Öz
Purpose:The aim of this study was to investigate the effect of corset use on balance and muscle activation in stroke patients.Methods:Forty-four individuals were included this study, divided randomly in two seperate groups, corset group n=23 and without corset group n=21 . All patients received a physical therapy programme every workday for 2 weeks. The corset group, in addition to physical therapy, used an elastic lomber corset from getting up till going back to sleep. Static balance values of patients were measured with Tetrax Balance Systems TBS , dynamic balance was measured with Berg Balance Scale BBS and Functional Forward Reach Test FRT and Transversus abdominus muscle strength was assessed with stabilizer device Pressure Biofeedback Unit . The evaluations were made 3 times; before treatment, middle of treatment, and 1 and 2 weeks after treatment.Results:There was significant difference in favor of corset group for FRT, BBS and Tetrax WDI Weight Distribution Index after 2 weeks’ usage of corset p0.05 .Conclusion:We believe that short-term use of corsets in stroke patients may be added to the conventional physiotherapy program in stroke rehabilitation because it does not restrict trunk movements, is a constant reminder for trunk muscles, and increases awareness
Anahtar Kelimeler
Kaynakça
- Martin ST, Kessler M. Neurologic Interventions for Physical Terapy, 2nd ed. USA. Elseiver Inc; 2006. p.282–4.
- Karaduman A, Yıldırım SA, Yılmaz ÖT, editörler. İnme sonrası fizyoterapi ve rehabilitasyon, 1st ed. Türkiye: Pelikan Yayınevi; 2013. 272 s.
- Yu S-H, Park S-D. The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients. J Exerc Rehabil 2013;9:362–7. https://doi.org/10.12965/jer.130042
- Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture 2005;22:267–81. https:// doi.org/10.1016/j.gaitpost.2004.10.002
- Chung EJ, Kim JH, Lee BH. The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. J Phys Ther Sci 2013;25:803–6. https://doi.org/10.1589/jpts.25.803
- Verheyden G, Vereeck L, Truijen S, Troch M, LaFosse C, Saeys W, et al. Additional exercises improve trunk performance after stroke: a pilot randomized controlled trial. Neurorehabil Neural Repair 2009;23:281–6. https://doi.org/10.1177/1545968308321776
- Saeys W, Vereeck L, Truijen S, Lafosse C, Wuyts FP, Heyning PV. Randomized controlled trial of truncal exercises early after stroke to improve balance and mobility. Neurorehabil Neural Repair 2012;26:231–8. https://doi.org/10.1177/1545968311416822
- Seo D, Lee S, Kwon O. Comparison of the changes in thickness of the abdominal wall muscles of stroke patients according to the duration of their illness as observed using ultrasonographic images. J Phys Ther Sci 2013;25:817–9. https://doi.org/10.1589/jpts.25.817
- Özengin N. Pelvik organ prolapsusu olan kadınlarda stabilizasyon egzersizleri ile elektromyografik biofeedback eğitiminin karşılaştırılması. Bolu: Abant İzzet Baysal Üniversitesi Sağlık Bilimleri Enstitüsü; 2012.
- Von Garnier K, Köveker K, Rackwitz B, Kober U, Wilke S, Ewert T, Stucki G. Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physiotherapy 2009;95:8–14. https://doi.org/10.1016/j.physio.2008.10.003
- Van Poppel MN, de Looze MP, Koes BW, Smid T, Bouter LM. Mechanisms of action of lumbar supports: a systematic review. Spine (Phila Pa 1976) 2000;25:2103–13.
- Warren LP, Appling S, Oladehin A, Griffin J. Effect of soft lumbar support belt on abdominal oblique muscle activity in nonimpaired adults during squat lifting. J Orthop Sports Phys Ther 2001;31:316– 23. https://doi.org/10.2519/jospt.2001.31.6.316
- Granata KP, Marras WS, Davis KG. Biomechanical assessment of lifting dynamics, muscle activity and spinal loads while using three different styles of lifting belt. Clinical Biomech (Bristol, Avon) 1997;12:107–15.
- Hilgen, Thomas H. The minimum abdominal belt-aided lifting weight. Thesis (M.S.) Auburn University; 1990.
- Lander JE, Simonton RL, Giacobbe J. The effectiveness of weight- belts during the squat exercise. Med Sci Sports Exerc 1990;22:117–26.
- Magnusson M, Pope MH, Hansson T. Does a back support have a positive biomechanical effect? Appl Ergon 1996;27:201–5.
- Lantz SA, Schultz AB. Lumbar spine orthosis wearing: I. Restriction of gross body motions. Spine (Phila Pa 1976) 1986;11:834–7.
