Multipl Sklerozlu Bireylerde Solunum Fonksiyonları ve Gövde Kontrolünün Fonksiyonel Mobilite Üzerine Olan Etkilerinin Araştırılması
Özet
Cengiz, M.S. Investigation of the Effects of Respiratory Functions and Trunk Control on Functional Mobility in Individuals with Multiple Sclerosis, Hacettepe University Graduate School Health Scıences Neurology Physiotherapy Program Master of Science Thesis, Ankara 2019. The aim of this study was to investigate the effects of pulmonary function and trunk control on functional mobility in individuals with multiple sclerosis. The study included 30 MS individuals with “Expanded Disability Status Scale” (EDSS) score ≤5.5 and 30 healthy individuals of similar age and sex. Respiratory functions; with spirometry, respiratory muscle strength; with mouth pressure measuring device, trunk control; with Trunk Impairment Scale (TIS), spinal stability tests and Lumbopelvic Stability Test, functional mobility; with 2 minute walk test (2MWT) and the Timed up and go test (TUG) were evaluated. As a result of the study, it was found that the respiratory functions, respiratory muscle strength, trunk control and functional mobility of individuals with MS were decreased compared to healthy individuals (p<0,05). In individuals with MS, functional mobility tests were associated with expiratory muscle strength (p<0,05); it was not associated with inspiratory muscle strength and pulmonary function test results (p>0,05). There was also a relationship between functional mobility tests and TIS “dynamic sitting balance” sub-parameter and total score (p<0,05); but no relation was found between “static sitting balance” and “coordination” sub-parameters (p>0,05). While the relationship between TUG time and all spinal stability tests was determined (p<0,05); there was a relationship between 2MWT and spinal stability tests except 'Sit-ups' test (p<0,05). However, Lumbopelvik Stability Test was found to be associated with functional mobility tests (p<0,05). These results suggest that there is a decline in respiratory parameters and trunk control in individuals with MS compared to healthy individuals and this decrease is related to decrease in functional mobility. In order to protect and improve the functional mobility of individuals with MS from early period, it is concluded that approaches to increase respiratory functions, respiratory muscle strength and trunk control should be included in the rehabilitation programs.
Keywords: Multiple Sclerosis, respiratory function, trunk control, functional mobility