Stroke-related atrophic muscle group strengthening with an isokinetic dynamometer

Yıl 2024, Cilt: 49 Sayı: 2, 512 - 514, 30.06.2024

Özgür Günaştı , Çiğdem Özdemir , Kerem Özgünen , Kerim Kerimov , İlke Coşkun Benlidayı , Sanlı Sadi Kurdak

https://doi.org/10.17826/cumj.1401510

Öz

Hemiplegia is characterized by neuromuscular dysfunction that disrupts the patient’s quality of life and daily activities. Gait disorders can be observed in post-stroke hemiplegic patients. In addition to neurological and physical therapy approaches, individually prepared isokinetic exercises help the patient return to normal life. A 38-year-old patient with right-sided post-stroke hemiplegia was enrolled in a 4-week lower extremity exercise program specific to his current condition using an isokinetic dynamometer.Due to the 4-week lower extremity strengthening program, there was an increase in quadriceps and hamstring muscle strength and body muscle mass. According to the physical activity questionnaire, the patient’s daily activity increased, and it was determined that he could walk 15.4% longer in the 6-minute walk test. Hemiplegic patients can be supported to return to their daily lives and become more active with personalized isokinetic dynamometer muscle-strengthening programs. In addition, it may be possible to prevent or delay the occurrence of many cardiovascular, metabolic, and related diseases that may occur due to sarcopenia and sedentary life.

Anahtar Kelimeler

isokinetic dynamometer, physical activity, stroke, atrophy

İnmeye bağlı atrofik kas grubunun izokinetik dinamometre ile kuvvetlendirilmesi

Öz

Hemipleji, nöromusküler disfonksiyonla karakterize, kişinin yaşam kalitesini ve günlük aktivitelerini bozan bir durumdur. Yürüme bozuklukları hemiplejik hastalarda oldukça sık görülmektedir. Nörolojik ve fizik tedavi yaklaşımlarına ek olarak kişiye özel hazırlanan izokinetik egzersizler hastanın normal hayatına dönmesine destek olmaktadır. 38 yaşında stroke sonrası hemipleji ile başvuran hastaya, izokinetik dinamometre ile mevcut durumuna özel alt ekstremiteye yönelik 4 haftalık egzersiz programı uygulanmıştır. Hastaya uygulanan 4 haftalık alt ekstremite kuvvetlendirme programı neticesinde, quadriceps ve hamstring kas kuvvetlerinde ve vücut kas kitlesinde artış meydana gelmiştir. Hastanın fiziksel aktivite ölçeğine göre günlük aktivitesi artmış ve 6 dakika yürüme testinde daha uzun mesafe yürüyebildiği tespit edilmiştir. Kişiye özel uygulanacak izokinetik dinamometre kas kuvvetlendirme programları ile hastaların günlük yaşamlarına geri dönmeleri desteklenebilmektedir. Bununla beraber sarkopeni ve sedanter yaşama bağlı olarak ortaya çıkabilecek kardiyovasküler, metabolik ve ilişkili bir çok hastalığın da önlenmesi veya ortaya çıkmasının geciktirilmesi mümkün olabilir.

Anahtar Kelimeler

atrofi, izokinetik dinamometre, fiziksel aktivite, inme

Kaynakça

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