Disfajik İnmeli Bireylerde Kullanılan Kompansatuvar Postürün Yutma Üzerine Etkisi
ÖzetAmaç Bu çalışmanın amacı inme sonrası disfaji görülen bireylerde kullanılan postüral adaptasyon manevralarının bireylerin yutması üzerine etkisini incelemektir. Gereç ve Yöntem Fonksiyonel oral alım skalasına göre disfaji görülen 64 inmeli birey bu çalışmaya dahil edilmiştir. Bireylerin yutma becerileri Teat-10 testi baş nötral pozisyonda ve etkilemiş tarafa rotasyon yaptırılarak 2 kez değerlendirilmiştir. Bulgular Etkilenen arter bölgelerine göre yutma bozukluk şiddetlerinde belirgin farklılık olduğu bulunmuştur(p<0.05). Pozisyonlama sonrası yapılan yutma değerlendirmesi sonuçlarında nötral pozisyona göre yutmalarının anlamlı düzeyde değiştiği gözlenmiştir(p<0.05). Sonuç Bu çalışmanında chin tuck postürüne ek olarak başın etkilenen tarafa rotasyonunun inmeli disfajik bireylerde yutmayı olumlu etkilediği bulunmuştur Anahtar kelimeler: Disfaji, İnme, Rehabilitasyon
The Effects of Compensatory Posture on Swallowing in Dysphagic Stroke Patients
AbstractObjectiveThe purpose of this study is to examine the effect of postural adaptation maneuvers used in dysphagia in stroke patients.MethodsSixty-four stroke subjects with dysphagia according to functional oral intake scale were included in this study. Subjects swallow ability tested twice with Teat-10 test while in neutral head position and head rotation on affected side.ResultsIt has been found that there is a significant difference in the severity of swallowing disorders compared to the affected arterial regions (p<0.05). It has been observed that swallowing evaluations after positioning have significantly changed the swallowing according to the neutral position(p<0.05).ConclusionIn this study it was found that in addition to the chin tuck posture, head rotation to the affected side positively affected swallowing of stroke patients.Keywords: Dysphagia, Stroke, Rehabilitation
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