EV EGZERSİZ PROGRAMININ PARKİNSON HASTALARINDAKİ HASTALIK ŞİDDETİ VE YAŞAM KALİTESİ ÜZERİNE KISA DÖNEMDEKİ ETKİSİ

AmaçParkinson hastalığı, kronik nörodejeneratif bir hastalık olup hastaların yaşam kalitesini ciddi biçimdebozmaktadır. Bu çalışmada ev egzersiz programınınParkinson hastalarının yaşam kalitesi üzerine kısadönemdeki etkisini araştırmayı amaçladık.Gereç ve YöntemBu çalışmaya toplam 30 Parkinson hastası alınmıştır.Tüm hastaların demografik ve klinik verileri kaydedilmiş, hastalık şiddetini değerlendirmek için BirleşikParkinson Hastalığı Değerleme Ölçeği (BPHDÖ), yaşam kalitesini değerlendirmek için Parkinson HastalığıAnketi (PDQ-39), doldurulmuştur. Hastalar randomizeolarak olarak iki gruba ayrılmıştır. Gruplardan birinebir aylık ev egzersiz programı verilmiştir (grup1). Diğer gruba mevcut farmakolojik tedavileri dışında ekgirişim veya öneride bulunulmamıştır (grup2). Grup1’deki hastalar bir ay sonra PDQ-39 ve BPHDÖ iletekrar değerlendirilmiştir.Bulgularİlk değerlendirmede gruplar arasında demografikve klinik özellikler, hastalık şiddeti ve yaşam kalitesiskorları açısından istatistiksel olarak anlamlı farklılıkyoktu. Ev egzersiz programı alan hastaların PDQ-39ve BPDHÖ skorlarının hem egzersiz öncesi durumlarıyla karşılaştırıldığında, hem de ev egzersiz programı almayan Parkinson hastalarıyla karşılaştırıldığındaanlamlı olarak daha iyi olduğu belirlendi. Ev egzersizprogramı alan hastaların egzersiz sonrası değerlendirmelerinde PDQ-39 mobilite, günlük yaşam aktiviteleri, kognitif durum, iletişim, beden konforsuzluğu vetotal skorları ve BPHDÖ düşünce-davranış-ruhsal durum, günlük yaşam aktiviteleri, motor muayene ve total skorları anlamlı olarak iyileşmiş bulundu. (p

SHORT TERM EFFECTS OF HOME EXERCISE PROGRAM ON SEVERITY OF DISEASE AND QUALITY OF LIFE IN PATIENTS WITH PARKINSON’S DISEASE

Objective Parkinson’s disease is a chronic neurodegenerative disease that seriously deteriorates of quality of life of the patients. In this study we aimed to investigate short term effects of home exercise program on quality of life in patients with Parkinson’s disease.Materials and Methods Thirty patients with Parkinson’s disease were included in this study. Demographical and clinical data of all patients were recorded, Unified Parkinson’s Disease Rating Scale (UPDRS) was filled to evaluate severity of illness and Parkinson’s Disease Questionnaire (PDQ-39) was filled to evaluate quality of life. Patients were randomly allocated into two groups as group 1 (n=15) and group 2 (n=15). One month duration home exercise program were given to one group (group1). No extra intervention or advice other than their pharmachological treatment were given to the other group (group2). One month later, patients in group 1 were reevaluated by PDQ-39 and UPDRS. Results There was no statistically significant difference between groups in relation to demographical and clinical features, severity of disease and quality of life scores at the initial evaluation. The PDQ-39 and UPDRS scores of the patients who have taken home exercise programs were found to be significantly better compared to both their own pre-exercise status and to the patients who did not get any exercise program. In the post-exercise evaluation, mobility, activities of daily living, emotional well-being, cognitions, communication, bodily discomfort and total scores of PDQ-39 and mentation, behavior and mood, activities of daily living, motor examination and total scores of UPDRS of the patients who have taken home exercise programs were found to get significantly better. (p

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