Comparison of the Effects of Johnstone Pressure Splint and Electrical Stimulation Applications on Balance, Functional Independence, and Mobility in Patients with Stroke: A Randomized Study

Ümit Erkut; Abdurrahim Yıldız; Esra Atılgan

Makale detayları

Comparison of the Effects of Johnstone Pressure Splint and Electrical Stimulation Applications on Balance, Functional Independence, and Mobility in Patients with Stroke: A Randomized Study

Yazarlar:

Ümit Erkut | Abdurrahim Yıldız | Esra Atılgan

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.6 Issue 1, pp.175-189

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001342641

pISSN:

2717-8250

Anahtar kelimeler:

Özet:

 Purpose: To investigate the effects of Johnstone pressure splint and Neuromuscular Electrical Stimulation NMES applied to the lower extremity on balance, functional independence and mobility in individuals with stroke. Method: The study was conducted with 33 acutesubacute stroke patients. The patients were randomly divided into two groups by applying Johnstone pressure splint and NMES in addition to conventional neurological rehabilitation training. Both groups were trained for 6 weeks, 5 days a week, 45-60 minutes a day. Fugl Meyer test, Brunnstrom, Functional Independence Scale, Motricity Index, Berg Balance Test, 10 Meter Walk Test and Timed Get Up and Go Test were used in the evaluations. Evaluations were made before treatment, at 3 weeks and 6 weeks. Results: The mean age and BMI of the participants were 63.2912.63 years and 24.574.26 kgm2. Statistically significant improvements were found in both the 3rd week and 6th week results compared to the pre-treatment period in both groups p0.05. In the comparison between the groups after 6 weeks of application, it was found that the Johnstone pressure splint group showed statistically more improvement in all the evaluated parameters compared to the NMES applied group p0.05. Conclusion: It was observed that the Johnstone pressure splint, which was applied in addition to the conventional neurological rehabilitation application, improved the motor development, level of independence, trunk control, balance and walking speed of the stroke patients more than the electrical stimulation application.

 Purpose: To investigate the effects of Johnstone pressure splint and Neuromuscular Electrical Stimulation NMES applied to the lower extremity on balance, functional independence and mobility in individuals with stroke. Method: The study was conducted with 33 acutesubacute stroke patients. The patients were randomly divided into two groups by applying Johnstone pressure splint and NMES in addition to conventional neurological rehabilitation training. Both groups were trained for 6 weeks, 5 days a week, 45-60 minutes a day. Fugl Meyer test, Brunnstrom, Functional Independence Scale, Motricity Index, Berg Balance Test, 10 Meter Walk Test and Timed Get Up and Go Test were used in the evaluations. Evaluations were made before treatment, at 3 weeks and 6 weeks. Results: The mean age and BMI of the participants were 63.2912.63 years and 24.574.26 kgm2. Statistically significant improvements were found in both the 3rd week and 6th week results compared to the pre-treatment period in both groups p0.05. In the comparison between the groups after 6 weeks of application, it was found that the Johnstone pressure splint group showed statistically more improvement in all the evaluated parameters compared to the NMES applied group p0.05. Conclusion: It was observed that the Johnstone pressure splint, which was applied in addition to the conventional neurological rehabilitation application, improved the motor development, level of independence, trunk control, balance and walking speed of the stroke patients more than the electrical stimulation application.

