PARKİNSON HASTALARINDA KİNEZYO BANTLAMANIN YUTMA FONKSİYONUNA ETKİSİ: BİR YÜZEYEL ELEKTROMİYOGRAFİK YUTMA ÇALIŞMASI

Year 2020, Volume: 31 Issue: 2, 202 - 209, 28.08.2020

Ediz Necati , Numan Demır , Selen Serel Arslan , Amber Eker Bahar Kaymakamzade Aynur Ayşe Karaduman

https://doi.org/10.21653/tjpr.540557

Abstract

Amaç: Parkinson hastalarında ilerleyici şekilde yutma bozukluğu görülmektedir. Bu çalışma; kinezyo bantlamanın (KT) yutma bozukluğu şikayeti olmayan ancak risk altındaki Parkinson’lu hastaların yutma fonksiyonu üzerindeki etkisini elektrofizyolojik yöntemler ile incelemek amacıyla planlandı. Yöntem: Çalışmaya 65 yaş ve üzeri, kardiyopulmoner hastalık öyküsü ve aspirasyon/penetrasyon bulgusu olmayan 18 Parkinson hastası ve 15 sağlıklı yaşlı birey dahil edildi. Bireylere altı hafta boyunca ve haftada üç kez olmak üzere kas fasilitasyon tekniği ile KT uygulandı. KT öncesinde ve altı hafta sonrasında yüzeyel elektromiyografik (EMG) yutma değerlendirmesi olarak tek lokma analizi yapıldı. Sonuçlar: KT öncesi sonuçlara bakıldığında Parkinson hastası grubuna ait laringeal relokasyon (p=0,011) ve submental EMG (SM-EMG) toplam (p=0,009) süreleri daha uzun bulunmasına rağmen, KT uygulaması sonrasında sağlıklı yaşlılara göre fark yoktu (p>0,05). Ayrıca bu grubun KT öncesi ve sonrası grup içi karşılaştırmaları sonucunda laringeal relokasyon (p=0,013) ve SM-EMG toplam (p=0,011) sürelerinin kısaldığı bulundu. Tartışma: Çalışmamızın sonucunda altı haftalık KT uygulaması ile Parkinson hastalarında larinks hareket süresi ve submental kas aktivasyonunun gelişerek yutma fonksiyonunda ilerleme sağlandığı görüldü. KT, yutma bozukluğu olan hastalarda destekleyici tedavi yöntemi olarak kullanılabilir. Yutma bozukluğunun ileri evrelerinde ise, etkinliğinin araştırılması gerekmektedir.

Keywords

Kinezyo bant, Yutma, Parkinson hastalığı, Elektromiyografi

THE EFFECT OF KINESIO TAPING ON SWALLOWING FUNCTION IN PARKINSONIAN PATIENTS: A SURFACE ELECTROMYOGRAPHY STUDY

Abstract

Purpose: Progressive swallowing disorder is seen in Parkinson's patients. This study was designed to investigate the effect of kinesio taping (KT) on swallowing function by electrophysiological methods in Parkinson patients who had not swallowing problem, however, under risk. Methods: Eighteen with Parkinson’s disease and 15 healthy elderly who were 65 years and older, with no cardiopulmonary history and airway aspiration/penetration symptom were included in this study. They were applied KT with muscle facilitation technique for six weeks and three times per week. Single bolus analysis as surface electromyographic (EMG) swallowing evaluation was performed before and six weeks after the KT procedure. Results: According to pre-KT results, laryngeal relocation (p=0.011) and submental EMG (SMEMG) total duration (p=0.009) were longer at Parkinson patients group although there was not any difference at post-KT (p>0.05). Furthermore, the before-after intragroup comparison showed that laryngeal relocation (p=0.013) and SM-EMG total duration (p=0.011) were found to be shorten. Conclusion: The result of our study shows that larynx movement time and submental muscle activation were improved with six weeks of KT application in Parkinson's patients. KT can be used as a complementary treatment method in patients with swallowing disorder. However, further research is needed to explore the efficiency in advanced stages of swallowing disorder.

Keywords

Kinesio tape, Swallowing, Parkinson’s disease, Electromyography

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