Ev egzersiz programının parkinson hastalarındaki hastalık şiddeti ve yaşam kalitesi üzerine kısa dönemdeki etkisi
Short term effects of home exercise program on the disease severity and quality of life of the patients with parkinson's disease
Yazar: ELİF ESEN ÖZDEMİR
Danışman: PROF.DR. SERPİL SAVAŞ
Süleyman Demirel Üniversitesi / Tıp Fakültesi / Fiziksel Tıp ve Rehabilitasyon Ana Bilim Dalı
Derece: Tıpta Uzmanlık, 2007
Konu: Fiziksel Tıp ve Rehabilitasyon = Physical Medicine and Rehabilitation
Dizin: Egzersiz = Exercise ; Parkinson hastalığı = Parkinson disease ; Yaşam kalitesi = Quality of life

Özet:
Parkinson hastahqi, kisinin fonksiyonel durumunda , baqrrnsrzhqrndave yasarn kalitesinde ilerleyici kayip ile seyreden kronik bir hastalrktrr.Parkinson hastaliqmda ideal tedavi stratejisi farmakolojik tedavinin egzersiztedavisi ile birlestmlrnesidir. Bu cahsrnarun arnaci ev egzersiz proqrarrunmParkinson hastalanrun hastalik siddeti ve yasarn kaliteleri uzerindeki kisadonern etkilerini degerlendirmektir.Bu prospektif calrsrnaya toplam 30 Parkinson hastasi ahndi.Hastalann demografik ozellikleri, hastalik suresi, ek sistemik hastaliklan vekullandrklan ilaclar kaydedildi. Hastahk evresi Hoehn-Yahr (HY) olgegi ilebelirlendi. Hastalik siddeti Birlesik Parkinson Hastahqi Degerlendirme Olgegi(BPHDO) ile deqerlendirildi. Yasarn kalitesi Parkinson Hastahq: Anketi-39(PDQ-39) ile degerlendirildi. Hastalar randomize olarak ev egzersiz proqrarm(grup 1) ve kontrol grubu olarak (grup 2) iki gruba aynldi. Grup 1'dekihastalar bir ay soma BPHDO ve PDQ-39 olcekleriyle tekrar deqerlendirildi.istatistiksel analizler SPSS 13.0 proqrarru ile yapildr.Grup 1 ve grup 2 arasinda demografik ozellikler, hastalik suresi ve HYevrelemesi acisindan anlarnh fark bulunmadi. ilk deqerlendirmede iki gruparasinda BPHDO ve PDQ-39 skorlan acismdan anlarnh fark yoktu. Grup1'deki hastalarm ilk deqerlendirtlmesindeki ve ikinci degerlendirilmesindekiBPHDO ve PDQ-39 skorlan arasmda anlamli fark bulundu. Grup 2'dekihastalarin BPHDO ve PDQ-39 skorlan ile grup 1'deki hastalann ikinci.deqerlendirmesindekl skorlan arasinda anlamli fark bulundu.Parkinson hastalannda ev egzersiz proqrarmrun hastalrk slddeti veyasam kalitesi uzerinde kisa donernde olumlu etkileri bulunrnaktadrr. Evegzersiz proqrarnlanrun Parkinson hastalanrun tedavi plarumn bir parcasihaline getirilmesinin yasarn kalitesini arttrracaqi dusuncesindeyiz.Anahtar kelimeler : egzersiz, Parkinson hastahqi, yasarn kalitesi

Abstract:
Parkinson's disease ise a chronic disorder that is characterised withprogressive loss in the functional condition, independence and quality of lifeof the patient. The ideal treatment strategy of Parkinson's disease iscombination of pharmacological treatment with exercise therapy. The aim ofthis study is to assess the short term effects of home exercise program onthe severity of disease and quality of life of the patients with Parkinson'sdisease.A total of 30 patients with Parkinson's disease are included in thisprospective study. Demographic features, duration of the disease, additionalsystemic diseases and the drugs they use were recorded. The disease stagewas determined by using Hoehn-Yahr scale. Severity of disease wasassessed with Unified Parkinson's Disease Rating Scale (UPDRS). Quality oflife was assessed with Parkinson's Disease Questionnaire (PDQ-39). Thepatients were divided into two groups randomly as home exercise group(group 1) and control group (group 2). The patients in group 1 werereassessed with UPDRS and PDQ-39 a month later. Statistical analyseswere done with SPSS 13.0 program.There was no statistically significant difference in demographicfeatures, duration of disease and HY stages between group 1 and group 2. Inthe first assessment there was no statistically significant difference in UPDRSand PDQ-39 scores between the two groups. There was statisticallysignificant difference in UPDRS and PDQ-39 scores between the first andsecond assessments of the group 1. There was statistically significantdifference in UPDRS and PDQ-39 scores of group 2 and the scores ofsecond assessment of the group 1.Home exercise program constitutes positive effects on the severity ofdisease and quality of life in the patients with Parkinson's disease in the shortterm. In our opinion, making home exercise programs a part of the treatmentplan of the patients with Parkinson's disease will increase the quality of life.Key words: exercise, Parkinson's disease, quality of life