PARKİNSON HASTALARINDA FARKLI DENGE DURUMLARINA GÖRE GÖVDE KONTROLÜNÜN, EL FONKSİYONUNUN ve EL REAKSİYON ZAMANININ KARŞILAŞTIRILMASI

Year 2023, Volume: 30 Issue: 3, 380 - 387, 23.09.2023

Hatice Yakut , Zülal Bekar , Tuba Maden , Süleyman Kutluhan

https://doi.org/10.17343/sdutfd.1295139

Abstract

Amaç
Bu çalışmanın amacı Parkinson hastalarında farklı
denge durumlarına göre gövde kontrolünün, el fonksiyonlarının
ve reaksiyon zamanının karşılaştırılmasıdır.
Gereç ve Yöntem
Çalışmaya 6’sı kadın toplamda 25 Parkinson hastası
dahil edildi. Bireyler Berg Denge Ölçeği (BDÖ) kesme
puanlarına göre Orta risk grubu (n=11) ve Düşük risk
grubu (n=14) olarak ikiye ayrıldı. Gövde kontrolü ve
fonksiyonlarını değerlendirmek için statik oturma ve dinamik
oturma dengesi, gövde koordinasyonu alt parametrelerinden
oluşan Gövde Bozukluk Ölçeği (GBÖ)
ile değerlendirildi. El kavrama kuvveti Jamar el dinamometresi
ile, el fonksiyonları Purdue Pegboard testi
ile el reaksiyon zamanı ise Ruler Drop testi ile bilateral
ölçüldü.
Bulgular
Gövde kontrolü için gruplar karşılaştırıldığında gövde
bozukluk ölçeği toplam skorunda ve dinamik oturma
alt parametresinde düşük risk grubu lehine anlamlı
fark vardı (p=0.030, p=0.005). Ancak statik oturma ve
koordinasyon alt parametrelerinde gruplar arası fark
yoktu (p=0.181, p=0.558). Her iki elin el kavrama kuvvetinde,
el becerisinde ve reaksiyon zamanında gruplar
arası fark görülmedi (p>0.05).
Sonuç
Parkinson hastalarında orta riskli denge grubunun dinamik
oturma dengesi ve gövde bozukluğu düşük risk
grubundan kötü iken, el fonksiyonları ve reaksiyon
zamanı benzerdir. Parkinsonlu bireylerde proksimal
stabilizasyonda ve dengede kilit rol oynayan gövde ve
distal mobilite için el fonksiyonlarının incelendiği daha
ileri çalışmalara ihtiyaç vardır.

Keywords

Parkinson hastalığı, reaksiyon zamanı, üst ekstremite, el kavrama kuvveti

Project Number

-

COMPARISON OF TRUNK CONTROL, MANUAL DEXTERITY, AND REACTION TIME ACCORDING TO DIFFERENT STATUS OF BALANCE IN PEOPLE WITH PARKINSON DISEASE

Abstract

Objective
This study aims to compare trunk control, manual dexterity,
and reaction time according to different balance
states in people with Parkinson's Disease (PwPD).
Material and Method
A total of 25 PwPD, 6 of whom were women, were
included in the study. Individuals were divided into the
Moderate-risk group (n=11) and the Low-risk group
(n=14) according to the Berg Balance Scale (BBS)
cut-off scores. To evaluate trunk control and functions,
static and dynamic sitting balance were evaluated
with the Trunk Impairment Scale (TIS), which
consists of trunk coordination sub-parameters. Hand
grip strength was measured with the Jamar hand dynamometer,
manual dexterity was measured bilaterally
with the Purdue Pegboard Test, and hand reaction
time was measured bilaterally with the the Ruler Drop
Test.
Results
When the groups were compared for trunk control,
there was a significant difference in the dynamic sitting
subparameter and the total score of the trunk impairment
scale in favor of the low-risk group (p=0.030,
p=0.005). However, there was no difference between
the groups in static sitting and coordination sub-parameters
(p=0.181, p=0.558). There was no difference
between the groups in the grip strength, dexterity, and
reaction time of both hands (p>0.05).
Conclusion
While the dynamic sitting balance and trunk impairment
of the moderate-risk balance group was worse
than the low-risk group, manual dexterity and reaction
time were similar. Further studies are needed to
examine manual dexterity for trunk and distal mobility,
which play a key role in proximal stabilization and balance
in PwPD.

Keywords

Parkinson disease, reaction time, upper extremity, hand grip strength

Supporting Institution

-

Project Number

-

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