- Nachemson A, Schultz A, Andersson G. Mechanical effectiveness studies of lumbar spine orthoses. Scand J Rehabil Med Suppl 1982;9:139–49.
- Waters RL, Morris JM. Effect of spinal supports on the electrical activity of muscles of the trunk. J Bone Joint Surg Am 1970;52:51–60.
- What changes in EMG can be expected? J Orthop Res 2004;22:1150– https://doi.org/10.1016/j.orthres.2004.01.009
- Cholewicki J, McGill KC, Shah KR, Lee AS. The effects of a three- week use of lumbosacral orthoses on trunk muscle activity and on the muscular response to trunk perturbations. BMC Musculoskelet Disord 2010;11:154. https://doi.org/10.1186/1471-2474-11-154
- Cholewicki J, Shah KR, McGill KC. The effects of a 3-week use of lumbosacral orthoses on proprioception in the lumbar spine. J Orthop Sports Phys Ther 2006;36:225–31. https://doi.org/10.2519/ jospt.2006.36.4.225
- Ivancic P, Cholewicki J, Radebold A. Effects of the abdominal belt on muscle-generated spinal stability and L4/L5 joint compression force. Ergonomics 2002;45:501–13. https://doi. org/10.1080/00140130210136035
- Gong W. Correlations Between Transversus Abdominis Thickness, Lumbar Stability, and Balance of Female University Students. J Phys Ther Sci 2013;25:681–3. https://doi.org/10.1589/jpts.25.681
- Seo DK, Kwon OS, Kim JH, Lee DY. The effect of trunk stabilization exercise on the thickness of the deep abdominal muscles and balance in patients with chronic stroke. J Phys Ther Sci 2012;24:181–4.
Öz
Amaç:Bu çalışmanın amacı, inmeli bireylerde korse kullanımının denge ve kas aktivasyonu üzerine etkilerini belirlemek olarak planlandı.Yöntemler:Çalışmaya dahil edilen 44 inmeli birey, rastgele yöntemle korse kullanan n=23 ve korse kullanmayan n=21 grup olarak ikiye ayrıldı. Tüm bireyler iki hafta süresince, haftada 5 kez fizyoterapi programına alındı. Korse kullanan gruptaki bireylere fizyoterapi programına ek olarak, sabah kalkış saatinden akşam yatış saatine kadar elastik lumbal korse kullandırıldı. Tüm bireylerin statik dengeleri Tetrax Denge Cihazı TDC , dinamik dengeleri Berg Denge Skalası BDS ve Fonksiyonel Uzanma Testi FUT , Transversus Abdominus TrA kas kuvveti ise stabilizer cihazı Basınç Biofeedback Ünit kullanılarak değerlendirildi. Değerlendirmeler tedavi öncesi TÖ , tedavi ortası 1. hafta TO 1. H ve tedavi sonrası TS olmak üzere 3 defa yapıldı.Bulgular:2 haftalık korse kullanımının sonucunda; FUT, BDS ve Tetrax parametrelerinden Ağırlık Dağılım İndeksi ADİ ölçümlerinde anlamlı fark bulundu p0,05 .Sonuç:İnmeli bireylerde kısa süreli korse kullanımının, elastik korsenin gövde hareketlerini engellememesi, gövde kasları için sürekli olarak hatırlatıcı olması ve farkındalığı arttırıcı bir görev üstlenmesi nedeniyle, inme rehabilitasyonunda konvansiyonel fizyoterapi programına ilave edilebileceği düşüncesindeyiz
Anahtar Kelimeler
Kaynakça
- Martin ST, Kessler M. Neurologic Interventions for Physical Terapy, 2nd ed. USA. Elseiver Inc; 2006. p.282–4.
- Karaduman A, Yıldırım SA, Yılmaz ÖT, editörler. İnme sonrası fizyoterapi ve rehabilitasyon, 1st ed. Türkiye: Pelikan Yayınevi; 2013. 272 s.
