Multiple skleroz hastalarının ikili görev sırasındaplantar basınç değişimlerinin incelenmesi: Olgu-kontrol çalışması
Küçük Resim Yok
Tarih
2025
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Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
ÖZET Multiple Skleroz Hastalarının İkili Görev Sırasında Plantar Basınç Değişimlerinin İncelenmesi: Olgu-Kontrol Çalışması Amaç: Bu çalışmanın amacı Multiple Skleroz (MS) hastalarının tekli ve ikili görev koşullarında statik ve dinamik plantar basınç dağılımlarını incelemek ve plantar basınç değişimlerini sağlıklı bireyler ile karşılaştırmaktır. Materyal ve metot: Statik ve dinamik plantar basınç analizleri, dahil edilme kriterlerini karşılayan 44 MS hastası ve 45 sağlıklı birey olmak üzere toplam 89 kişiyle gerçekleştirildi. Her iki grup, tekli görev (yalnızca yürüme ve ayakta durma) ile motor-motor ve kognitif-motor ikili görev koşullarında değerlendirme yapıldı. Motor-motor görevde tepsiyle su dolu iki bardak taşıdı; kognitif-motor görevde ise verilen harflerden kelime ürettiler. Veriler ise baropodometrik sistem kullanılarak sabit duruş ve yürüme sırasında toplandı. Bulgular: Gruplar arası statik plantar basınç karşılaştırmalarında; MS grubunda tekli görev sırasında ön ayak basıncı, sağlıklı gruba kıyasla daha yüksekti (p <0.05). İkili görevlerde (kognitif-motor ve motor-motor), ön, arka ve toplam ayak bölgelerinde de gruplar arasında anlamlı farklar gözlendi (p <0.05). Dinamik plantar basınç analizinde ise her iki grupta görevler arasında istatistiksel olarak anlamlı bir fark izlenmedi (p>0.05). Ancak gruplar karşılaştırıldığında, görev türüne bağlı olarak statik plantar basınç dağılımında ve dinamik impulse ile yüzey alanı parametrelerinde ön ve arka ayak bölgelerinde anlamlı farklar tespit edildi (p<0.05). Sonuç: Bu çalışma ile statik plantar basıncın MS hastalarında görev türüne bağlı olarak sağlıklı bireylere kıyasla farklı dağılabileceği görülmüştür. Gruplar arasında, motor-motor ve kognitif-motor ikili görevler sırasında ön, arka ve toplam ayak statik plantar basınç değerleri farklı dağılım sergilemiştir. Dinamik plantar basınçta ise görev türüne bağlı olarak gruplar arasında ön ve arka ayak impulse ve temas alanı değerlerinde farklı dağılım görüldü. Sağlıklı bireylere kıyasla, MS hastalarında görev türüne bağlı olarak dinamik plantar basınç dağılımının etkilenebileceği görülmektedir. Anahtar Kelimeler: Bilişsel işlev, Plantar Basınç, Motor Beceriler, Multiple skleroz, Yürüme
ABSTRACT Investigation of Plantar Pressure Changes During Dual Task in Individuals with Multiple Sclerosis: A Case-Control Study Aim: The aim of this study was to examine the static and dynamic plantar pressure distributions of Multiple Sclerosis (MS) patients under single and dual task conditions and to compare the plantar pressure changes with healthy individuals. Materials and Methods: Static and dynamic plantar pressure analyses were performed with a total of 89 individuals, 44 MS patients and 45 healthy individuals who met the inclusion criteria. Both groups were evaluated under single task (only walking and standing) and motor-motor and cognitive-motor dual task conditions. In the motor-motor task, they carried two glasses filled with water on a tray; in the cognitive-motor task, they produced words from given letters. Data were collected using the baropodometric system during stable stance and walking. Results: In the static plantar pressure comparisons between the groups; forefoot pressure was higher in the MS group compared to the healthy group during the single task (p <0.05). In dual tasks (cognitive-motor and motor-motor), significant differences were observed between the groups in the front, back and total foot regions (p <0.05). In the dynamic plantar pressure analysis, no statistically significant difference was observed between the tasks in both groups (p>0.05). However, when the groups were compared, significant differences were detected in the static plantar pressure distribution and dynamic impulse and surface area parameters in the front and back foot regions depending on the task type (p<0.05). Conclusion: This study has shown that static plantar pressure may be distributed differently in MS patients compared to healthy individuals depending on the task type. During motor-motor and cognitive-motor dual tasks, front, back and total foot static plantar pressure values exhibited different distributions between the groups. In dynamic plantar pressure, different distributions were observed between the MS and healthy control groups in the front and back foot impulse and contact area values depending on the task type. It is observed that dynamic plantar pressure distribution may be affected in MS patients depending on the task type compared to healthy individuals. Keywords: Cognitive Function, Plantar Pressure, Motor Skills, Multiple Sclerosis, Gait
ABSTRACT Investigation of Plantar Pressure Changes During Dual Task in Individuals with Multiple Sclerosis: A Case-Control Study Aim: The aim of this study was to examine the static and dynamic plantar pressure distributions of Multiple Sclerosis (MS) patients under single and dual task conditions and to compare the plantar pressure changes with healthy individuals. Materials and Methods: Static and dynamic plantar pressure analyses were performed with a total of 89 individuals, 44 MS patients and 45 healthy individuals who met the inclusion criteria. Both groups were evaluated under single task (only walking and standing) and motor-motor and cognitive-motor dual task conditions. In the motor-motor task, they carried two glasses filled with water on a tray; in the cognitive-motor task, they produced words from given letters. Data were collected using the baropodometric system during stable stance and walking. Results: In the static plantar pressure comparisons between the groups; forefoot pressure was higher in the MS group compared to the healthy group during the single task (p <0.05). In dual tasks (cognitive-motor and motor-motor), significant differences were observed between the groups in the front, back and total foot regions (p <0.05). In the dynamic plantar pressure analysis, no statistically significant difference was observed between the tasks in both groups (p>0.05). However, when the groups were compared, significant differences were detected in the static plantar pressure distribution and dynamic impulse and surface area parameters in the front and back foot regions depending on the task type (p<0.05). Conclusion: This study has shown that static plantar pressure may be distributed differently in MS patients compared to healthy individuals depending on the task type. During motor-motor and cognitive-motor dual tasks, front, back and total foot static plantar pressure values exhibited different distributions between the groups. In dynamic plantar pressure, different distributions were observed between the MS and healthy control groups in the front and back foot impulse and contact area values depending on the task type. It is observed that dynamic plantar pressure distribution may be affected in MS patients depending on the task type compared to healthy individuals. Keywords: Cognitive Function, Plantar Pressure, Motor Skills, Multiple Sclerosis, Gait
Açıklama
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation
