İnmeli Bireylerde Korse Kullanımının Denge ve Kas Aktivasyonu Üzerine Etkisinin İncelenmesi

Amaç:Bu çalışmanın amacı, inmeli bireylerde korse kullanımının denge ve kas aktivasyonu üzerine etkilerini belirlemek olarak planlandı.Yöntemler:Çalışmaya dahil edilen 44 inmeli birey, rastgele yöntemle korse kullanan n=23 ve korse kullanmayan n=21 grup olarak ikiye ayrıldı. Tüm bireyler iki hafta süresince, haftada 5 kez fizyoterapi programına alındı. Korse kullanan gruptaki bireylere fizyoterapi programına ek olarak, sabah kalkış saatinden akşam yatış saatine kadar elastik lumbal korse kullandırıldı. Tüm bireylerin statik dengeleri Tetrax Denge Cihazı TDC , dinamik dengeleri Berg Denge Skalası BDS ve Fonksiyonel Uzanma Testi FUT , Transversus Abdominus TrA kas kuvveti ise stabilizer cihazı Basınç Biofeedback Ünit kullanılarak değerlendirildi. Değerlendirmeler tedavi öncesi TÖ , tedavi ortası 1. hafta TO 1. H ve tedavi sonrası TS olmak üzere 3 defa yapıldı.Bulgular:2 haftalık korse kullanımının sonucunda; FUT, BDS ve Tetrax parametrelerinden Ağırlık Dağılım İndeksi ADİ ölçümlerinde anlamlı fark bulundu p0,05 .Sonuç:İnmeli bireylerde kısa süreli korse kullanımının, elastik korsenin gövde hareketlerini engellememesi, gövde kasları için sürekli olarak hatırlatıcı olması ve farkındalığı arttırıcı bir görev üstlenmesi nedeniyle, inme rehabilitasyonunda konvansiyonel fizyoterapi programına ilave edilebileceği düşüncesindeyiz

Investigation of The Effect of Corset Use On Balance and Muscle Activation In Stroke Patients

Purpose:The aim of this study was to investigate the effect of corset use on balance and muscle activation in stroke patients.Methods:Forty-four individuals were included this study, divided randomly in two seperate groups, corset group n=23 and without corset group n=21 . All patients received a physical therapy programme every workday for 2 weeks. The corset group, in addition to physical therapy, used an elastic lomber corset from getting up till going back to sleep. Static balance values of patients were measured with Tetrax Balance Systems TBS , dynamic balance was measured with Berg Balance Scale BBS and Functional Forward Reach Test FRT and Transversus abdominus muscle strength was assessed with stabilizer device Pressure Biofeedback Unit . The evaluations were made 3 times; before treatment, middle of treatment, and 1 and 2 weeks after treatment.Results:There was significant difference in favor of corset group for FRT, BBS and Tetrax WDI Weight Distribution Index after 2 weeks’ usage of corset p0.05 .Conclusion:We believe that short-term use of corsets in stroke patients may be added to the conventional physiotherapy program in stroke rehabilitation because it does not restrict trunk movements, is a constant reminder for trunk muscles, and increases awareness

Keywords:

Balance, trunk, stroke core stability, corset,

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