- Yu S-H, Park S-D. The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients. J Exerc Rehabil 2013;9:362–7. https://doi.org/10.12965/jer.130042
- Geurts AC, de Haart M, van Nes IJ, Duysens J. A review of standing balance recovery from stroke. Gait Posture 2005;22:267–81. https:// doi.org/10.1016/j.gaitpost.2004.10.002
- Chung EJ, Kim JH, Lee BH. The effects of core stabilization exercise on dynamic balance and gait function in stroke patients. J Phys Ther Sci 2013;25:803–6. https://doi.org/10.1589/jpts.25.803
- Verheyden G, Vereeck L, Truijen S, Troch M, LaFosse C, Saeys W, et al. Additional exercises improve trunk performance after stroke: a pilot randomized controlled trial. Neurorehabil Neural Repair 2009;23:281–6. https://doi.org/10.1177/1545968308321776
- Saeys W, Vereeck L, Truijen S, Lafosse C, Wuyts FP, Heyning PV. Randomized controlled trial of truncal exercises early after stroke to improve balance and mobility. Neurorehabil Neural Repair 2012;26:231–8. https://doi.org/10.1177/1545968311416822
- Seo D, Lee S, Kwon O. Comparison of the changes in thickness of the abdominal wall muscles of stroke patients according to the duration of their illness as observed using ultrasonographic images. J Phys Ther Sci 2013;25:817–9. https://doi.org/10.1589/jpts.25.817
- Özengin N. Pelvik organ prolapsusu olan kadınlarda stabilizasyon egzersizleri ile elektromyografik biofeedback eğitiminin karşılaştırılması. Bolu: Abant İzzet Baysal Üniversitesi Sağlık Bilimleri Enstitüsü; 2012.
- Von Garnier K, Köveker K, Rackwitz B, Kober U, Wilke S, Ewert T, Stucki G. Reliability of a test measuring transversus abdominis muscle recruitment with a pressure biofeedback unit. Physiotherapy 2009;95:8–14. https://doi.org/10.1016/j.physio.2008.10.003
- Van Poppel MN, de Looze MP, Koes BW, Smid T, Bouter LM. Mechanisms of action of lumbar supports: a systematic review. Spine (Phila Pa 1976) 2000;25:2103–13.
- Warren LP, Appling S, Oladehin A, Griffin J. Effect of soft lumbar support belt on abdominal oblique muscle activity in nonimpaired adults during squat lifting. J Orthop Sports Phys Ther 2001;31:316– 23. https://doi.org/10.2519/jospt.2001.31.6.316
- Granata KP, Marras WS, Davis KG. Biomechanical assessment of lifting dynamics, muscle activity and spinal loads while using three different styles of lifting belt. Clinical Biomech (Bristol, Avon) 1997;12:107–15.
- Hilgen, Thomas H. The minimum abdominal belt-aided lifting weight. Thesis (M.S.) Auburn University; 1990.
- Lander JE, Simonton RL, Giacobbe J. The effectiveness of weight- belts during the squat exercise. Med Sci Sports Exerc 1990;22:117–26.
- Magnusson M, Pope MH, Hansson T. Does a back support have a positive biomechanical effect? Appl Ergon 1996;27:201–5.
- Lantz SA, Schultz AB. Lumbar spine orthosis wearing: I. Restriction of gross body motions. Spine (Phila Pa 1976) 1986;11:834–7.
- Nachemson A, Schultz A, Andersson G. Mechanical effectiveness studies of lumbar spine orthoses. Scand J Rehabil Med Suppl 1982;9:139–49.
- Waters RL, Morris JM. Effect of spinal supports on the electrical activity of muscles of the trunk. J Bone Joint Surg Am 1970;52:51–60.
- What changes in EMG can be expected? J Orthop Res 2004;22:1150– https://doi.org/10.1016/j.orthres.2004.01.009
- Cholewicki J, McGill KC, Shah KR, Lee AS. The effects of a three- week use of lumbosacral orthoses on trunk muscle activity and on the muscular response to trunk perturbations. BMC Musculoskelet Disord 2010;11:154. https://doi.org/10.1186/1471-2474-11-154
- Cholewicki J, Shah KR, McGill KC. The effects of a 3-week use of lumbosacral orthoses on proprioception in the lumbar spine. J Orthop Sports Phys Ther 2006;36:225–31. https://doi.org/10.2519/ jospt.2006.36.4.225
- Ivancic P, Cholewicki J, Radebold A. Effects of the abdominal belt on muscle-generated spinal stability and L4/L5 joint compression force. Ergonomics 2002;45:501–13. https://doi. org/10.1080/00140130210136035
- Gong W. Correlations Between Transversus Abdominis Thickness, Lumbar Stability, and Balance of Female University Students. J Phys Ther Sci 2013;25:681–3. https://doi.org/10.1589/jpts.25.681
- Seo DK, Kwon OS, Kim JH, Lee DY. The effect of trunk stabilization exercise on the thickness of the deep abdominal muscles and balance in patients with chronic stroke. J Phys Ther Sci 2012;24:181–4.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Research Article |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Mart 2018 |
| Yayımlandığı Sayı | Yıl 2018Sayı: 1 |