Kronik İnmeli Bireylerde Yürütücü Fonksiyonlar ve Dikkat Becerileri ile Üst Ekstremite Motor Fonksiyonları Arasındaki İlişki
Araştırma Makalesi
DOI:
https://doi.org/10.5281/zenodo.14493958Anahtar Kelimeler:
Kronik İnme, Üst Ekstremite, Kognitif Fonksiyon, MoCAÖzet
Giriş: İnme sonrası en yaygın karşılaşılan sorunlardan biri, üst ekstremitelerdeki motor fonksiyon kaybıdır. Uzun vadede kısıtlılığı en aza indirmek ve yaşam kalitesini daha iyi hale getirebilmek için üst ekstremite motor fonksiyonlardaki iyileşme çok önemlidir.
Amaç: Bu çalışma, kognitif olarak normal kabul edilen kronik inmeli bireylerde, yürütücü fonksiyonlar ve dikkat becerileri ile üst ekstremite motor fonksiyonları arasındaki ilişkiyi incelemeyi amaçlamaktadır.
Yöntem: Çalışmaya, Erenköy Fizik Tedavi ve Rehabilitasyon Hastanesinde tedavi gören, kronik inmeli 58 kişi dahil edildi. Bireylerin kognitif, yürütücü ve dikkat becerilerini değerlendirmek için Montreal Bilişsel Değerlendirme Ölçeği (MoCA), Stroop Testi TBAG Formu ve Sayı Menzil Testi kullanıldı. Üst ekstremite fonksiyonlarının eğerlendirmek için Fugl Meyer Üst Ekstremite Değerlendirme Ölçeği (FMA-ÜE) ve Kutu ve Blok Testi (KBT) kullanıldı.
Bulgular: Çalışmanın bulgularına baktığımızda, bireylerin üst ekstremite motor fonksiyonları MoCA ve Sayı Menzili Testi skorları ile pozitif yönde; Stroop Testi bileşenleri ile ise negatif yönde anlamlı (p<0,05) bir korelasyona sahipti. Kognitif fonksiyonların, MoCA ile KBT arasındaki regresyon analizine göre %40, MoCA ile FMA-ÜE arasındaki regresyon analizine göre ise %17 üst ekstremite motor fonksiyonları üzerinde etkili olmaktadır.
Sonuç: Çalışmanın sonuçları kognitif olarak normal kabul edilen kronik inmeli hastalarda yürütücü fonksiyonlar ve dikkat becerileri ile üst ekstremite motor fonksiyonları arasındaki ilişkiyi ortaya koymaktadır. Terapistlerin rehabilitasyon sürecinde, protokollerini oluştururken yürütücü fonksiyon ve dikkat bileşeninin göz önünde bulundurması, kişiselleştirilmiş ve başarılı programlar oluşturmalarına yardımcı olacaktır.
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