000			08684nam a22003137a 4500
003			KOHA
005			20230316161031.0
008			230316d2023 cy o|||| m||| 00| 0 tur d
040			_aCY-NiCIU _beng _cCY-NiCIU _erda
041			_atur
090			_aYL 2753 _bG89 2023
100	1		_aGüven, Hilal
245	1	0	_aKALP YETMEZLİĞİ HASTALARINDA PROPRİYOSEPTİF DUYUNUN DENGE VE KAS FONKSİYONLARI İLE İLİŞKİSİNİN İNCELENMESİ / _cHİLAL GÜVEN; DANIŞMAN: YRD. DOÇ. DR. ÖZGE ÖZALP; EŞ DANIŞMAN: DOÇ. DR. OSMAN BETON
264			_c2023
300			_aviii, 118 sheets; _c31 cm _eIncludes CD
336			_2rdacontent _atext _btxt
337			_2rdamedia _aunmediated _bn
338			_2rdacarrier _avolume _bnc
502			_aThesis (MSc) - Cyprus International University. Institute of Graduate Studies and Research Physiotherapy and Rehabilitation Department
504			_aIncludes bibliography (sheets 65-95)
520			_aÖZET Kalp yetmezliği hastalarında propriyoseptif duyunun denge ve kas fonksiyonları ile ilişkisinin incelendiği bu çalışmada 18-65 yaş aralığındaki katılımcılarla çalışma gerçekleştirildi. Kalp yetmezliği vücut sistemlerini etkilemekle birlikte dispne, yorgunluk ve periferal ödem gibi çeşitli semptom ve belirtilere sebep olmaktadır. Kalp yetmezliği hastalarının dengelerinin etkilendiği düşünülmektedir. Bu sebeple kalp yetmezliği hastalarında propriyosepsitif duyu, denge ve kas kuvveti etkilenebilmektedir. Çalışmamızda kalp yetmezliği hastaları ile sağlıklı bireylerin propriyoseptif duyu, denge, kas kuvveti, kinezyofobi düzeyleri, fiziksel aktivite düzeyleri ve fonksiyonel kapasiteleri karşılaştırıldı. Çalışmamız 59 katılımcı ile tamamlandı. Kalp yetmezliği hastalarının yaş ortalamaları 56,48±7,73 yıl, boy uzunluğu ortalamaları 171,07±9,98 cm, vücut ağırlığı ortalamaları 84,55±16,77 kg ve VKİ ortalamaları 28,78 kg/m2 idi. Sağlıklı bireylerin yaş ortalamaları 53,27±7,04 yıl, boy uzunluğu ortalamaları 169,90±9,92 cm, vücut ağırlığı ortalamaları 76,47±14,47 kg, VKİ ortalamaları 26,43 kg/m2 idi. 6 dakika yürüme testi sırasında yürüme mesafeleri ve beklenen yüzde değerleri kalp yetmezliği hastalarında daha düşük bulundu. Test öncesi ve sonrasında algılanan dispne, bacak yorgunluğu ve genel yorgunluk değerleri sağlıklı bireylere kıyasla daha yüksekti ve istatistiksel olarak anlamlı fark bulundu (p<0,05). Çalışma sonucunda kalp yetmezliği hastalarının denge, el kavrama kuvveti ve fiziksel aktivite düzeyleri, sağlıklı gruba göre daha düşük bulundu. Gruplar arası karşılaştırmada istatistiksel olarak bir fark anlamlı bulundu (p<0,05). Omuz fleksiyon propriyoseptif duyu değerlendirmesinde gruplar arası kıyaslamada istatistiksel olarak anlamlı bir fark bulundu (p<0,05). Kalça fleksiyon propriyoseptif duyu değerlendirmesinde gruplar arası karşılaştırmada istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). Kalp yetmezliği hastalarında propriyoseptif duyu, denge ve kas kuvveti sağlıklı bireylerle kıyaslandığında daha düşük olduğu bulundu. Propriyoseptif duyunun denge ve kas fonksiyonları ile ilişkisine bakıldığında ise zayıf-orta ilişki saptandı. Propriyoseptif duyunun kinezyofobi ile arasında zayıf-orta ilişki olduğu saptandı. Anahtar Kelimeler: Denge, Kalp yetmezliği, Kinezyofobi, Propriyosepsiyon
520			_aABSTRACT In this study, in which the relationship between proprioceptive sense and balance and muscle functions in heart failure patients was examined, a study was carried out with participants aged 18-65 years. Although heart failure affects body systems, it causes various symptoms and signs such as dyspnea, fatigue and peripheral edema. It is thought that the balance of heart failure patients is affected. For this reason, proprioceptive sense, balance and muscle strength may be affected in patients with heart failure. In our study, proprioceptive sense, balance, muscle strength, kinesiophobia levels, physical activity levels and functional capacities of heart failure patients and healthy individuals were compared. Our study was completed with 59 participants. The mean age of the heart failure patients was 56,48±7,73 years, the mean height was 171,07±9,98 cm, the mean body weight was 84,55±16,77 kg, and the mean BMI was 28,78 kg/m2. The mean age of healthy individuals was 53,27±7,04 years, mean height was 169,90±9,92 cm, mean body weight was 76,47±14,47 kg, and mean BMI was 26,43 kg/m2. Walking distances and expected percentage values during the 6-minute walk test were found to be lower in heart failure patients. Perceived dyspnea, leg fatigue and general fatigue values before and after the test were higher than healthy individuals, and a statistically significant difference was found (p<0,05). As a result of the study, balance, hand grip strength and physical activity levels of heart failure patients were found to be lower than the healthy group. A statistically significant difference was found in the comparison between the groups (p<0,05). A statistically significant difference was found between the groups in shoulder flexion proprioceptive sensory evaluation (p<0,05). There was no statistically significant difference between the groups in the evaluation of hip flexion proprioceptive sensation (p>0,05). It was found that proprioceptive sense, balance and muscle strength were lower in heart failure patients compared to healthy individuals. When the relationship between proprioceptive sense and balance and muscle functions was examined, a weak moderate relationship was found. It was determined that there was a weak-moderate relationship between proprioceptive sense and kinesiophobia. Keywords: Balance, Heart failure, Kinesiophobia, ProprioceptionIn this study, in which the relationship between proprioceptive sense and balance and muscle functions in heart failure patients was examined, a study was carried out with participants aged 18-65 years. Although heart failure affects body systems, it causes various symptoms and signs such as dyspnea, fatigue and peripheral edema. It is thought that the balance of heart failure patients is affected. For this reason, proprioceptive sense, balance and muscle strength may be affected in patients with heart failure. In our study, proprioceptive sense, balance, muscle strength, kinesiophobia levels, physical activity levels and functional capacities of heart failure patients and healthy individuals were compared. Our study was completed with 59 participants. The mean age of the heart failure patients was 56,48±7,73 years, the mean height was 171,07±9,98 cm, the mean body weight was 84,55±16,77 kg, and the mean BMI was 28,78 kg/m2. The mean age of healthy individuals was 53,27±7,04 years, mean height was 169,90±9,92 cm, mean body weight was 76,47±14,47 kg, and mean BMI was 26,43 kg/m2. Walking distances and expected percentage values during the 6-minute walk test were found to be lower in heart failure patients. Perceived dyspnea, leg fatigue and general fatigue values before and after the test were higher than healthy individuals, and a statistically significant difference was found (p<0,05). As a result of the study, balance, hand grip strength and physical activity levels of heart failure patients were found to be lower than the healthy group. A statistically significant difference was found in the comparison between the groups (p<0,05). A statistically significant difference was found between the groups in shoulder flexion proprioceptive sensory evaluation (p<0,05). There was no statistically significant difference between the groups in the evaluation of hip flexion proprioceptive sensation (p>0,05). It was found that proprioceptive sense, balance and muscle strength were lower in heart failure patients compared to healthy individuals. When the relationship between proprioceptive sense and balance and muscle functions was examined, a weak moderate relationship was found. It was determined that there was a weak-moderate relationship between proprioceptive sense and kinesiophobia. Keywords: Balance, Heart failure, Kinesiophobia, Proprioception
650		0	_aHeart failure _vDissertations, Academic
650		0	_aPain _vDissertations, Academic
650		0	_aProprioception _vDissertations, Academic
700	1		_aÖzalp, Özge _esupervisor
700	1		_aBeton, Osman _esupervisor
942			_2ddc _cTS
999			_c289972 _d289972