 Purpose: To investigate the effects of Johnstone pressure splint and Neuromuscular Electrical Stimulation NMES applied to the lower extremity on balance, functional independence and mobility in individuals with stroke. Method: The study was conducted with 33 acutesubacute stroke patients. The patients were randomly divided into two groups by applying Johnstone pressure splint and NMES in addition to conventional neurological rehabilitation training. Both groups were trained for 6 weeks, 5 days a week, 45-60 minutes a day. Fugl Meyer test, Brunnstrom, Functional Independence Scale, Motricity Index, Berg Balance Test, 10 Meter Walk Test and Timed Get Up and Go Test were used in the evaluations. Evaluations were made before treatment, at 3 weeks and 6 weeks. Results: The mean age and BMI of the participants were 63.2912.63 years and 24.574.26 kgm2. Statistically significant improvements were found in both the 3rd week and 6th week results compared to the pre-treatment period in both groups p0.05. In the comparison between the groups after 6 weeks of application, it was found that the Johnstone pressure splint group showed statistically more improvement in all the evaluated parameters compared to the NMES applied group p0.05. Conclusion: It was observed that the Johnstone pressure splint, which was applied in addition to the conventional neurological rehabilitation application, improved the motor development, level of independence, trunk control, balance and walking speed of the stroke patients more than the electrical stimulation application.

 Amaç: Alt ekstremiteye uygulanan Johnstone basınç splinti ve Nöromusküler Elektrik Stimülasyonu NMES uygulamasının inmeli bireylerde denge, fonksiyonel bağımsızlık ve mobilite üzerine etkisini araştırmak. Yöntem: Çalışma akutsubakut 33 inmeli hasta ile yapıldı. Hastalara konvansiyonel nörolojik rehabilitasyon eğitimine ek olarak Johnstone basınç splinti ve NMES uygulaması uygulanarak randomize iki gruba ayrıldı. Her iki grup 6 hafta, haftada 5 gün, günde 45-60 dakika eğitim uygulandı. Değerlendirmelerde Fugl Meyer testi, Brunnstrom, Fonksiyonel Bağımsızlık Ölçeği, Motrisite İndeksi, Berg Denge Testi, 10 Metre Yürüme Testi ve Zamanlı Kalk Yürü Testi kullanıldı. Değerlendirmeler tedavi öncesi, 3. hafta ve 6. hafta yapıldı. Bulgular: Katılımcıların yaş ve VKİ ortalamaları, 63.2912.63 yıl ve 24.574.26 kgm2 idi. Her iki grupta da tedavi öncesine göre hem 3. hafta hem de 6. hafta sonuçlarında istatistiksel olarak anlamlı gelişmeler saptandı p0.05. Altı haftalık uygulama sonrasında gruplar arası karşılaştırılmada Johnstone basınç splinti uygulanan grubun değerlendirilen tüm parametrelerde, NMES uygulanan gruba göre daha fazla anlamlı düzeyde gelişme gösterdiği bulundu p0.05. Sonuç: Konvansiyonel nörolojik rehabilitasyon uygulamasına ek olarak uygulanan Johnstone basınç splintinin inmeli hastaların motor gelişimini, bağımsızlık düzeyini, gövde kontrolünü, dengesini ve yürüme hızını elektrik stimülasyon uygulamasına göre daha fazla geliştirdiği görüldü.

Makale detayları

Comparison of the Effects of Johnstone Pressure Splint and Electrical Stimulation Applications on Balance, Functional Independence, and Mobility in Patients with Stroke: A Randomized Study

Yazarlar:

Ümit Erkut | Abdurrahim Yıldız | Esra Atılgan

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.6 Issue 1, pp.175-189

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001342641

pISSN:

2717-8250

stroke

johstone pressure splint

electrical stimulation

balance

walkinginme

johstone basınç splint

elektrik stimülasyonu

denge

yürüme

Sayı

Makale detayları

Yazarlar: Ümit Erkut | Abdurrahim Yıldız | Esra Atılgan

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri (Diğer)

Dergi: Selçuk Sağlık Dergisi Vol.6 Issue 1, pp.175-189

Belge Tipi: Makale

Yayın Tarihi: 2/2025

Belge Dili: Türkçe

Document ID (Org No.): 2001342641

pISSN: 2717-8250

Sayı

Yazarlar:

Ümit Erkut | Abdurrahim Yıldız | Esra Atılgan

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.6 Issue 1, pp.175-189

Belge Tipi:

Makale

Yayın Tarihi:

2/2025

Belge Dili:

Türkçe

Document ID (Org No.):

2001342641

pISSN:

2717-8250