Multiple Skleroz'lu Hastalarda Üst Ekstremite Ataksisinin Bilgisayar Analizi İle Değerlendirilmesi

Amaç: Multipl Skleroz (MS) gibi nörolojik ve nörofizyolojik bozukluk ve özrü olan hastalıkları tam ve kusursuz değerlendirmek zordur. MS'te üst ekstremite koordinasyon problemini değerlendirmek amacıyla yeni bir test (Multipl Skleroz Ataksi Testi)(MSAT) geliştirdik. Bu test bize üst ekstremite koordinasyon probleminin şiddetini tam değerlendirmek için bilgisayar tabanlı bir değerlendirme platformu sağlamaktadır. Bulgular: EDSS ile hastaların dominant el (sağ el)arasında istatiksel olarak anlamlı bir korelasyon tespit edilmedi. (p>0.05).ICAR değişkeni ile dominant ve non-dominant el arasında anlamlı bir korelasyon tespit edilmedi (p>0.05).Hasta ve sağlıklı kişilerin sağ el karşılaştırması için yapılan analizde bu iki grup arasında ortalamalar açısından istatistiksel olarak anlamlı bir farklılık vardır (p

Evaluation of Upper Extremity Ataxia in Multiple Sclerosis Disease with Computer Analysis

Objective: Neurological and neurophysiologic disorders such as Multiple Sclerosis (MS) and disorders with disabilities need to be evaluated thoroughly and thoroughly. In MS we developed a new test (Multiple Sclerosis Ataxia Test) (MSAT) to evaluate the upper extremity coordination problem. This test provides a computer-based evaluation platform to fully assess the severity of the upper extremity coordination problem. Method: (MSAT) was tested on 23 patients (MS) with 18 MS in EDSS groups with different (Expanded Disability Status Scale) MS disease. The amount of deviation of the following patient by the spiral line pen on the tablet is given as a percentage. Since the same practices were applied in healthy group, dominant and non dominant hand were compared in MS and healthy group. Results The Ataxia Ratio Scale (UAQ) was compared with the upper extremity kinetic functions section. fonksiyonel klinisyen değerlendirme ölçeğidir. EDSS, hastalığın ilerlemesini araştırmalarda etkinliğini kullanılmaktadır.

___

  • 1.Givon, U., Zeiliq G., Achiron A., "Gait analysis in multiple sclerosis: characterization of temporal-spatial parameters using GAITRite functional ambulation system." Gait Posture 2009;29:138-42.
  • 2.Assessment andIntervention Ulaşılabileceği adres: [http://www.nationalmssociety.org/For-Professionals/Clinical-Care/Managing-MS/Rehabilitation/Rehabilitation-Paradigm/Assessment-and-Intervention]. Accessed 12 May 2016.
  • 3.Compston, A. and A. Coles "Multiplesclerosis." Lancet 2008;372:9648: 1502-17..
  • 4.Cattaneo, D., De Nuzzo, C., Fascia, T., et. al . Risks of falls in subjects with multiple sclerosis. ArchPhys Med Rehabil, 2002;83:864-7.
  • 5.Khan f.,Turner-Stokes L., Nq L., Kilpatrick T., "Multidisciplinary rehabilitation for adults with multiple sclerosis." The Cochrane Library 2007:18; 6036.
  • 6. Elbers, Roy G.,Marc B. R., et al. "Self - report fatigue questionnaires in multiple sclerosis, Parkinson's diseaseand stroke: a systematic review of measurement properties." Quality of Life Research 21.6;2012: 925-44.
  • 7. Peter F.,Nuttin F., Werner B., "Relationship between multiple sclerosis intention tremor severity and lesion load in the brainstem." Neuroreport 16.12;2005: 1379-82.
  • 8. Brex PA.,Ciccarelli O., O'Riordan JL.,"A longitudinal study of abnormalities on MRI and disability from multiple sclerosis." New England Journal of Medicine 346.3;2002: 158-64.
  • 9. Taylor NF.,Dadd KJ., Prasad D., Denisenko S., "Progressive resistance exercise for people with multiple sclerosis." Disability and rehabilitation 28.18;2006: 1119-26.
  • 10. Storr, L. K., P. S. Sørensen, and M. Ravnborg. "The efficacy of multi disciplinary rehabi litation in stable multiple sclerosis patients." Multiple Sclerosis Journal 12.2;2006:235-42
  • 11.Bombardier CH, Ehde DM, Gibbons LE., "Telephone -based physicalactivity counseling for majör depression in people with multiple sclerosis." Journal of consulting and clinical psychology 81.1;2013: 89.
  • 12. Alusi, SH.,Glickman S., Aziz TZ., Bain PG., "Tremor in multiple sclerosis." 1999: 131-4.
  • 13. Mathiowetz, Virgil, and Michael G. Wade. "Task constraints and functional motor performance of individuals with and with out multiples clerosis." EcologicalPsychology7.2;1995: 99-123.
  • 14. Goodkin, Donald E., DorisHertsguard, and JudySeminary. "Upperextremity function in multiple sclerosis: improvingassessment sensitivitywithbox-and-blockand nine-hole pegtests." Archives of physical medicineandrehabilitation 69.10 ;1988: 850-4.
  • 15. Kurtzke, John F. "Rating neurologicimpairment in multiplesclerosis an expanded disabilitystatusscale (EDSS)."Neurology 33.11;1983: 1444.
  • 16. Fischer JS., Rudick RA., Cutter GR., "The Multiple Sclerosis Functional Composite Measure (MSFC): an integrated approach to MS clinical outcome assessment. National MS Society Clinical Outcomes Assessment Task Force." MultScler 1999;5: 244-50.
  • 17. Cutter GR., Baier ML., Rudick RA., Cookfai DL., "Development of a multiple sclerosis functional composite as a clinical trial outcome measure." Brain 1999;122 ( Pt 5): 871-82.
  • 18. Rudick RA., Miller D., Bethoux F., Rao SM. "The Multiple Sclerosis Performance Test (MSPT): an iPad -based disability assessment tool." Journal of visualized experiments: JoVE (2014). (88).
  • 19. Comi, G., Filippi, M., Barkhof, F., et al. Effect of early interferon treatment on conversion to definite multiple sclerosis: a randomised study. Lancet, 2001: 357,1576-82.
  • 20. Erasmus LP.,Sarno S., Albrecht H., "Measurement of ataxicsymptomswith a graphic tablet: standardvalues in controlsand validity in MultipleSclerosis patients." Journal of neurosciencemethods 108.1;2001: 25-37.
  • 21. Erdeo F. Uca AU., Yıldız İ.,. "Multiple Skleroz'lu hastalarda üst ekstremite ataksisinin bilgisayarlı analizle değerlendirilmesi" 6.Ulusal Fizyoterapi Kongresi. 2017.
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU
Sayıdaki Diğer Makaleler

