COVID-19 GEÇİRMİŞ VE GEÇİRMEMİŞ HEMİPLEJİK BİREYLERİN FİZİKSEL AKTİVİTE VE AEROBİK KAPASİTELERİNİN İNCELENMESİ

Yıl 2023, Cilt: 8 Sayı: 2, 30 - 38, 25.08.2023

Emel Koç , Sibel Hayatsever , Umut Apaydın , Turgay Altunalan

https://doi.org/10.52881/gsbdergi.1218424

Öz

Amaç: Bu çalışmanın amacı; COVID 19 geçirmiş ve geçirmemiş hemiplejik bireylerin fiziksel aktivite, aerobik kapasite ve dengelerini karşılaştırmaktır.

Gereç ve Yöntem: Araştırma nicel bir çalışma olarak planlandı. Araştırma 55-65 yaş aralığında hemipleji tanısı almış, 36 katılımcı (19 erkek, 17 kadın) dâhil edildi. Katılımcılar COVID-19 geçirme öykülerine göre 2 gruba (1. Grup COVID-19 geçirenler, 2. Grup COVID-19 geçirmeyenler) ayrıldı. Tüm katılımcıların çalışma öncesinde demografik bilgileri kayıt edildi. Bireylerin, kognitif fonksiyonlarını değerlendirmek için mini-mental durum testi, iyileşme evrelerini değerlendirmek için Brunnstrom hemipleji iyileşme evrelemesi, fiziksel aktivite düzeylerini tespit etmek için uluslararası fiziksel aktivite anketi, aerobik kapasiteyi değerlendirmek için 6 dk yürüme testi ve statik dengeyi değerlendirmek için tek ayak üzerinde durma testi kullanıldı.

Bulgular: İki grup arasında cinsiyet, yaş, vücut kütle indeksi (VKİ), kognitif durumları ve iyileşme verileri bakımından anlamlı fark yoktu (p>0,05). COVID-19 geçirmiş ve geçirmemiş hemiplejik bireylerin fiziksel aktivite (p=0,010 Cohen d= 0,90), aerobik kapasite (p=0,001 Cohen d= 1,32) ve denge (p=0,015 Cohen d= 0,85) skorları arasında istatistiksel olarak anlamlı ve büyük etki düzeyinde fark bulundu.

Tartışma: Sonuç olarak, COVID-19 geçirmemiş hemiplejik bireyler, COVID-19 geçirmiş hemiplejik bireylere göre fiziksel aktivite ve aerobik kapasite olarak daha az etkilenmiş durumdadır. COVID-19 geçirmiş hemiplejik bireylere egzersiz programı planlanırken aerobik kapasite ve fiziksel aktivite durumlarının göz önünde bulundurulması gerekmektedir.

Anahtar Kelimeler

FİZİKSEL AKTİVİTE, COVİD-19, AEROBİK

Destekleyen Kurum

TRG HOSPİTALİST FİZİK TEDAVİ

Proje Numarası

(61351342/ŞUBAT 2022-58).

Teşekkür

Çalışmamın başlangıcından bitişine kadar bilgi ve deneyimleriyle yardımcı olan, destediği ile yanımda olan danışman hocam Dr. Öğr. Üyesi Sayın Turgay ALTUNALAN'a, Çalışmamı tamamlamamda büyük yardımı olan, beni yönlendiren ve bilgilendiren hocam Dr. Öğr. Üyesi Sayın Umut APAYDIN'a Çalışmamın tüm aşamalarında desteğini esirgemeyen, her konuda desteğini sonuna kadar hissettğim kız kardeşim Uzm. Fizyoterapist Sibel HAYATSEVER'e sonsuz teşekkürlerimi sunuyorum.

EXAMINATION OF PHYSICAL ACTIVITY AND AEROBIC CAPACITIES OF HEMIPLEGIC INDIVIDUALS WITH AND WITHOUT COVID-19

Öz

Purpose: The aim of this study is to compare the physical activity, aerobic capacity and balance of hemiplegic individuals with and without COVID 19.

Materials and Methods: The research was planned as a quantitative study. The study included 36 participants (19 men, 17 women) diagnosed with hemiplegia between the ages of 55-65. Participants were divided into 2 groups (Group 1: hemiplegic individuals who had COVID-19, Group 2: hemiplegic individuals who had not COVID-19). Demographic information of all participants was recorded before the study. Mini-mental state test to evaluate cognitive functions, brunnstrom hemiplegia recovery staging to evaluate recovery stages, international physical activity questionnaire to determine physical activity capacity, 6 min walking test to evaluate aerobic capacity, and one-leg stand test to evaluate static balance were used.

Results: There was no significant difference between the two groups in terms of gender, age, body mass index (BMI), cognitive status and recovery data (p>0.05). Between the physical activity (p=0.010 Cohen d= 0.90), aerobic capacity (p=0.001 Cohen d= 1.32) and balance (p=0.015 Cohen d= 0.85) scores of hemiplegic individuals with and without COVID-19 a statistically significant and large effect size difference was found.

Conclusion: As a result, hemiplegic individuals who did not experience COVID-19, compared to hemiplegic individuals who have experienced COVID-19, they are less affected in terms of physical activity and aerobic capacity. Aerobic capacity and physical activity status should be considered when planning an exercise program for hemiplegic individuals who have had COVID-19.

Anahtar Kelimeler

HEMİPLEGİA, COVİD-19, AEROBİC

Proje Numarası

(61351342/ŞUBAT 2022-58).

Kaynakça

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