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Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi

Year 2018, Volume: 4 Issue: 3, 150 - 157, 28.09.2018

Abstract

Bu çalışmanın amacı akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin mobilite düzeyi ve klinik sonuçlar üzerine etkisini incelemektir. Yöntem: Çalışmaya bir üniversite hastanesinin nöroloji servisinde akut inme tanısı ile takip edilen 74 birey gönüllük esasına uygun olarak dahil edildi. Hastaların yaş, cinsiyet, eğitim gibi demografi k bilgileri kaydedildi. Hastaların mobilite düzeyi Fizyoterapi Fonksiyonel Mobilite Profi li (FFMP) ile, klinik sonuçlar Klinik Sonuçlar Değişim Skalası (KSDS) ile rehabilitasyon programı başlamadan
önce ve klinikten taburcu olduğu sırada, fi zyoterapi programına katılım düzeyi Pittsburgh Rehabilitasyon Katılım Skalası (PRKS) ile her seans sonrası değerlendirildi. Bulgular: Bireylerin 48’i kadın 26’sı erkek, yaş ortalaması 68.84±12.35 yıl, ortalama hastanede kalış süresi 7.23±4.36 gün idi. FFMP puanı ilk ölçümde 41.18±18.00, son ölçümde 46.72±16.27 puan, iki ölçüm arası fark 5.54±8.78 puan, KSDS puanı ilk ölçümde 57.36±25.08, son ölçümde 64.75±20.92 puan, iki ölçüm arası fark 7.39±12.18 puan, PRKS ortalama puanı 4.60±1.06 olarak bulundu. PRKS ortalama puanı ile FFMP ve KSDS ilk ve son ölçüm puanları arasında pozitif yönde anlamlı bir ilişki saptandı (p<0.01). PRKS ile FFMP ve KSDS fark puanları arasında istatiksel olarak anlamlı bir ilişki saptanmadı (p>0.05). Sonuç: Elde edilen sonuçlar akut inmeli bireylerde fi zyoterapi programına katılım düzeyinin fonksiyonel mobilite düzeyini ve klinik sonuçları etkilediğini göstermektedir. 