İleri Yaş Hastalarda Çimentolu ve Çimentosuz Hemiartroplasti Sonuçlarının Karşılaştırılması

Şehmuz KAYA, Hüseyin ÖZDEMİR, Abdullah Yalçın DABAK

Effect of clinical autonomic dysfunction on cognitive functions in Parkinson's disease

DURSUN AYGÜN, Çetin Kürşad AKPINAR, Serpil YON, Musa Kazım ONAR

Güneydoğu Anadolu Bölgesi'nde Rutin Hepatit B Aşı Programının Etkisi

TUNCER ÖZEKİNCİ, SELAHATTİN ATMACA, Nezahat AKPOLAT, Kadri GÜL

Son Bir Yıl İçindeki Nekrotizan Fasiitis Tanısı Alan Hastaların Değerlendirilmesi

İBRAHİM TAYFUN ŞAHİNER, MURAT KENDİRCİ, Mete DOLAPÇI

A newborn with moderate hemophilia A with severe intracranial and extracranial hemorrhage: A case report

ŞEBNEM KADER, Pınar Gökçe REİS, MEHMET MUTLU, Yakup ASLAN, EROL ERDURAN, UĞUR YAZAR

INH Direnç Mekanizmaları

Tanseli GÖNLÜGÜR, UĞUR GÖNLÜGÜR

Trombositten zengin Fibrinin periferik sinir iyileşmesi üzerindeki histopatolojik etkileri

Hasan METİNEREN, Turan Cihan DÜLGEROĞLU, Mehmet Hüseyin METİNEREN

Acute Abdomen Caused by Spontaneous Perforation of Hydatid Liver Cyst

Faik TATLI, Orhan GÖZENELİ, Yusuf YÜCEL, ALİ UZUNKÖY, Hüseyin Cahit YALÇIN, Yalçın OZGÖNÜL, Abuzer DİRİCAN

Quality of Life and Self-Efficacy of Adolescents with Chronic Health Conditions

Demet TAŞ, EBRU ÖZTÜRK ÇOPUR, HANDE KONŞUK ÜNLÜ, ZEYNEP TÜZÜN, LÜTFİYE HİLAL ÖZCEBE

Seroprevalences of Hepatitis B and Hepatitis C among healthcare workers in Tire State Hospital

Gökçen BUDAK GÜRKÖK, Nalan GÜLENÇ, Elife ÖZKAN, Rıfat BÜLBÜL, Caner BARAN