DİLEK KARAKUŞ
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Murat ERSÖZ
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Gönül KOYUNCU
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Dilek TÜRK
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Fatma Münevver ŞAŞMAZ
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
MÜFİT AKYÜZ
(Ankara Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Ankara, Türkiye)
Yıl: 2013Cilt: 59Sayı: 2ISSN: 1302-0234 / 1308-6316Sayfa Aralığı: 97 - 102İngilizce

54 0
Effects of functional electrical stimulation on wrist function and spasticity in stroke: a randomized controlled study
Amaç: Subakut/ kronik inmelilerde fonksiyonel elektrik stimülasyonunun el bileği fonksiyonları ve spastisitesine etkisini araştırmak. Gereç ve Yöntem: Randomize, kontrollü, prospektif çalışma. Yaş ortalaması 58,9±12,3 yıl, ortalama inme süresi 100±62 gün olan 28 hasta, rastgele fonksiyonel elektrik stimülasyonu veya kontrol grubuna alındı. Kontrol grubunda bulunan hastalara (n=14) standart rehabilitasyon programı, diğer grup hastalara (n=14) standart rehabilitasyon programına ek olarak el bileği ve parmak ekstansörlerine fonksiyonel elektrik stimülasyon uygulandı. Üst ekstremite fonksiyonları Motricity indeksi, spatisite Ashworth skalası ile tedavi öncesi ve 2 hafta sonrası değerlendirildi. El bileği fleksiyon ve ekstansiyonunda pasif direnç izokinetik dinamometre ile90 ve 120 derece/sn açısal hızlarda ölçüldü. Bulgular: Total üst ekstremite Motricity indeks skoru tedavi öncesi gruplar arasında benzerdi (p=0,142). Grup içi Motricity indeks analizlerinde, total Motricity indeks skoru fonksiyonel elektrik stimülasyonu grubunda düzelme gösterirken (n=14) (p=0,027), diğer parametrelerde anlamlı düzelme görülmedi (p>0,05). Fonksiyonel elektrik stimülasyon grubunda araştırılan diğer parametrelerde de düzelme görülmedi (p>0,05). Sonuç: İnme sonrası gelişen hemiplejide standart rehabilitasyon programına eklenen fonksiyonel elektrik stimülasyon üst ekstremite motor fonksiyonlarını olumlu yönde etkilemektedir. Türk Fiz T›p Re­ hab Derg 2013;59:97-102. 60,
Fen > Tıp > Rehabilitasyon
DergiAraştırma MakalesiErişime Açık
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