  • Ayres JA. Suthern California Sensory Integration Tests, Los Angeles, Western Psychological Services, 1980.
  • Mahoney FI, Barthel D. Functional Evaluation: the Barthel Index. Maryland State Medical Journal, 1965; 14: 56-61.
  • Van Der Lee JH, Wagenaar RC, Lankhorst GJ, Vogelaar TW, Deville WL, Bouter LM. Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke, 2000; 31: 986-988. 24. Ishikawa R, Sahikara S, Toume K, Nakazato S. Factors related to ADL of stroke patients three months after discharge. Nippon Koshu Eisei Zasshi, 1996; 43:354-363.
  • Mukherje N, Hazra BR. Evaluation of stroke patients with reference to CT scan findings. J Ind Med Assoc. 1998; 96:174-176.
  • Shelton FN, Reding MJ. Effect of lesion location on upper limb motor recovery after stroke. Stroke. 2001; 32: 107-112.
  • Wang P, Lapon JR, Rogers EJ. Memory functioning in hemiplegics.A Neurophysiological analysis of the Wechler Memory Scale. Arch Phys Med Rehabil,1975;56: 517-521.
  • Scwartz R, Shipki D, Cermak LS. Verbal and nonverbal memory abilities of adult brain damaged patients. Am J Occup Ther,1979; 33:79-83.
  • Nemec ER. Effects of controlled back ground interference on best performance by right and left hemiplegics. J Consult Clin Psychol 1978;46:292-294.
  • Green JB, Hamilton WJ. Somatosensory evoked potential studies in anosognosia for hemiplegia. Clin Neurol 1976; 40: 333-335.
  • Gerstein JW, Jung A, Brooks C. Perceptual deficits in patients with left and right hemiparesis. Am J Occup Ther, 1972; 51:79-85.

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

Yıl 2006, Sayı: 1, 17 - 27, 01.05.2006

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.

