[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]
Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2014, Cilt 28, Sayı 3, Sayfa(lar) 133-144
[ Turkish ] [ Tam Metin ] [ PDF ]
The Effect of Sensory Integration Training on Postural Control in Patients with Parkinson's Disease
Ayla FİL1, Kadriye ARMUTLU1, Yeliz SALCI1, Songül AKSOY2, Hülya KAYIHAN3, Bülent ELİBOL4
1Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Anabilim Dalı, Ankara, TÜRKİYE
2Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Odyoloji Anabilim Dalı, Ankara, TÜRKİYE
3Hacettepe Üniversitesi, Sağlık Bilimleri Fakültesi, Ergoterapı Anabilim Dalı, Ankara, TÜRKİYE
4Hacettepe Üniversitesi, Tıp Fakültesi, Nöroloji Anabilim Dalı, Ankara, TÜRKİYE
Keywords: Parkinson's disease, postural instability, postural control, physiotherapy and rehabilitation, sensory integration training

Objective: This study was carried out to determine the effects of sensory integration training on postural instability in Parkinson's patients.

Material and Methods: 22 Parkinson patients who represented the stage 2-3 according to Modified Hoehn & Yahr Rating Scale were divided into two groups as control and study. The control group received general physiotherapy; the study group received sensory integration training combined with general physiotherapy 2 times per week for 6 weeks. Patients were assessed with Unified Parkinson Disease Rating Scale (UPDRS), Loewenstein Occupational Therapy Cognitive Assessment (LOTCA), Parkinson activity Scale (PAS), Time Up and Go Test (TUG), Berg Balance Scale (BBS), and computed dynamic posturography (CDP).

Results: While total and sub-group scores of UPDRS improve similarly in both study groups and control group, effect size was found higher in study group (60≤ d≤ 82). LOTCA total scores similarly increased in both groups but visual motor parameter improved only in the study group (P<0.05). Although BBS scores improved similarly in both groups, TUG and PAS scores were significantly higher in study group (P<0.05). When CPD results were analyzed, balance composite scores improved in both on and off period but this development were statistically higher in the study group. Also condition 5, 6 and vestibular system scores improved significantly in study group according to the control group (P<0.05).

Conclusion: Conventional physiotherapy applications combined with sensory integration training ameliorate postural control by improving sensory process. Therefore we consider that the treatment programs of the patients with explicit postural instability should include sensory integration training.

[ Turkish ] [ Tam Metin ] [ PDF ]
[ Ana Sayfa | Editörler | Danışma Kurulu | Dergi Hakkında | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | E-Posta ]