References

  • 1. Sudlow CL, Warlow CP. Comparing Stroke Incidence Worldwide: What Makes Studies Comparable? Stroke 1996;27(3):550-558. 2. Visser-Meily A, Post M, Gorter JW, Berlekom SBV, Bos TVD, Lindeman E. Rehabilitation Of Stroke Patients Needs A Family-Centred Approach. Disabil Rehabil 2006;28(24):1557–1561. 3. Kayıhan H. Hemiplejide İş ve Uğraşı Tedavisi 2. Baskı. Ankara: Volkan Matbacılık; 1989: 9-10. 4. Obiako OR, Oparah SK, Ogunniyi A. Prognosis And Outcome Of Acute Stroke In The University College Hospital Ibadan, Nigeria. Niger J Clin Pract 2011;14(3):359-362. 5. Fallahpour M, Tham K, Joghataei MT, Jonsson H. Perceived Participation And Autonomy: Aspects Of Functioning And Contextual Factors Predicting Participation After Stroke. J Rehabil Med 2011;43(5):388-397. 6. Brett CE, Sykes C, Pires-Yfantouda R. Interventions To Increase Engagement With Rehabilitation In Adults With Acquired Brain İnjury: A Systematic Review. Neuropsychol Rehabil 2017;27(6):959-982. 7. Paolucci S, Di Vita A, Massicci R, Traballesi M, Bureca I, Matano A, et al. Impact Of Participation On Rehabilitation Results: A Multivariate Study. Eur J Phys Rehabil Med 2012;48(3):455-466. 8. Yang SY, Kong KH. Level And Predictors Of Participation In Patients With Stroke Undergoing Inpatient Rehabilitation. Singapore Med J 2013;54(10):564-568. 9. Trammell M, Kapoor P, Swank C, Driver S. Improving Practice With Integration Of Patient Directed Activity During Inpatient Rehabilitation. Clin Rehabil 2017;31(1):3-10. 10. Laferrière L, Brosseau L, Narezny M, Ryan M, Tibi G, Chardon JW. Reliability And The Validity Of The Physiotherapy Functional Mobility Profi le Questionnaire. Physiother Theory Pract 2001; 17:217-228. 11. Salter K, Jutai J, Foley N, Teasell R. Clinical Outcome Variables Scale: A Retrospective Validation Study In Patients After Stroke. J Rehabil Med 2010;42(7):609-613. 12. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. The Pittsburgh Rehabilitation Participation Scale: Reliability And Validity Of A Clinician-Rated Measure Of Participation In Acute Rehabilitation. Arch Phys Med Rehabil 2004;85(3):380-384. 13. Özdamar K. SPSS İle Biyoistatistik. 5. Baskı. Eskişehir: Kaan Kitabevi; 2003:99-130. 14. Kristensen HK, Tistad M, Koch Lv, Ytterberg C. The Importance of Patient Involvement In Stroke Rehabilitation. PLoS One 2016;11(6):1-13. 15. Danks KA, Pohlig RT, Roos M, Wright TR, Reisman DS. Relationship Between Walking Capacity, Biopsychosocial Factors, Self-effi cacy, And Walking Activity In Persons Poststroke. J Neurol Phys Ther 2016;40(4):232- 238. 16. Ren Y, Xu T, Wang L, Yang CY, Guo X, Harvey RL, et al. Develop A Wearable Ankle Robot For In-Bed Acute Stroke Rehabilitation. Conf Proc IEEE Eng Med Biol Soc; 2011;7483-7486. 17. Morghen S, Morandi A, Guccione AA, Bozzini M, Guerini F, Gatti R, et al. The Association Between Patient Participation And Functional Gain Following Inpatient Rehabilitation. Aging Clin Exp Res 2017;29(4):729-736. 18. Carr J, Shepherd R. Neurological Rehabilitation: Optimizing motor performance. 1 st edition. Oxford: Butterworth-Heinemann; 1998:20-28. 19. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. CF. Signifi cance Of Poor Patient Participation In Physical And Occupational Therapy For Functional Outcome And Length Of Stay. Arch Phys Med Rehabil 2004;85(10):1599-1601. 20. Talkowski JB, Lenze EJ, Munin MC, Harrison C, Brach JS. Patient Participation And Physical Activity During Rehabilitation And Future Functional Outcomes In Patients After Hip Fracture. Arch Phys Med Rehabil 2009;90(4):618-622. 21. 21. Wressle E, Eeg-Olofsson AM, Marcusson J, Henriksson C. Improved Client Participation In The Rehabilitation Process Using A Client-Centred Goal Formulation Structure. J Rehabil Med 2002;34(1):5-11. 22. 22. Warner G, Packer T, Villeneuve M, Audulv A, Versnel J. A Systematic Review Of The Effectiveness Of Stroke Self-Management Programs For Stroke Survivors. Disabil Rehabil 2015; 37(23):2141-2163. 23. 23. Wilson CM, Mitchell CL, Hebert KM. Cerebellar Stroke Occupational Therapy And Physical Therapy Management From Intensive Care Unit To Outpatient: A Case Report. Cureus 2017;9(12):1-23. 24. Cumming TB, Thrift AG, Collier JM, Churilov L, Dewey HM, Donnan GA, et al. Very Early Mobilization After Stroke Fast-Tracks Return To Walking: Further Results From The Phase II AVERT Randomized Controlled Trial. Stroke 2011;42(1):153-158. 25. Sundseth A, Thommessen B, Rønning OM. Outcome After Mobilization Within 24 Hours Of Acute Stroke: A Randomized Controlled Trial. Stroke 2012;43(9):2389-2394. 26. Imura T, Nagasawa Y, Fukuyama H, Imada N, Oki S, Araki O. Effect Of Early And Intensive Rehabilitation In Acute Stroke Patients: Retrospective Pre-/Post-Comparison In Japanese Hospital. Disabil Rehabil 2018;40(12):1452-1455. 27. Diserens K, Moreira T, Hirt L, Faouzi M, Grujic J, Bieler G, et al. Early Mobilization Out Of Bed After Ischaemic Stroke Reduces Severe Complications But Not Cerebral Blood Flow: A Randomized Controlled Pilot Trial. Clin Rehabil 2012;26(5):451-459.

