Karaciğer Transplantasyonu Olan Hastalarda Denge, Fonksiyonel Kapasite, Kinezyofobi ve Fiziksel Uygunluğun İncelenmesi

Abstract

Taşkın B, An Evaluation of Balance, Functional Capacity, Kinesiophobia and Physical Fitness in Patients with Liver Transplantation, Hacettepe University, Health Sciences Institute Master Thesis in Cardiopulmonary Rehabilitation, Ankara, 2018. Various complications occur in preoperative, perioperative, postoperative periods in patients with liver transplantation. Balance, functional capacity, physical fitness, and kinesiophobia may be affected in liver transplantation patients. The purpose of this study was to evaluate balance, functional capacity, kinesiophobia, and physical fitness levels in individuals with liver transplantation, compare with healthy subjects. Sixteen individuals with liver transplantation and 16 age and sex-matched healthy subjects were included in the study. The physical and demographic characteristics of the individuals were recorded. Six-minute walking test (6MWT), the Senior Fitness Test (SFT), the Timed Up and Go Test (TUG) and Berg Balance Scale (BSS) were used. In addition to physical measurements, the Tampa Scale for Kinesiophobia (TSK) was used to evaluate kinesiophobia, The Fatigue Impact Scale (FIS) and Fatigue Severity Scale (FSS) were used to evaluate fatigue, the International Physical Activity Questionnaire (IPAQ) was used to determine the level of physical activity, the Hospital Anxiety and Depression Scale (HADS) was used to evaluate psychological statues. The results showed that, BBS scores, 6MWT distance, subparameters of SFT; number of chair stands and the Biceps Curl Test and IPAQ scores of liver transplantations patiens were significantly lower than healthy subjects (p<0.05). The TSK scores, TUG durations and the subparameter of the SFT; 8-Foot Up and Go Test durations of liver patients were significantly higher than those of healthy subjects (p<0.05). There was no statistically significant difference in terms of HADS scores and the subparameters of the SFT; distances of Chair Sit and Reach Test and Back Scracth Test (p>0.05). The results showed that balance, functional capacity, physical fitness are significantly affected in liver transplantation patients in comparison with healthy subjects’. Liver transplantation patients have higher kinesiophobia than healthy individuals. In all phases of transplantation these patients need to be evaluated extensively in a comprehensive manner for planning physiotherapy and rehabilitation programs due to effects of liver transplantation on patients.