Parkinson hastalığı ve rehabilitasyonu

YALIMAN, AYSE; Şen, Ekin İlke

Parkinson hastalığı ve rehabilitasyonu

Ayşe YALIMAN, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Ekin İlke ŞEN (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

31 11

Yıl: 2011 Cilt: 57 Sayı: 1 Sayfa Aralığı: 38 - 44 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Parkinson hastalığı ve rehabilitasyonu

Öz:

Parkinson hastalığı, bradikinezi, rijidite, istirahat tremoru ve postüral instabilite ile karakterize, kronik progresif dejeneratif bir hareketbozukluğudur. Bu temel bulgular dışında fleksiyon postürü, mimiklerde azalma, dizartri, yürürken kol salınımı kaybı gibi sekonder motor belirtiler ve kognitif bozukluklar, otonomik düzensizlikler, demans, uyku bozuklukları, ağrı, koku alma bozukluğu gibi belirtiler de Parkinson hastalığında görülebilir. Parkinson hastalığının temel nöropatolojik bulgusu substansia nigrada bulunan dopaminerjik nöronların kaybı ve sitoplazmik eosinofilik Lewy cisimciklerinin varlığıdır. Hastalık patogenezinden genetik ve çevresel faktörler birlikte sorumlu tutulmaktadır. Medikal tedavi hastalığın motor semptomlarını kontrol altına alırken rehabilitasyon yaklaşımları hastaların yaşam kalitesinin ve fonksiyonel kapasitelerinin iyileştirilmesi açısından önem taşır. Hastalığın erken evrelerinde rehabilitasyon programına başlanmalı, her hastaya göre bireysel program hazırlanarak tedavide süreklilik hedeflenmelidir. Türk Fiz Tıp Rehab Derg 2011;57:38-44. Anahtar Kelimeler: Parkinson hastalığı, patogenez, belirtiler, tedavi, Rehabilitasyon

Anahtar Kelime:

Konular: Rehabilitasyon

Parkinson’s disease and rehabilitation

Öz:

Parkinson’s disease is a chronic progressive neurodegenerative movement disorder, characterized by bradykinesia, rigidity, rest tremor and postural instability. In addition to these cardinal motor symptoms, secondary motor symptoms (e.g. flexion posture, hypomimia, dysarthria, loss of arm swing) and non-motor symptoms (e.g. cognitive impairments, autonomic disturbances, dementia, sleep disorders, pain, hyposmia) appear in Parkinson’s disease. The neuropathologic features of Parkinson’s disease are dopaminergic neuronal loss in the substantia nigra and the presence of cytoplasmic eosinophilic Lewy bodies. Genetic susceptibility and environmental factors share the responsibility in the pathogenesis of the disease. Although medical therapy may provide an effective control of motor symptoms, rehabilitation is an important treatment approach for improvement of quality of life and functional capacity of the patients. Individual rehabilitation program should be initiated in the early stages of the disease and treatment continuity should be targeted.Turk J Phys Med Rehab 2011;57:38-44.

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	YALIMAN A, Şen E (2011). Parkinson hastalığı ve rehabilitasyonu. , 38 - 44.
Chicago	YALIMAN AYSE,Şen Ekin İlke Parkinson hastalığı ve rehabilitasyonu. (2011): 38 - 44.
MLA	YALIMAN AYSE,Şen Ekin İlke Parkinson hastalığı ve rehabilitasyonu. , 2011, ss.38 - 44.
AMA	YALIMAN A,Şen E Parkinson hastalığı ve rehabilitasyonu. . 2011; 38 - 44.
Vancouver	YALIMAN A,Şen E Parkinson hastalığı ve rehabilitasyonu. . 2011; 38 - 44.
IEEE	YALIMAN A,Şen E "Parkinson hastalığı ve rehabilitasyonu." , ss.38 - 44, 2011.
ISNAD	YALIMAN, AYSE - Şen, Ekin İlke. "Parkinson hastalığı ve rehabilitasyonu". (2011), 38-44.

APA	YALIMAN A, Şen E (2011). Parkinson hastalığı ve rehabilitasyonu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 57(1), 38 - 44.
Chicago	YALIMAN AYSE,Şen Ekin İlke Parkinson hastalığı ve rehabilitasyonu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 57, no.1 (2011): 38 - 44.
MLA	YALIMAN AYSE,Şen Ekin İlke Parkinson hastalığı ve rehabilitasyonu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.57, no.1, 2011, ss.38 - 44.
AMA	YALIMAN A,Şen E Parkinson hastalığı ve rehabilitasyonu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2011; 57(1): 38 - 44.
Vancouver	YALIMAN A,Şen E Parkinson hastalığı ve rehabilitasyonu. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2011; 57(1): 38 - 44.
IEEE	YALIMAN A,Şen E "Parkinson hastalığı ve rehabilitasyonu." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 57, ss.38 - 44, 2011.
ISNAD	YALIMAN, AYSE - Şen, Ekin İlke. "Parkinson hastalığı ve rehabilitasyonu". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 57/1 (2011), 38-44.