The Effect of Participation in The Physiotherapy Program Level on Mobility Level and Clinical Outcomes in Acute Stroke Individuals

Year 2018, Volume: 4 Issue: 3, 150 - 157, 28.09.2018

Abstract

The aim of this study is to examine effect of the level of participation in the physiotherapy program on the level of mobility and clinical outcomes in individuals with acute stroke. Methods: 74 patients were included who acute stroke diagnoses were followed neurology department in one university hospital in this study. Demographic characteristics of patients’ as age, gender, education were recorded in the study. Patients’ mobility levels with Physiotherapy Functional Mobility Profi le (PFMP), clinic outcomes with Clinical Outcome Variables Scale (COVS) were evaluated before rehabilitation program and at the time of discharge from the clinic, the level of participation in the physiotherapy program was evaluated with the Pittsburgh Rehabilitation Participation Scale (PRPS) after each treatment session. Results: Participiants’ 48 individuals were female, 26 male, mean ages of participiants was 68.84±12.35 years old, mean duration of
hospital stay was 7.23±4.36 days. It was found PFMP score 41.18±18.00 in fi rst measurement, 46.72±16.27 points in last measurement, difference between two measurements 5.54±8.78 points, COVS score 57.36±25.08 in fi rst measurement, 64.75±20.92 points in last measurement, difference between two measurements 7.39±12.18 points, mean score of PRPS 4.60±1.06 points. There is a positive signifi cance relationship between fi rst and last measurement points of PFMP’ and COVS’ points and mean points of PRPS (p<0.01). There was no statistically signifi cant relationship between PRPS and PFMP and COVS difference scores (p>0.05). Conclusion: The results showed that the level of participation in the physiotherapy program in acute stroke patients affects the level of functional mobility and clinical outcomes. 

References

  • 1. Sudlow CL, Warlow CP. Comparing Stroke Incidence Worldwide: What Makes Studies Comparable? Stroke 1996;27(3):550-558. 2. Visser-Meily A, Post M, Gorter JW, Berlekom SBV, Bos TVD, Lindeman E. Rehabilitation Of Stroke Patients Needs A Family-Centred Approach. Disabil Rehabil 2006;28(24):1557–1561. 3. Kayıhan H. Hemiplejide İş ve Uğraşı Tedavisi 2. Baskı. Ankara: Volkan Matbacılık; 1989: 9-10. 4. Obiako OR, Oparah SK, Ogunniyi A. Prognosis And Outcome Of Acute Stroke In The University College Hospital Ibadan, Nigeria. Niger J Clin Pract 2011;14(3):359-362. 5. Fallahpour M, Tham K, Joghataei MT, Jonsson H. Perceived Participation And Autonomy: Aspects Of Functioning And Contextual Factors Predicting Participation After Stroke. J Rehabil Med 2011;43(5):388-397. 6. Brett CE, Sykes C, Pires-Yfantouda R. Interventions To Increase Engagement With Rehabilitation In Adults With Acquired Brain İnjury: A Systematic Review. Neuropsychol Rehabil 2017;27(6):959-982. 7. Paolucci S, Di Vita A, Massicci R, Traballesi M, Bureca I, Matano A, et al. Impact Of Participation On Rehabilitation Results: A Multivariate Study. Eur J Phys Rehabil Med 2012;48(3):455-466. 8. Yang SY, Kong KH. Level And Predictors Of Participation In Patients With Stroke Undergoing Inpatient Rehabilitation. Singapore Med J 2013;54(10):564-568. 9. Trammell M, Kapoor P, Swank C, Driver S. Improving Practice With Integration Of Patient Directed Activity During Inpatient Rehabilitation. Clin Rehabil 2017;31(1):3-10. 10. Laferrière L, Brosseau L, Narezny M, Ryan M, Tibi G, Chardon JW. Reliability And The Validity Of The Physiotherapy Functional Mobility Profi le Questionnaire. Physiother Theory Pract 2001; 17:217-228. 11. Salter K, Jutai J, Foley N, Teasell R. Clinical Outcome Variables Scale: A Retrospective Validation Study In Patients After Stroke. J Rehabil Med 2010;42(7):609-613. 12. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. The Pittsburgh Rehabilitation Participation Scale: Reliability And Validity Of A Clinician-Rated Measure Of Participation In Acute Rehabilitation. Arch Phys Med Rehabil 2004;85(3):380-384. 13. Özdamar K. SPSS İle Biyoistatistik. 5. Baskı. Eskişehir: Kaan Kitabevi; 2003:99-130. 14. Kristensen HK, Tistad M, Koch Lv, Ytterberg C. The Importance of Patient Involvement In Stroke Rehabilitation. PLoS One 2016;11(6):1-13. 15. Danks KA, Pohlig RT, Roos M, Wright TR, Reisman DS. Relationship Between Walking Capacity, Biopsychosocial Factors, Self-effi cacy, And Walking Activity In Persons Poststroke. J Neurol Phys Ther 2016;40(4):232- 238. 16. Ren Y, Xu T, Wang L, Yang CY, Guo X, Harvey RL, et al. Develop A Wearable Ankle Robot For In-Bed Acute Stroke Rehabilitation. Conf Proc IEEE Eng Med Biol Soc; 2011;7483-7486. 17. Morghen S, Morandi A, Guccione AA, Bozzini M, Guerini F, Gatti R, et al. The Association Between Patient Participation And Functional Gain Following Inpatient Rehabilitation. Aging Clin Exp Res 2017;29(4):729-736. 18. Carr J, Shepherd R. Neurological Rehabilitation: Optimizing motor performance. 1 st edition. Oxford: Butterworth-Heinemann; 1998:20-28. 19. Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. CF. Signifi cance Of Poor Patient Participation In Physical And Occupational Therapy For Functional Outcome And Length Of Stay. Arch Phys Med Rehabil 2004;85(10):1599-1601. 20. Talkowski JB, Lenze EJ, Munin MC, Harrison C, Brach JS. Patient Participation And Physical Activity During Rehabilitation And Future Functional Outcomes In Patients After Hip Fracture. Arch Phys Med Rehabil 2009;90(4):618-622. 21. 21. Wressle E, Eeg-Olofsson AM, Marcusson J, Henriksson C. Improved Client Participation In The Rehabilitation Process Using A Client-Centred Goal Formulation Structure. J Rehabil Med 2002;34(1):5-11. 22. 22. Warner G, Packer T, Villeneuve M, Audulv A, Versnel J. A Systematic Review Of The Effectiveness Of Stroke Self-Management Programs For Stroke Survivors. Disabil Rehabil 2015; 37(23):2141-2163. 23. 23. Wilson CM, Mitchell CL, Hebert KM. Cerebellar Stroke Occupational Therapy And Physical Therapy Management From Intensive Care Unit To Outpatient: A Case Report. Cureus 2017;9(12):1-23. 24. Cumming TB, Thrift AG, Collier JM, Churilov L, Dewey HM, Donnan GA, et al. Very Early Mobilization After Stroke Fast-Tracks Return To Walking: Further Results From The Phase II AVERT Randomized Controlled Trial. Stroke 2011;42(1):153-158. 25. Sundseth A, Thommessen B, Rønning OM. Outcome After Mobilization Within 24 Hours Of Acute Stroke: A Randomized Controlled Trial. Stroke 2012;43(9):2389-2394. 26. Imura T, Nagasawa Y, Fukuyama H, Imada N, Oki S, Araki O. Effect Of Early And Intensive Rehabilitation In Acute Stroke Patients: Retrospective Pre-/Post-Comparison In Japanese Hospital. Disabil Rehabil 2018;40(12):1452-1455. 27. Diserens K, Moreira T, Hirt L, Faouzi M, Grujic J, Bieler G, et al. Early Mobilization Out Of Bed After Ischaemic Stroke Reduces Severe Complications But Not Cerebral Blood Flow: A Randomized Controlled Pilot Trial. Clin Rehabil 2012;26(5):451-459.
There are 1 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Ferdi Başkurt This is me

