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)
Yıl: 2007Cilt: 13Sayı: 3ISSN: 1300-9141Sayfa Aralığı: 49 - 55Türkçe

172 1
İnmeli hastaların kemik mineral yoğunlukları ve klinikleri arasındaki ilişkiler
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)
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Rehabilitasyon
Fen > Tıp > Romatoloji
DergiAraştırma MakalesiErişime Açık
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