COVID-19 GEÇİRMİŞ VE GEÇİRMEMİŞ HEMİPLEJİK BİREYLERİN FİZİKSEL AKTİVİTE VE AEROBİK KAPASİTELERİNİN İNCELENMESİ
Abstract
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.
Keywords
Supporting Institution
TRG HOSPİTALİST FİZİK TEDAVİ
Project Number
(61351342/ŞUBAT 2022-58).
Thanks
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.
References
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- 7. Zenic N, Taiar R, Gilic B, Blazevic M, Maric D, Pojskic H. et al., Levels and changes of physical activity in adolescents during the COVID-19 pandemic: contextualizing urban vs. rural living environment. Appl Sci, 2020; 10(11): 3997. 8. J M Barrios-López. Ischaemic stroke and SARS-CoV-2 infection: A causal or incidental association? Neurol, 2020; 35(5): 295-302.
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- 11. Gencer, N. Pandemi sürecinde bireyler koronavirüs (Kovid-19) korkusu: Çorum örneği. Uluslararası Sosyal Bilimler Akademi Dergisi. 2020; (4): 1153-1173. 12. Bitsch M, Foss NB, Kristensen BB, Kehlet H. Acute cognitive dysfunction after hip fracture: frequency and risk factors in an optimized, multimodal, rehabilitation program. Acta Anaesthesiol. Scand. 2006;50(4):428-436.
- 13. Pedretti LW. Movement therapy: The Brunnstrom approach to treatment of hemiplegia. Occupational Therapy Practice Skills for Physical Dysfunction fourth edition 2001:401-416.
- 14. Pate, R.R., Pratt, M., Blair, S.N., Haskell, W.L., Macera, C.A., Bouchard, C., et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and American College of Sports Medicine. JAMA,1995; 273, 402-407.
- 15. Wang J, Khoury DS, Yue Y, Torre- Amione G, Nagueh SF. Preserved left ventri- cular twist and circumferential deformation, but depressed longitudinal and radial deformation in patients with diastolic heart failure. Eur Heart J, 2008;29: 1283 – 1289
- 16. Blomqvist S, Wester A, Sundelin G, Rehn B. Test-retest reliability, smallest real difference and concurrent validity of six different balance tests on young people with mild to moderate intellectual disability. Physiotherapy,2012; 98 (4), 313-319.
- 17. Cohen J., Statistical Power Analysis For the Behavioral Sciences (2nd Edn). 411 Lawrence Erlbaum Associates, Hillsdale, NJ, pp.1988; 412.
- 18. Lavie CJ, Arena R, Swift DL, Johannsen NM, Sui X, Lee D, et al. Exercise and the cardiovascular system: clinical science and cardiovascular outcomes. Circ Res, 2015; 117(2), 207-219.
- 19. Ghram A, Briki W, Mansoor H, Al- Mohannadi AS, Lavie CJ, Chamari K. Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemic in older adults. Postgrad Med. 2021;133(5):469-80.
- 20. Sasaki S, Sato A, Tanabe Y, Matsuoka S, Adachi A, Kayano T, et al. Associations between Socioeconomic Status, Social Participation, and Physical Activity in Older People during the COVID-19 Pandemic: A Cross-Sectional Study in a Northern Japanese City. Int. J. Environ. Res. Public Health, 2021;18(4):1477.
- 21. Mohamed AA, Alawna M. The effect of aerobic exercise on immune biomarkers and symptoms severity and progression in patients with COVID-19: A randomized control trial. J Bodyw Mov Ther, 2021;28:425-432.
- 22. Zhao YM, Shang YM, Song WB, Li Q, Xie H, Xu Q, et al. , Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery, EClinicalMedicine, 2020;25:1-9.
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- 24. López-Sánchez GF, López-Bueno R, Gil-Salmerón A, Zauder R, Skalska M, Jastrzębska, J, et al. Comparison of physical activity levels in Spanish adults with chronic conditions before and during COVID-19 quarantine. Eur J Public Health, 2021; 31(1), 161-166.
- 25. Öksüz Çapanoglu, MŞ. (2022). Covıd- 19 geçiren hastalarda uzun dönemde egzersiz kapasitesi, periferik kas kuvveti, denge, kognitif durum ve yaşam kalitesinin değerlendirilmesi. Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi.
- 26. Pedretti LW. Movement therapy: The Brunnstrom approach to treatment of hemiplegia. Occupational Therapy Practice Skills for Physical Dysfunction fourth edition 2001:401-416.
EXAMINATION OF PHYSICAL ACTIVITY AND AEROBIC CAPACITIES OF HEMIPLEGIC INDIVIDUALS WITH AND WITHOUT COVID-19
Abstract
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.
Keywords
Project Number
(61351342/ŞUBAT 2022-58).
References
- 1. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020; 382(8): 727-733.
- 2. Yuki K, Fujiogi M, Koutsogiannaki S. COVID-19 pathophysiology: A review. Clin Immunol. 2020; 215: 108427. 3. Li H, Liu Z, Ge J. Scientific research progress of COVID-19/SARS-CoV-2 in the first five months. Cell Mol Med. 2020; 24(12): 6558-6570.
- 4. Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382(8):727-733.
- 5. İnal-İnce, D., Vardar-Yağlı, N., Sağlam, M., ve Çalık-Kütükçü, E. Covid-19 enfeksiyonunda akut ve post-akut fizyoterapi ve rehabilitasyon. Turk J Physiother Rehabil, 2020; 31(1): 81-93.
