No abstract

OBJECTIVE: The aim of this study was to investigate the changes of the functionality, mood and life quality of patients diagnosed with hemiplegia due to an ischemic or hemorrhagic stroke during the COVID-19 pandemic. MATERIAL AND METHODS: A total of 83 patients (mean age, 62.0±6.43 years) diagnosed with hemiplegia due to stroke, who received 30 sessions of rehabilitation therapy, before the COVID-19 pandemic, were included in this study. Data regarding the participants’ age, gender, body mass index (BMI), duration of stroke, stroke type, affected side, and education level were recorded. All the assessments were undertaken before the COVID-19 pandemic and repeated at the first year after the beginning of the pandemic. The functional status of the patients was evaluated with the Functional Independence Measure (FIM). The depression levels of the participants were evaluated using the Beck Depression Inventory (BDI). The life quality of the participants was evaluated using the Stroke-Specific Quality of Life Scale (SS-QOL). RESULTS: There were significant differences in the FIM total scores of the patients evaluated before and during COVID-19 (91.32±15.94 and 87.15±15.60, respectively, p<0.001).When the FIM domain scores were evaluated before COVID-19 and at the first-year control during COVID-19, the FIM self-care scores were 27.45±6.62 and 25.27±7.08, respectively, the FIM sphincter control scores were 10.10±2.56 and 9.39±2.87, respectively, the FIM transfers scores were 14.67±3.36 and 13.61±3.54, respectively, the FIM social cognition scores were 18.40±1.86 and 17.67±1.93 respectively (p<0.001). The BDI score was 10.06±3.18 before the pandemic and 13.66±3.04 at the first year of the pandemic, the SS-QOL scores was 136.48±29.63 before the pandemic and 133.63±29.63 at the first year evaluation (p<0.001). CONCLUSIONS: The COVID-19 pandemic has caused delays in both follow-up and rehabilitation therapy in patients with chronic hemiplegia. The functionality, life quality and mood of the patients have been affected due to the lack of therapy and social isolation.

AMAÇ: Bu araştırmanın amacı Covid 19 pandemi döneminde görev yapan sağlık çalışanlarının ağrı ve fiziksel aktivite durumlarının değerlendirilmesidir.GEREÇ VE YÖNTEM: Online formda hazırlanan tanıtıcı bilgiler formu ve Uluslararası fiziksel aktivite anketi (UFAA) mail ve cep telefonu uygulaması yoluyla katılımcılara gönderilmiştir. Bulguların yorumlanmasında frekans tabloları ve tanımlayıcı istatistikler kullanılmıştır.BULGULAR: Çalışmaya 278 sağlık çalışanı dahil edildi. Yaş ortalamasına 30.24±8,46 olan sağlıkçıların, boy ortalaması 166.62±8,15 olarak hesaplandı. Katılımcıların %75’i kadın iken %25’i erkekti, meslekleri ise %45’i doktor, %29’u hemşire, %10’u ise diğer sağlık personeli olarak belirlendi. Sağlık çalışanlarının Covid öncesi ve sürecinde dönemde yaptıkları sporlara yönelik elde edilen sonuçlara göre yürüme ile egzersiz yapanlarda artış olduğu ancak Covid öncesinde futbol, voleybol, yüzme, tenis, masa tenisi, pilates, yürüme, koşma, ağır kaldırma, fitness salonu, dans gibi spor dallarıyla ilgilenenlerin Covid sürecinde anlamlı düzeyde azalma olduğu görülmüştür. Fiziksel aktivitede görülen azalmaya rağmen katılımcıların vücut ağırlıklarında farklılık olmadığı belirlenmiştir. Araştırmamızda sağlık çalışanlarının Covid sürecinde ise hareket ağrısı gözlenen toplam 70 kişi varken, gece ağrısı 25 kişide, istirahat ağrısı 53 kişide, yanma tarzında ağrı 45 kişide, uyuşma tarzı ağrı 45 kişide ve karıncalanma tarzı ağrı toplamda 35 kişide gözlendi. Ayrıca katılımcıların ağrı bölgelerine göre sırayla sırt, bel, omuz ve dirsekte ağrıları olduğu belirlenmiştir.SONUÇ: Ağrının önlenmesi ve azaltılmasında sağlık çalışanlarına yönelik, bel, sırt, boyun ergonomisinin öğretilmesi ve egzersiz programı verilerek fiziksel aktiviteyi arttırıcı aktivitelere yönlendirilmeleri oldukça yararlı olabilir.

Mirror therapy is a method that increases the functionality of the affected extremity and is effective in the treatment of chronic pain. In this study, we aimed to investigate the effect of mirror therapy on shoulder impingement syndrome. The study included 62 participants, including 31 in the intervention group (IG) and 31 in the control group (CG) who met the inclusion criteria. IG received mirror therapy with conventional physiotherapy while CG received only conventional physiotherapy. The patients were evaluated before treatment and immediately after treatment with Visual Analog Scale (VAS) score for pain, goniometric measurement for shoulder range of motion, modified Constant-Murley score for functionality, and Tampa Kinesiophobia Scale (TSK) for kinesiophobia. After treatment, the change in the VAS score was 5.51 ± 1.89 for IG, 2.80 ± 2.61 for CG, and the significance was p<0.01. The change in the TSK score was 10.83 ± 9.53 for IG and 1.66 ± 4.85 for CG (p<0.01). The change in the total Constant-Murley score was 23.77 ± 11.41 for IG and 9.60 ± 9.70 for CG, and the significance was calculated as p<0.01. This study showed that the addition of mirror therapy to conventional treatment can improve pain severity, functionality, and levels of kinesiophobia in patients with unilateral shoulder impingement syndrome. The decrease in fear of movement along with pain in impingement syndrome has shown that mirror theraphy can be used in the treatment of different diseases for which it has not been used before.