İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler

eskiyurt, nurten; YALIMAN, AYSE; kesiktas, nur; Karan, Ayşe

İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler

Nur KESİKTAŞ, (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

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

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

Nurten ESKİYURT (İstanbul Üniversitesi, İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Osteoporoz Dünyasından

11 0

Yıl: 2007 Cilt: 13 Sayı: 3 Sayfa Aralığı: 49 - 55 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler

Öz:

Amaç: Bu çalışmadaki amacımız, inmeli hastalarda paretik ve nonparetik tarafların kemik mineral yoğunluğu (KMY) değerlerini karşılaştırmak, kemik mineral kaybı varlığı ile demografik, klinik özellikler ve bazı laboratuar bulguları arasındaki ilişkiyi değerlendirmektir. Hastalar ve Yöntem: Yaş ortalaması 61.8±5.8 yıl olan 46 tek taraflı inmeli hasta çalışmaya alındı. Klinik ve demografik özellikler değerlendirildi. Brunnstrom evrelemesi, fonksiyonel bağımsızlık ölçümünün Türkçe versiyonu (FBÖ), Ashworth skalası, Beck Depresyon Ölçeği (BDÖ) değerlendirmelerde kullanıldı. Dual-enerji X-ray absorpsiometri ile KMY biokimyasal veriler toplandı. İstatistikler SPSS versiyon 10.0 ile yapıldı. Bulgular: Paretik tarafın femur boynu KMY/T skorları ve distal radius T skoru paretik olmayan taraftan istatistiksel anlamlı olarak daha düşüktü (p<0.05). Sol hemiplejiklerin femur total ve distal radius KMY/T skorları paretik olmayan taraflarından daha düşüktü, fakat sağ hemiplejiklerde paretik olmayan tarafla anlamlı fark yoktu. Kadınların KMY’leri erkeklerin KMY’lerinden istatistiksel anlamlı olarak daha düşüktü (p<0.05). BDÖ ve mobilite arasında anlamlı korelasyon mevcuttu, r=-0,379 (p<0.05). Düşük FBÖ puanları ile osteoporoz varlığı arasında bir ilişki saptandı. Sonuç: Düşük FBÖ puanları düşük KMY’nin göstergesi olabilir. Erken yürüme ve mobilite inme rehabilitasyonunda hedef alınmalıdır. İnmeli hastalarda depresyonun osteoporoza etkisini gözlemlemek için daha büyük ölçekli, prospektif çalışmalar dizayn edilmelidir. (Osteoporoz Dünyasından 2007;13:49-55)

Anahtar Kelime: Kemik yoğunluğu Demografi Depresyon Absorptiyometri, foton Osteoporoz İnme

Konular: Tıbbi Araştırmalar Deneysel Rehabilitasyon Romatoloji

Bone mineral density of stroke patients and it’s clinical relevance

Öz:

Aim: The aim of this study were to compare paretic and non- paretic side’s bone mineral density (BMD) and to investigate whether demographic, clinical and some laboaratory findings were correlated with bone mineral loss or not in stroke patients. Patients and Methods: 46 unilateral stroke patients mean aged 61.8±5.8 were included in the study. Demographic and clinical characteristics of the patients were evaluated. Brunnstrom motor recovery scale, Turkish version of the FIM, Ashworth scale, Beck Depression Inventory (BDI) were used for assessments. Dual-energy X-ray absorptiometry’s Biochemical’s data were collected. Statistics were analyzed using SPSS version 10.0. Results: The BMDs of the paretic side were statistically significant lower than the non-paretic side at femoral neck BMD/T scores and distal radius T scores (p<0.05). BMDs and T scores of left sided stroke patients were statistically significant lower than non-paretic side at distal radius and femur, but BMD and T scores of right sided stroke patients were not statistically significant different than their non-paretic side BMD of women were statistically significant lower from than men’s BMD, (p<0.05) There were a correlation BDI and mobilization, r=-0,379 (p<0.05). Lower functional independence measurements score were found a relationship with osteoporosis. Conclussion: Low FIM scores can predict low BMD. Early walking and mobility must be targeted in stroke rehabilitation. Bigger sample sized, prospective studies must designed for observation of depression effect on osteoporosis in stroke. (From the World of Osteoporosis 2007;13:49-55)

Anahtar Kelime: Demography Depression Absorptiometry, Photon Osteoporosis Stroke Bone Density

Konular: Tıbbi Araştırmalar Deneysel Rehabilitasyon Romatoloji

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	kesiktas n, Karan A, YALIMAN A, eskiyurt n (2007). İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. , 49 - 55.
Chicago	kesiktas nur,Karan Ayşe,YALIMAN AYSE,eskiyurt nurten İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. (2007): 49 - 55.
MLA	kesiktas nur,Karan Ayşe,YALIMAN AYSE,eskiyurt nurten İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. , 2007, ss.49 - 55.
AMA	kesiktas n,Karan A,YALIMAN A,eskiyurt n İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. . 2007; 49 - 55.
Vancouver	kesiktas n,Karan A,YALIMAN A,eskiyurt n İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. . 2007; 49 - 55.
IEEE	kesiktas n,Karan A,YALIMAN A,eskiyurt n "İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler." , ss.49 - 55, 2007.
ISNAD	kesiktas, nur vd. "İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler". (2007), 49-55.

APA	kesiktas n, Karan A, YALIMAN A, eskiyurt n (2007). İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. Osteoporoz Dünyasından, 13(3), 49 - 55.
Chicago	kesiktas nur,Karan Ayşe,YALIMAN AYSE,eskiyurt nurten İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. Osteoporoz Dünyasından 13, no.3 (2007): 49 - 55.
MLA	kesiktas nur,Karan Ayşe,YALIMAN AYSE,eskiyurt nurten İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. Osteoporoz Dünyasından, vol.13, no.3, 2007, ss.49 - 55.
AMA	kesiktas n,Karan A,YALIMAN A,eskiyurt n İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. Osteoporoz Dünyasından. 2007; 13(3): 49 - 55.
Vancouver	kesiktas n,Karan A,YALIMAN A,eskiyurt n İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler. Osteoporoz Dünyasından. 2007; 13(3): 49 - 55.
IEEE	kesiktas n,Karan A,YALIMAN A,eskiyurt n "İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler." Osteoporoz Dünyasından, 13, ss.49 - 55, 2007.
ISNAD	kesiktas, nur vd. "İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler". Osteoporoz Dünyasından 13/3 (2007), 49-55.