İnme hastalarında torakolumbal fasya gevşetmenin pulmoner fonksiyonlar 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 çalışma, kronik inme hastalarında torakolumbal fasya (TLF) gevşetmenin pulmoner fonksiyonlar üzerine anlık etkilerinin incelenmesi amacıyla planlandı. Materyal ve Metot: Çalışmaya 18-65 yaş arası 30 erkek inme hastası dahil edildi. Hastalar basit randomizasyon yöntemi ile kontrol grubu (KG, 57.7 ± 4.92 yıl), solunum egzersizleri (SG, 57.6 ± 4.32 yıl) ve TLF gevşetme (TLF, 56.5±9.8 yıl) grupları olmak üzere üç gruba ayrıldı. Kontrol grubuna geleneksel inme rehabilitasyon protokolleri, diğer gruplara geleneksel inme rehabilitasyon protokollerine ek olarak 15 dakika solunum egzersizleri veya 15 dakika TLF gevşetme teknikleri uygulandı. Hastaların solunum fonksiyonları tedavi öncesi ve tedavi sonrası spirometri ile değerlendirildi. Sonuçların analizinde iki yönlü tekrarlı ölçümlerde varyans analizi (ANOVA), Tukey HSD testi ve bağımlı gruplarda t testi kullanıldı. Bulgular: Spirometrik ölçüm sonuçları incelendiğinde tedavi gruplarında (TLF ve SG) FEV1/FVC (%) değeri dışındaki tüm parametrelerde tedavi öncesi ve tedavi sonrası arasındaki değerlerde istatistiksel olarak anlamlı farklılık vardı (p<0.01). FVC (L) ve FEV1 (L) için yapılan post-hoc analizi sonucunda tedavi uygulamalarından TLF ve SG'larının kontrol grubuna göre anlamlı farklılığa sahip olduğu görüldü (p=0.001). Sonuç: TLF gevşetme uygulamalarının kronik inme hastalarının respiratuar fonksiyonları üzerinde akut olumlu etkisi olduğu ifade edilebilir. İnme sonrası hastalarda pulmoner komplikasyon riskini azaltmak ve egzersiz kapasitesini geliştirmek için solunum egzersizleri veya TLF gevşetme teknikleri uygulanabilir. TLF gevşetme uygulamalarının inme hastalarının respiratuar kinetiklerini üzerine etkisinin incelendiği kanıta dayalı daha fazla bilimsel aras?tırmaya ihtiyac? duyulmaktadır.
Purpose: This study was planned to examine the immediate effects of thoracolumbar fascia (TLF) release on pulmonary functions in chronic stroke patients. Materials and Methods: 30 male stroke patients between the ages of 18-65 were included in the study. The patients were divided into three groups by simple randomization method: control group (KG, 57.7 ± 4.92 years), breathing exercises (SG, 57.6 ± 4.32 years) and TLF release (TLF, 56.5 ± 9.8 years) groups. Traditional stroke rehabilitation protocols were applied to the control group, and 15 minutes of breathing exercises or 15 minutes of TLF release techniques were applied to the other groups in addition to traditional stroke rehabilitation protocols. Respiratory functions of the patients were evaluated by spirometry before and after treatment. Two-way repeated measures analysis of variance (ANOVA), Tukey HSD test and dependent groups t test were used to analyze the results. Results: There was a statistically significant difference in the values between pre-treatment and post-treatment in all parameters except the FEV1/FVC (%) value in the treatment groups (TLF and SG) (p<0.01). As a result of the post-hoc analysis for FVC (L) and FEV1 (L), it was seen that TLF and SG from the treatment applications had a significant difference compared to the control group (p = 0.001). Conclusion: It can be stated that TLF release practices have an acute positive effect on the respiratory functions of chronic stroke patients. Breathing exercises or TLF release techniques can be applied to reduce the risk of pulmonary complications and improve exercise capacity in post-stroke patients. More evidence-based scientific research is needed to examine the effects of TLF release practices on the respiratory kinetics of stroke patients.
Purpose: This study was planned to examine the immediate effects of thoracolumbar fascia (TLF) release on pulmonary functions in chronic stroke patients. Materials and Methods: 30 male stroke patients between the ages of 18-65 were included in the study. The patients were divided into three groups by simple randomization method: control group (KG, 57.7 ± 4.92 years), breathing exercises (SG, 57.6 ± 4.32 years) and TLF release (TLF, 56.5 ± 9.8 years) groups. Traditional stroke rehabilitation protocols were applied to the control group, and 15 minutes of breathing exercises or 15 minutes of TLF release techniques were applied to the other groups in addition to traditional stroke rehabilitation protocols. Respiratory functions of the patients were evaluated by spirometry before and after treatment. Two-way repeated measures analysis of variance (ANOVA), Tukey HSD test and dependent groups t test were used to analyze the results. Results: There was a statistically significant difference in the values between pre-treatment and post-treatment in all parameters except the FEV1/FVC (%) value in the treatment groups (TLF and SG) (p<0.01). As a result of the post-hoc analysis for FVC (L) and FEV1 (L), it was seen that TLF and SG from the treatment applications had a significant difference compared to the control group (p = 0.001). Conclusion: It can be stated that TLF release practices have an acute positive effect on the respiratory functions of chronic stroke patients. Breathing exercises or TLF release techniques can be applied to reduce the risk of pulmonary complications and improve exercise capacity in post-stroke patients. More evidence-based scientific research is needed to examine the effects of TLF release practices on the respiratory kinetics of stroke patients.
Açıklama
Anahtar Kelimeler
Fizyoterapi ve Rehabilitasyon, Physiotherapy and Rehabilitation
