Periferik vestibuler hipofonksiyona bağlı vertigolu hastalarda proprioseptif vestibuler rehabilitasyonun denge, fonksiyonel mobilite, postür, duyu profili ve yaşam kalitesi üzerine etkisi
Küçük Resim Yok
Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
İnönü Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı; periferik vestibüler hipofonksiyona bağlı vertigolu hastalarda proprioseptif vestibüler rehabilitasyonun denge, fonksiyonel mobilite, postür, duyu profili ve yaşam kalitesi üzerine etkisini incelekmetir. Materyal ve Metot: 18-65 yaş aralığında, periferik vestibüler hipofonksiyona bağlı vertigosu olan hastalar bilgisayarlı randomizasyon programıyla 3 gruba atandı. 1. gruba standart vestibüler rehabilitasyon egzersizleri ile kombine proprioseptif vestibüler rehabilitasyon egzersizleri; 2. Gruba standart vestibüler rehabilitasyon egzersizleri verildi; 3. Grup kontrol olarak belirlendi. Egzersizler 8 hafta boyunca haftada 4 gün fizyoterapist eşliğinde yapıldı ve her gün ev egzersizi verildi. Hastaların demografik bilgilerini takiben, denge, Tinetti Denge ve Yürüme Testi; fonksiyonel mobilite, Süreli Kalk ve Yürü Testi; postür, Posturezone; duyu profili, Adolesan Yetişkin Duyu Profili ve yaşam kalitesi, Baş Dönmesi Engellilik Envanteri kullanılarak değerlendirildi. Bulgular: Çalışmanın sonunda yapılan değerlendirmelere göre denge, fonksiyonel mobilite ve yaşam kalitesi sonuçlarında tüm gruplarda grupiçi anlamlı fark olmasına rağmen (p<0.05), gruplar arası fark genel olarak 1. Grubun lehine idi (p<0.05). Postür analizi sonuçlarında gruplar arası anlamlı fark vardı (p<0.05); 1. Grubun tedavi öncesi ve sonrası ölçümlerinde anlamlı farklılık varken (p<0.05), 2. Ve 3. Grupta anlamlı farklılık yoktu (p>0.05). Duysal hassasiyet, duysal sakınma, düşük kayıt sonuçlarında gruplararası anlamlı fark vardı (p<0.05); grup içi 1. ve 2. Grupta anlamlı fark varken 3. Grupta yoktu (p>0.05). Duysal arayış sonuçlarında gruplararası anlamlı fark yokken (p>0.05), grup içi anlamlı fark vardı (p<0.05). Sonuç: Proprioseptif vestibüler rehabilitasyonun periferal vestibüler bozukluğa bağlı vertigolu hastaların tedavisinde etkin bir yöntem olduğunu söylenilebilir. Çalışmamızın klinisyenlere ve literatüre katkı sağlayacağını düşünmekle beraber, egzersiz etkilerinin daha uzun süreli sonuçlarının takip edileceği çalışmalar yapılabilir.
Daha sonra dolAim: This study was planned to examine the effect of proprioceptive vestibular rehabilitation on balance, functional mobility, posture, sensory profile and quality of life in patients with vertigo due to peripheral vestibular hypofunction. Material and Method: Patients aged 18-65 years with vertigo due to peripheral vestibular hypofunction were assigned to 3 groups with a computerized randomization program. Proprioceptive vestibular rehabilitation exercises combined with standard vestibular rehabilitation exercises for the 1st group; 2. Group was given standard vestibular rehabilitation exercises; Group 3 was determined as the control. The exercises were performed with a physiotherapist 4 days a week for 8 weeks and home exercises were given every day. Following the demographic information of the patients, Tinetti Balance and Gait Test for balance evaluation; Timed Up and Go Test for functional mobility; posturezone application for posture; Adolescent Adult Sensory Profile for sensory profile and quality of life were assessed using the Dizziness Disability Inventory. Results: According to the evaluations made at the end of the study, although there was a significant difference in balance, functional mobility and quality of life results in all groups (p<0.05), the difference between the groups was generally in favor of the 1st group (p<0.05). There was a significant difference between the groups in the results of posture analysis (p<0.05); While there was a significant difference in the measurements of the 1st group before and after the treatment (p<0.05), there was no significant difference in the 2nd and 3rd groups (p>0.05). There was a significant difference between the groups in sensory sensitivity, sensory avoidance, and low enrollment results (p<0.05); While there was a significant difference in the 1st and 2nd groups within the group, it was not in the 3rd group (p>0.05). While there was no significant difference between the groups in sensory seeking results (p>0.05), there was a significant difference within the group (p<0.05). Conclusion: It can be said that proprioceptive vestibular rehabilitation is an effective method in the treatment of patients with vertigo due to peripheral vestibular disorder. Although we think that our study will contribute to the clinicians and the literature, studies can be conducted to follow the longer-term results of the effects of exercise. durulacaktır
Daha sonra dolAim: This study was planned to examine the effect of proprioceptive vestibular rehabilitation on balance, functional mobility, posture, sensory profile and quality of life in patients with vertigo due to peripheral vestibular hypofunction. Material and Method: Patients aged 18-65 years with vertigo due to peripheral vestibular hypofunction were assigned to 3 groups with a computerized randomization program. Proprioceptive vestibular rehabilitation exercises combined with standard vestibular rehabilitation exercises for the 1st group; 2. Group was given standard vestibular rehabilitation exercises; Group 3 was determined as the control. The exercises were performed with a physiotherapist 4 days a week for 8 weeks and home exercises were given every day. Following the demographic information of the patients, Tinetti Balance and Gait Test for balance evaluation; Timed Up and Go Test for functional mobility; posturezone application for posture; Adolescent Adult Sensory Profile for sensory profile and quality of life were assessed using the Dizziness Disability Inventory. Results: According to the evaluations made at the end of the study, although there was a significant difference in balance, functional mobility and quality of life results in all groups (p<0.05), the difference between the groups was generally in favor of the 1st group (p<0.05). There was a significant difference between the groups in the results of posture analysis (p<0.05); While there was a significant difference in the measurements of the 1st group before and after the treatment (p<0.05), there was no significant difference in the 2nd and 3rd groups (p>0.05). There was a significant difference between the groups in sensory sensitivity, sensory avoidance, and low enrollment results (p<0.05); While there was a significant difference in the 1st and 2nd groups within the group, it was not in the 3rd group (p>0.05). While there was no significant difference between the groups in sensory seeking results (p>0.05), there was a significant difference within the group (p<0.05). Conclusion: It can be said that proprioceptive vestibular rehabilitation is an effective method in the treatment of patients with vertigo due to peripheral vestibular disorder. Although we think that our study will contribute to the clinicians and the literature, studies can be conducted to follow the longer-term results of the effects of exercise. durulacaktır
Açıklama
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation
