Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
The Effect of Range of Motion Exercises on Functional Independence and Activities of Daily Living in Patients with Acute Stroke: A Randomized Controlled Study
Akut İnmeli Hastalarda Eklem Hareket Açıklığı Egzersizlerinin Fonksiyonel Bağımsızlık Durumuna ve Günlük Yaşam Aktivitelerine Etkisi: Randomize Kontrollü Bir Çalışma
Asuman ÇOBANOĞLUa
aDepartment of Nursing, Division of Fundamental Nursing, Giresun University Faculty of Health Sciences, Giresun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(4):1096-103
doi: 10.5336/nurses.2023-98627
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aims to investigate the effects of range of motion (ROM) exercises performed during the acute period on daily life activities, functional independence level, and disability in individuals who have experienced a stroke. Material and Methods: The study was a randomized controlled experimental research. A total of 68 patients were included in the study. ROM exercises were applied for each joint for a total of seven days, five times a day for the experimental group and twice a day for the control group. Data were collected using the Functional Independence Measure (FIM), the modified Rankin Scale (mRS), and the Barthel Index (BI). In the data analysis, chi-squared, Kruskal-Wallis, Wilcoxon signed-rank test, and MannWhitney U test were used. Results: It was determined that the mean age of the patients was 69.32±11.73 years, the duration after stroke was 8.42±10.69 days, and the body mass index was 26.55±3.35 (kg/m²). It was determined that there was no significant difference between the experimental and control groups in terms of the mean BI, mRS, and FIM scores of the patients measured before and after ROM exercises. Conclusion: The results of the study revealed that ROM exercises had a positive impact on the level of independence, activities of daily living, and disability status in acute stroke patients. However, increasing the frequency of exercise practice did not show any difference.

Keywords: Activities of daily living; stroke; range of motion exercises
ÖZET
 Amaç: Bu çalışmanın amacı, inme geçirmiş bireylerde akut dönemde yapılan eklem hareket açıklığı (EHA) egzersizlerinin bireyin günlük yaşam aktivitelerine, fonksiyonel bağımsızlık düzeyine ve engellilik durumuna etkisini incelemektir. Gereç ve Yöntemler: Çalışma randomize kontrollü deneysel bir araştırmadır. Çalışmaya toplam 68 hasta dâhil edilmiştir. EHA egzersizleri deney grubuna günde 5 kez, kontrol grubuna ise günde 2 kez olmak üzere toplam 7 gün boyunca her bir eklem için uygulandı. Araştırma verileri, Fonksiyonel Bağımsızlık Ölçeği (FBÖ), modifiye Rankin Ölçeği (mRÖ) ve Barthel İndeksi (Bİ) kullanılarak toplandı. Verilerin analizinde ki-kare testi, Kruskal-Wallis testi, Wilcoxon işaretli sıra testi ve Mann-Whitney U testi kullanıldı. Bulgular: Hastaların yaş ortalamaları 69,32±11,73 yıl, inme sonrası geçen süre 8,42±10,69 gün ve beden kitle indeksi 26,55±3,35 (kg/m²) olarak belirlendi. Hastaların ROM egzersizleri öncesi ve sonrasında ölçülen Bİ, mRÖ ve FBÖ puan ortalamaları açısından gruplar arasında anlamlı bir fark olmadığı belirlendi. Sonuç: Araştırma sonucunda, EHA egzersizlerinin akut inme hastalarının bağımsızlık düzeyi, günlük yaşam aktiviteleri ve engellilik durumu üzerinde olumlu bir etkiye sahip olduğu görüldü. Bununla birlikte, egzersiz uygulama sıklığının artırılmasının herhangi bir farklılık göstermediği saptandı.

Anahtar Kelimeler: Günlük yaşam aktiviteleri; inme; eklem hareket açıklığı egzersizleri
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