The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial

KURAN, KADRİYE BANU; SAHIN, FÜSUN; Büyükavcı, Raikan; Sağ, Sinem; DOĞU, BERİL

The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial

Raikan BÜYÜKAVCI, (Department of Physical Medicine and Rehabilitation, Dr. Kemal Beyazıt Physical Medicine and Rehabilitation Center, Kahramanmaraş, Turkey)

Füsun ŞAHİN, (Department of Physical Medicine and Rehabilitation, Dr. Kemal Beyazıt Physical Medicine and Rehabilitation Center, Kahramanmaraş, Turkey)

Sinem SAĞ, (Department of Physical Medicine and Rehabilitation, Medical Faculty of Pamukkale University, Denizli, Turkey)

Beril DOĞU, (Department of Physical Medicine and Rehabilitation, Yavuz Selim Bone Diseases Hospital, Trabzon, Turkey)

KADRİYE BANU KURAN (Department of Physical Medicine and Rehabilitation, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey Received / Geliş tarihi: February 2015 Accepted / Kabul tarihi: October 2015)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

8 1

Yıl: 2016 Cilt: 62 Sayı: 3 Sayfa Aralığı: 248 - 256 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial

Öz:

Amaç: Bu çalışmada erken dönem inmeli hastalarda konvansiyonel egzersiz programına eklenmiş gövde denge egzersizlerinin denge, fonksiyonel durum ve ambulasyona etkisi araştırıldı.Hastalar ve yöntemler: Bu çift kör randomize kontrollü çalışmaya toplam 65 hasta dahil edildi. Hastalar iki saat/gün/üç hafta olmak üzere konvansiyonel egzersizlere ek gövde egzersizlerinin yaptırıldığı çalışma grubu (n=32) ve üç hafta boyunca konvansiyonel egzersizlerin yaptırıldığı kontrol grubu (n=32) olarak iki gruba ayrıldı. Denge, gövde dengesi, fonksiyonel düzey ve ambulasyon düzeyi sırasıyla Berg Denge Ölçeği, Gövde Bozukluk Ölçeği, Fonksiyonel Bağımsızlık Ölçütü, Rivermead Mobilite İndeksi ile ölçüldü. Hastalar tedavi öncesinde ve tedavi sonrası üçüncü ayda değerlendirildi.Bulgular: Tedavi öncesi değerlendirmede sonuç ölçütleri açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu. Tedavi öncesi ve sonrası tüm sonuç ölçütleri lineer tekrarlayan ölçümler modelinde anlamlı olarak iyileşmişti. Zaman ve düzelmeye göre "x süresi koşulu" etkileşim parametreleri çalışma grubunda kontrol grubuna kıyasla anlamlı olarak daha iyiydi. Post hoc hesaplamada iki rehabilitasyon girişimi arasındaki en yüksek ortalama etkinlik farkı dinamik oturma dengesinde bulundu.Sonuç: Çalışmamızın sonuçlarına göre erken dönem inmeli hastalarda hem konvansiyonel egzersizler hem de konvansiyonel egzersizlere eklenen gövde dengesi egzersizleri denge, fonksiyonel durum ve ambulasyonda anlamlı iyileşme sağladı. Ancak iyileşme düzeyi konvansiyonel egzersizlere denge egzersizleri eklenen grupta daha iyi idi. Gövde dengesi egzersizleri hastaların kendilerinin basit düzeneklerle rahatlıkla uygulayabileceği egzersizler olarak rehabilitasyona eklenebilir

Anahtar Kelime:

Konular: Rehabilitasyon

Erken inmeli hastalarda gövde denge egzersizlerinin eklenmesinin gövde dengesi, fonksiyonel durum, gövde dengesi ve ambulasyona etkisi: Randomize-kontrollü çalışma

Öz:

Objectives: This study aims to investigate the effect of additional trunk exercises to conventional exercise program on balance, functional condition and ambulation in early stage stroke patients.Patients and methods: A total of 65 patients were included in this double-blinded randomized controlled study. Patients were assigned to two groups as experimental group (n=32) who performed trunk exercises two hours/day/three weeks accompanied by conventional exercise program, and control group (n=32) who received only conventional exercise program during the three weeks. Balance, trunk balance, functional level and ambulation were assessed by Berg Balance Scale, Trunk Impairment Scale, Functional Independence Measurement, Rivermead Mobility Index, respectively. Patients were evaluated pretreatment and on the third month after the treatment.Results: There was no statistically significant difference between the outcome measurements between the groups at the pretreatment evaluation. All outcome measurements were improved significantly between pre- and post-treatment evaluation in general linear repeated measures model. The interaction parameter of “time x condition” according to time and recovery was significantly better in experimental group than in control group. The highest mean difference in efficacy between the two rehabilitation interventions was found for dynamic sitting balance in post hoc calculations.Conclusion: According to the results of our study, in early stroke patients either conventional exercises or conventional exercises plus trunk balance exercises can provide significant improvement in balance, functional condition and ambulation. However, the level of the improvement is better for the group which was applied trunk balance exercises to conventional exercises. Trunk balance exercises that are easily applicable with simple mechanisms by the patients themselves can be added to the rehabilitation

Anahtar Kelime:

Konular: Rehabilitasyon

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

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APA	Büyükavcı R, SAHIN F, Sağ S, DOĞU B, KURAN K (2016). The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. , 248 - 256.
Chicago	Büyükavcı Raikan,SAHIN FÜSUN,Sağ Sinem,DOĞU BERİL,KURAN KADRİYE BANU The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. (2016): 248 - 256.
MLA	Büyükavcı Raikan,SAHIN FÜSUN,Sağ Sinem,DOĞU BERİL,KURAN KADRİYE BANU The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. , 2016, ss.248 - 256.
AMA	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. . 2016; 248 - 256.
Vancouver	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. . 2016; 248 - 256.
IEEE	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K "The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial." , ss.248 - 256, 2016.
ISNAD	Büyükavcı, Raikan vd. "The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial". (2016), 248-256.

APA	Büyükavcı R, SAHIN F, Sağ S, DOĞU B, KURAN K (2016). The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62(3), 248 - 256.
Chicago	Büyükavcı Raikan,SAHIN FÜSUN,Sağ Sinem,DOĞU BERİL,KURAN KADRİYE BANU The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62, no.3 (2016): 248 - 256.
MLA	Büyükavcı Raikan,SAHIN FÜSUN,Sağ Sinem,DOĞU BERİL,KURAN KADRİYE BANU The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.62, no.3, 2016, ss.248 - 256.
AMA	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(3): 248 - 256.
Vancouver	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(3): 248 - 256.
IEEE	Büyükavcı R,SAHIN F,Sağ S,DOĞU B,KURAN K "The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62, ss.248 - 256, 2016.
ISNAD	Büyükavcı, Raikan vd. "The impact of additional trunk balance exercises on balance, functional condition and ambulation in early stroke patients: Randomized controlled trial". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62/3 (2016), 248-256.