- 6. Lerdal A, Bakken LN, Rasmussen EF, Beiermann C, Ryen S, Pynten S, et al. Physical impairment, depressive symptoms and pre-stroke fatigue are related to fatigue in the acute phase after stroke. Disabil Rehab, 2011; 33(4): 334-342.
- 7. Zenic N, Taiar R, Gilic B, Blazevic M, Maric D, Pojskic H. et al., Levels and changes of physical activity in adolescents during the COVID-19 pandemic: contextualizing urban vs. rural living environment. Appl Sci, 2020; 10(11): 3997. 8. J M Barrios-López. Ischaemic stroke and SARS-CoV-2 infection: A causal or incidental association? Neurol, 2020; 35(5): 295-302.
- 9. Wan Y, Shang J, Graha R, Baric RS, Li F. Receptor recognition by the novel coronavirus from Wuhan: an analysis based on decade-long structural studies of SARS coronavirus. J Virol, 2020;94(7). 10.ZhangP,LiJ,LiuH,HanN,JuJ,Kou Y, et al. Long-term bone and lung consequences associated with hospital- acquired severe acute respiratory syndrome: a 15-year follow-up from a prospective cohort study. Bone Res, 2020;8(1):1-8.
- 11. Gencer, N. Pandemi sürecinde bireyler koronavirüs (Kovid-19) korkusu: Çorum örneği. Uluslararası Sosyal Bilimler Akademi Dergisi. 2020; (4): 1153-1173. 12. Bitsch M, Foss NB, Kristensen BB, Kehlet H. Acute cognitive dysfunction after hip fracture: frequency and risk factors in an optimized, multimodal, rehabilitation program. Acta Anaesthesiol. Scand. 2006;50(4):428-436.
- 13. Pedretti LW. Movement therapy: The Brunnstrom approach to treatment of hemiplegia. Occupational Therapy Practice Skills for Physical Dysfunction fourth edition 2001:401-416.
- 14. Pate, R.R., Pratt, M., Blair, S.N., Haskell, W.L., Macera, C.A., Bouchard, C., et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and American College of Sports Medicine. JAMA,1995; 273, 402-407.
- 15. Wang J, Khoury DS, Yue Y, Torre- Amione G, Nagueh SF. Preserved left ventri- cular twist and circumferential deformation, but depressed longitudinal and radial deformation in patients with diastolic heart failure. Eur Heart J, 2008;29: 1283 – 1289
- 16. Blomqvist S, Wester A, Sundelin G, Rehn B. Test-retest reliability, smallest real difference and concurrent validity of six different balance tests on young people with mild to moderate intellectual disability. Physiotherapy,2012; 98 (4), 313-319.
- 17. Cohen J., Statistical Power Analysis For the Behavioral Sciences (2nd Edn). 411 Lawrence Erlbaum Associates, Hillsdale, NJ, pp.1988; 412.
- 18. Lavie CJ, Arena R, Swift DL, Johannsen NM, Sui X, Lee D, et al. Exercise and the cardiovascular system: clinical science and cardiovascular outcomes. Circ Res, 2015; 117(2), 207-219.
- 19. Ghram A, Briki W, Mansoor H, Al- Mohannadi AS, Lavie CJ, Chamari K. Home-based exercise can be beneficial for counteracting sedentary behavior and physical inactivity during the COVID-19 pandemic in older adults. Postgrad Med. 2021;133(5):469-80.
- 20. Sasaki S, Sato A, Tanabe Y, Matsuoka S, Adachi A, Kayano T, et al. Associations between Socioeconomic Status, Social Participation, and Physical Activity in Older People during the COVID-19 Pandemic: A Cross-Sectional Study in a Northern Japanese City. Int. J. Environ. Res. Public Health, 2021;18(4):1477.
- 21. Mohamed AA, Alawna M. The effect of aerobic exercise on immune biomarkers and symptoms severity and progression in patients with COVID-19: A randomized control trial. J Bodyw Mov Ther, 2021;28:425-432.
- 22. Zhao YM, Shang YM, Song WB, Li Q, Xie H, Xu Q, et al. , Follow-up study of the pulmonary function and related physiological characteristics of COVID-19 survivors three months after recovery, EClinicalMedicine, 2020;25:1-9.
- 23. Deuel JW, Lauria E, Lovey T, Zweifel S, Meier MI, Züst R, et al. Persistence, prevalence, and polymorphism of sequelae after COVID-19 in unvaccinated, young adults of the Swiss Armed Forces: a longitudinal, cohort study (LoCoMo). Lancet Infect Dis, 2022; 22(12):1694-1702.
- 24. López-Sánchez GF, López-Bueno R, Gil-Salmerón A, Zauder R, Skalska M, Jastrzębska, J, et al. Comparison of physical activity levels in Spanish adults with chronic conditions before and during COVID-19 quarantine. Eur J Public Health, 2021; 31(1), 161-166.
- 25. Öksüz Çapanoglu, MŞ. (2022). Covıd- 19 geçiren hastalarda uzun dönemde egzersiz kapasitesi, periferik kas kuvveti, denge, kognitif durum ve yaşam kalitesinin değerlendirilmesi. Hacettepe Üniversitesi, Sağlık Bilimleri Enstitüsü, Yüksek Lisans Tezi.
- 26. Pedretti LW. Movement therapy: The Brunnstrom approach to treatment of hemiplegia. Occupational Therapy Practice Skills for Physical Dysfunction fourth edition 2001:401-416.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Makaleler |
| Authors | |
| Project Number | (61351342/ŞUBAT 2022-58). |
| Publication Date | August 25, 2023 |
| Submission Date | December 15, 2022 |
| Acceptance Date | May 17, 2023 |
| Published in Issue | Year 2023 Volume: 8 Issue: 2 |