Kaynakça

  • Garraway WM, Whisnant JP, Drury I. The continuing decline in the incidence of stroke. Mayo Clin Proc. 1983; 58:520-523.
  • Abreu BC. Interdisciplinary approach to the adult visual perceptual function-dysfunction continuum. In: Abreu B, editor. Physical Disabilities Manual. New York: Raven Press; 1981: 151-82.
  • Pohjasvaara T, Erkinjuntti T, Vataja R, Kaste M. Comparison of stroke features and disability in daily life in patients with ischemic stroke aged 55 to 70 and 71 to 85 years. Stroke 1997; 28: 729-735.
  • Pedersen PM, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Orientation in the acute and chronic stroke patient: impact on ADL and social activities. The Copenhagen stroke study. Arch Phys Med Rehabil. 1996; 77: 336-339.
  • Kwa VI, Limburg M, de Haan RJ. The role of cognitive impairment in the quality of life after ischemic stroke. J Neurol 1996; 243: 599-604.
  • Aström M, Asplund K, AströmT. Psychosocial function and life satisfaction after stroke. Stroke 1992; 23: 527-531.
  • Bernspang B, Asplund K, Eriksson S, Fugl Meyer AR. Motor and perceptual impairments in acute stroke patients: effects on self care ability. Stroke 1987; 18: 1081-1086.
  • Filialtraut J, Arsenault AB, Dutil E, Bourbonnais D. Motor function and activities of daily living assessments: a study of three tests for persons with hemiplegia. Am. J. Occup. Ther. 1991; 45: 806-809.
  • Lincoln NB, Blackburn M, Ellis S, et al. An investigation of factors affecting progress of patients on a stroke unit. J Neurol Neurosurg Psychiatry 1989; 52: 493-496.
  • Sea MC, Henderson A, Cermak SA. Patterns of visual spatial inattention and their functional significance in stroke patients. Arch Phys Med Rehabil. 1993; 74: 355-360.
  • Bechinger D, Tallis R. Perceptual disorders in neurological disease. Br J Occup Ther 1986; 49: 282-284. 12. Lincoln NB, Drummond AE, Berman P. Perceptual impairment and its impact on rehabilitation outcome. Disabil Rehabil. 1997; 19: 231-234.
  • Carter LT, Olivera DO, Duponte J, Lynch SV. The relationship of cognitive skills performance to activities of daily living in stroke patients. Am J Occup Ther 1988; 42: 449-454.
  • Tatemichi TK, Desmons DW, Stern Y, Paik M, Sane M, Baigella E. Cognitive impairment after stroke: frequency, patterns, and relationship to functional abilities. J Neurol Neurosurg Psychiatry 1994; 57: 202-207.
  • Hajek VE, Gagnon S, Ruderman JE. Cognitive and functional assessments of stroke patients: an analysis of their relation. Arch Phys Med Rehabil. 1997; 78: 1331-1337. 16. Brockman RK, Rubio K, Van Deusen J. Relation of perceptual and body image dysfunction to activities of daily living of persons after stroke. Am J Occup Ther 1995; 49: 551-559. 17. Bernspang B, Viitamen M, Eriksson S. Impairments of perceptual and motor functions: their influence on self care ability 4 to 6 years after stroke. Occup Ther J Res 1989; 9: 27-37.
  • Titus MND, Gall NG, Yerxa EJ, Roberson TA, Mack W. Correlation of perceptual performance and activities of daily living in stroke patients. Am J Occup Ther 1991; 45: 410-418. 19. Chaudhuri G, Harvey RF, Larry D, Sulton P, Lambert RW. Computerized tomography head scans as predictors of functional outcome of stroke patients. Arch Phys Med Rehabil. 1988; 69: 496-498.
  • Kertesz A, Ferro JM. Lesion size and location in ideomotor apraxia. Brain 1984; 107: 921-933.
  • Ayres JA. Suthern California Sensory Integration Tests, Los Angeles, Western Psychological Services, 1980.
  • Mahoney FI, Barthel D. Functional Evaluation: the Barthel Index. Maryland State Medical Journal, 1965; 14: 56-61.
  • Van Der Lee JH, Wagenaar RC, Lankhorst GJ, Vogelaar TW, Deville WL, Bouter LM. Forced use of the upper extremity in chronic stroke patients: results from a single-blind randomized clinical trial. Stroke, 2000; 31: 986-988. 24. Ishikawa R, Sahikara S, Toume K, Nakazato S. Factors related to ADL of stroke patients three months after discharge. Nippon Koshu Eisei Zasshi, 1996; 43:354-363.
  • Mukherje N, Hazra BR. Evaluation of stroke patients with reference to CT scan findings. J Ind Med Assoc. 1998; 96:174-176.
  • Shelton FN, Reding MJ. Effect of lesion location on upper limb motor recovery after stroke. Stroke. 2001; 32: 107-112.
  • Wang P, Lapon JR, Rogers EJ. Memory functioning in hemiplegics.A Neurophysiological analysis of the Wechler Memory Scale. Arch Phys Med Rehabil,1975;56: 517-521.
  • Scwartz R, Shipki D, Cermak LS. Verbal and nonverbal memory abilities of adult brain damaged patients. Am J Occup Ther,1979; 33:79-83.
  • Nemec ER. Effects of controlled back ground interference on best performance by right and left hemiplegics. J Consult Clin Psychol 1978;46:292-294.
  • Green JB, Hamilton WJ. Somatosensory evoked potential studies in anosognosia for hemiplegia. Clin Neurol 1976; 40: 333-335.
  • Gerstein JW, Jung A, Brooks C. Perceptual deficits in patients with left and right hemiparesis. Am J Occup Ther, 1972; 51:79-85.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Araştırma Makalesi
Yazarlar

Gonca Bumın Bu kişi benim

Mine Uyanık Bu kişi benim

Asuman Ergun Bu kişi benim

Hülya Kayıhan Bu kişi benim

Yayımlanma Tarihi 1 Mayıs 2006
Yayımlandığı Sayı Yıl 2006 Sayı: 1

Kaynak Göster

APA Bumın, G., Uyanık, M., Ergun, A., Kayıhan, H. (2006). THE RELATIONSHIP BETWEEN ACTIVITIES OF DAILY LIVING, LESION SEVERITY AND PERCEPTUAL DEFICITS IN HEMIPLEGICS. Ufkun Ötesi Bilim Dergisi(1), 17-27.