Research Information System
Thesis Type: Postgraduate
Institution Of The Thesis: Gazi University, Turkey
Approval Date: 2017
Thesis Language: Turkish
Student: Burak Ertürk
Supervisor: İLKE KESER
Abstract:The aim of this study is to investigate the effects of exercises focused on the gluteus medius muscle in acute stroke patients on disability, functional status and mobility. In Neurology Service, stroke patients diagnosed by a neurologist, assigned study and control groups randomly and being followed with a physiotherapy program. Patients were assessed before and after physiotherapy program by the Modified Rankin Scale (MRS), the National Institute of Health Stroke Scale (NIHSS), Mobility Scale for Acute Stroke Patients (MSAS), The Stroke Rehabilitation Assessment of Movement Scale (STREAM) and the Rivermead Mobility Index (RMI). In control group acute phase exercises of Neuro- Developmental Treatment (NDT) Bobath method were applied. In study group, the exercises focused on gluteus medius muscle of the current Bobath method were applied. In both groups, NIHSS, MRS, MSAS, STREAM and RMI were improved significantly (p<0,005). It was detected that the improvements in MRS and STREAM were more in study group than control group (p<0,03). In acute stroke patients, the exercises focused on gluteus medius muscle may provide similar improvements on stroke symptoms presence and severity, disability, mobility and functional status as the exercises with NDT Bobath method. Additionally it was observed that the exercises focused on gluteus medius muscle may contributed to the acquisition of additional benefits on disability and functional status. It was thought that including the exercises focused on gluteus medius muscle to the acute term stroke rehabilitation programs may have benefits to achieve these positive effects related to functional ambulation fast regaining and functional statue amelioration.