Yasemin Parlak DEMİR, MUHAMMED KILINÇ, SİBEL AKSU YILDIRIM

Periferik Nöropatili Olguların Düşme İle İlgili Özelliklerinin Değerlendirilmesi

AMAÇ: Periferik nöropatili olgularda düşme hastaların günlük yaşamlarını etkileyen önemli bir sağlık sorunudur. Literatür incelendiğinde düşmenin özelliklerinin tanımlandığı çalışmalar yetersizdir. Bu çalışmanın amacı periferik nöropatili olgularda düşme ve özelliklerinin tanımlanmasıdır. YÖNTEM: Çalışmaya bağımsız yürüyebilen nöropati tanısı ile takip edilen olgular alınmıştır. Olguların alt eksremite yüzeyel ve derin duyuları, ayak dorsi fleksiyon, diz ekstansiyon ve kalça fleksiyonunun kas kuvveti değerlendirildi. Hastalara son 6 aydaki düşme aktivitesinin varlığı ile düşmenin sayısı, nedeni, yeri, şekli, düşme korkusu ve yaralanma şekli ile ilgili sorulara verdikleri cevaplar kaydedilmiştir. BULGULAR: Olguların yaş ortalaması 47,00 ± 19,47 yıl ve hastalık durasyonu 09,37±09,64 yıldır. Olguların; %71'inin son 6 ayda düşme hikâyesi var, %38'i son 6 ayda 3 den fazla düşmüş, %63'ünde düşme korkusu var, %46,7'sinde ayak takılması nedeniyle düşme oluşmuş, %57,7'sinde düşme yürüme aktivitesi sırasında olmuş, %40'ı düşme eller ve dizler üstüne şeklinde belirtmiş ve % 25'inde yaralanma tanımlanmıştır. Olguların %51,9/%57,8'inde sağ/sol ayak dorsifleksiyon kas kuvveti, %7,6/%8'inde diz ekstansiyon kas kuvveti %7,7/%8'inde kalça fleksiyon kas kuvveti 3 değerinin altında bulunmuştur. Taban altı basınç duyusunda olguların %32/%28'inin sağ/sol kayıp, %4/%4'ünde azalma, yaklaşık %50'sinde çorap tarzı hipoestezi bulunmuştur. SONUÇ: Periferik nöropatili olgularda düşmeye neden olan faktörlerin bilinmesi koruyucu ve tedavi edici nörolojik rehabilitasyon uygulamaları açısından fizyoterapistlere ve klinisyenlere yol gösterici olacaktır.

[Evaluation of the Properties of Falling in Patients with Peripheral Neuropathy]

AIM: The purpose of this study is to identify characteristics of falling in patients with peripheral neuropathy METHODS: 31 (mean age 47.00 ± 19.47 years ) cases with neuropathy were included in the study. Superficial and deep sensation in lower exremities ,foot dorsi flexion, knee extension and flexion of hip muscle strength were evaluated. Patients were asked to report the falling activity, the number of falls, cause of falling, the shape of falling, fear of falling and type of injury caused by falls in the last 6 months. RESULTS: Duration of disease 09.37 ± 09.64 years. The cases of muscle strength 51.9%/57.8% at the left/right foot dorsiflexion, 7.6%/8% knee extension, 7.7%/8%, hip flexion value of the 3 under was found. The cases of 32%/ 28% 's of the left/right loss sensation of pressure under the sole. 50% cases of the style of socks hypoesthesia was found. 71% of the cases reported falling, 38% fell more than 3, 63% have a fear of falling, 46.7% was occurred by foot insertion, 57.7 % cases for a fall during a walking activity. CONCLUSIONS: Understanding the properties of falling in patients with peripheral neuropathy will guide physiotherapists in the practice of neurological rehabilitation for practice and therapatic purposes.

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