Ayla Günal

Zeliha Başkurt This is me

Publication Date September 28, 2018
Submission Date June 13, 2018
Acceptance Date August 15, 2018
Published in Issue Year 2018 Volume: 4 Issue: 3

Cite

APA Başkurt, F., Günal, A., & Başkurt, Z. (2018). Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm, 4(3), 150-157.
AMA Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. September 2018;4(3):150-157.
Chicago Başkurt, Ferdi, Ayla Günal, and Zeliha Başkurt. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm 4, no. 3 (September 2018): 150-57.
EndNote Başkurt F, Günal A, Başkurt Z (September 1, 2018) Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm 4 3 150–157.
IEEE F. Başkurt, A. Günal, and Z. Başkurt, “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”, Journal of Human Rhythm, vol. 4, no. 3, pp. 150–157, 2018.
ISNAD Başkurt, Ferdi et al. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm 4/3 (September 2018), 150-157.
JAMA Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. 2018;4:150–157.
MLA Başkurt, Ferdi et al. “Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi”. Journal of Human Rhythm, vol. 4, no. 3, 2018, pp. 150-7.
Vancouver Başkurt F, Günal A, Başkurt Z. Akut İnmeli Bireylerde Fizyoterapi Programına Katılım Düzeyinin Mobilite Düzeyi Ve Klinik Sonuçlar Üzerine Etkisi. Journal of Human Rhythm. 2018;4(3):150-7.