(Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Hatay. Türkiye)
(Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Fizik Tedavi ve Rehabilitasyon Anabilim Dalı, Hatay. Türkiye)
(Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Hatay. Türkiye)
İsmet Murat MELEK
(Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Nöroloji Anabilim Dalı, Hatay. Türkiye)
Emine Esra OKUYUCU
(Hatay Mustafa Kemal Üniversitesi Tayfur Ata Sökmen Tıp Fakültesi, Nöroloji Anabilim Dalı, Hatay. Türkiye)
Yıl: 2021Cilt: 27Sayı: 3ISSN: 1300-7157Sayfa Aralığı: 171 - 176İngilizce

0 0
Evaluation of Respiratory Function in Patients with Epileptic Seizures
Objectives: Respiratory problems increase the number of epileptic seizures in individuals with epileptic seizures. This study aimed to determine the relationship between the number of seizures, sleep quality, and respiratory problems by evaluating the changes in respiratory parameters of epileptic patients. Methods: Thirty individuals aged 18–40 years with generalized epilepsy were included in the study. Demographic data, number of seizures per week, pulse and blood pressure measurements, age of seizures, and body mass index were recorded. Dyspnea with mMRC; pulmonary function test; level of physical activity (PA) with International physical activity assessment survey (IPAQ); mouth pressure measuring device with respiratory muscle strength; and sleep quality with Pittsburgh Sleep Quality Index (PSQI) were evaluated. Results: Thirty patients with epileptic seizures (mean age: 26.56±6.64 years) were included in the study. The mean; % maximal inspiratory pressure (MIP) 67.44, %Maximal expiratory pressure (MEP) 35.14, MIP 70.47, and MEP 62.24 cmH2 O were found. The forced expiratory volumes/ forced vital capacity (FEV1 /FVC) (41.01%) and FEV1 (62.50%; 2.56 L) was found lower than the standards. The positive correlation between the MEP, MIP, FEV1 (L), and severe PA was found. FVC with sitting, FEV1 (L) with moderate PA, and FEV1 /FVC (%) with PSQI, sitting with educational status were positively correlated (p<0.05). There was a negative correlation between the %MIP and a systolic blood pressure; MIP, MEP (% and cmH2O) with diastolic blood pressure (p<0.05), and a positive correlation between the %MEP and SpO2 (p<0.05). Conclusion: As a result, respiratory function, PA, and the sleep quality of individuals with epilepsy were affected. Respiratory muscle training, PA programs, and behavioral changes should be added to the medical treatment programs of these individuals.
DergiAraştırma MakalesiErişime Açık
  • 1. Adams RD, Victor M, Ropper AH. Epilepsy and disorder of consciousness: In: Adams RD, Victor M, Ropper AH, editors. Principles of Neurology. 7th ed. NewYork: İnternational Edition; 2001. p. 329–404.
  • 2. Guyton AC, Hall JE. Tıbbi Fizyoloji. 10th ed. W.B. Philadelphia, PA: Saunders; 2001. p. 525–6.
  • 3. Sander JW, Shorvon SD. Epidemiology of the epilepsies. J Neurol Neurosurg Psychiatry 1996;61(5):433–43.
  • 4. Vaughn BV, Ali I. Sleep and epilepsy: Opportunities for diagnosis and treatment. Neurol Clin 2012;30(4):1249–74.
  • 5. Arida RM, Scorza FA, da Silva SG, Schachter SC, Cavalheiro EA. The potential role of physical exercise in the treatment of epilepsy. Epilepsy Behav 2010;17(4):432–5.
  • 6. American thoracic society standardization of spirometry. Am Rev Respir Dis 1987;136:1285–307.
  • 7. American Thoracic Society/European Respiratory Society. ATS/ ERS statement on respiratory muscle testing. Am J Respir Crit Care Med 2002;166(4):518–624.
  • 8. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth B., et al. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc 2003;35(8):1381–95.
  • 9. Khadawardi H, Mura M. A Simple dyspnoea scale as part of the assessment to predict outcome across chronic interstitial lung disease. Respirology 2017;22(3):501–7.
  • 10. Ağargün MY, Kara H, Anlar O. Pittsburgh Uyku Kalitesi İndeksi’nin Geçerliği ve Güvenirliği. Turk Psikiyatri Derg 1996;7(2):107–11.
  • 11. Volpato N, Kobashigawa J, Yasuda CL, Kishimoto ST, Fernandes PT, Cendes F. Level of physical activity and aerobic capacity associate with quality of life in patients with temporal lobe epilepsy. PLoS One 2017;12(7):e0181505.
  • 12. Dimitri P, Joshi K, Jones N; Moving Medicine for Children Working Group. Moving more: physical activity and its positive effects on long term conditions in children and young people. Arch Dis Child 2020;105(11):1035–40.
  • 13. Nei M, Ho RT, Sperling MR. EKG abnormalities during partial seizures in refractory epilepsy. Epilepsia 2000;41(5):542–8.
  • 14. Malow BA, Fromes G, Aldrich MS. Usefulness of polysomnography in epilepsy patients. Neurology 1997;48:1389–94.
  • 15. Manni R, Tartara A. Evaluation of sleepiness in epilepsy. Clin Neurophysiol 2000;111(Suppl 2):111–4.
  • 16. Moser D, Pablik E, Aull-Watschinger S, Pataraia E, Wöber CH, Seidel S. Depressive symptoms predict the quality of sleep in patients with partial epilepsy a combined retrospective and prospective study. Epilepsy Behav 2015;47:104–10.
  • 17. Alanis-Guevara I, Peña E, Corona T, López-Ayala T, López-Meza E, López-Gómez M. Sleep disturbances, socioeconomic status, and seizure control as main predictors of quality of life in epilepsy. Epilepsy Behav 2005;7(3):481–5.
  • 18. Lannon SL, Vaughn BV. Sleep hygiene in patients with epilepsy. Epilepsia 1997;38:227.
  • 19. Nashef L, Ryvlin P. Sudden unexpected death in epilepsy (SUDEP): Update and reflections. Neurol Clin 2009;27(4):1063– 74.
  • 20. Malow BA, Levy K, Maturen K, Bowes R. Obstructive sleep apnea is common in medically refractory epilepsy patients. Neurology 2000;55(7):1002–7.
  • 21. Derry CP, Duncan S. Sleep and epilepsy. Epilepsy Behav 2013;26(3):394–404.
  • 22. Kizer KW, Stegun MB. Serious reportable adverse events in healthcare. In: Advances in Patient Safety: From Research to Implementation, Programs, Tools, and Products Vol. 4. Washington, DC: US Depart-ment of Health and Human Services; 2005. p. 339–52.
  • 23. Seyal M, Bateman LM, Li CS. Impact of periictal interventions on res-piratory dysfunction, postictal EEG suppression, and postictal immo-bility. Epilepsia 2013;54(2):377–82.
  • 24. Bittencou LR, Moura SM, Bagnato MC, Gregório LC, Tufik S, et al. Assessment of ventilatory neuromuscular drive in patients with obstructive sleep apnea. Braz J Med Biol Res 1998;31(4):505– 13.

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.