Yıl: 2022 Cilt: 25 Sayı: 3 Sayfa Aralığı: 286 - 292 Metin Dili: İngilizce DOI: 10.31609/jpmrs.2021-87387 İndeks Tarihi: 18-09-2022

The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia

Öz:
Objective: Although hemoglobin, folate, 25 (OH) vitamin D3, and vitamin B12 levels have been reported to be associated with the risk of stroke, there are limited data on the relationship between these levels and functional sta tus, disability, pain or balance in those who develop post-stroke hemiplegia. The present study aimed to investigate the relationship between parameters such as functional status, pain, balance, and hemoglobin, folate, 25 (OH) vitamin D3, and vitamin B12 levels in patients with post-stroke hemiplegia. Material and Meth ods: Thirty-nine patients were included in the study. Brunnstrom recovery stages, Berg Balance Scale, Functional Ambulation Category (FAC), Leeds Assessment of Neuropathic Symptoms and Signs pain scale, Barthel Index scores were de termined. In addition, the patients’ central pain and hemiplegic shoulder pain were evaluated using numerical rating scales. The hemoglobin, folate, vitamin B12, and 25 (OH) vitamin D3 levels of the participants were noted. Results: Hemoglobin levels were significantly higher in functional ambulatory patients (FAC Stage 3-5) than in non-functional ambulatory (FAC Stage 0-2) patients (mean±standard deviation 13.77±2.38, 12.13±1.58, respectively) (p=0.019). In ad dition, hemoglobin levels were positively correlated with Barthel Index (r=0.496, p=0.002) and Berg Balance Scale (r=0.458, p=0.005). Folate, vitamin B12, and 25 (OH) vitamin D3 levels were not associated with any of the scales. According to the results of the multivariate logistic regression analysis, the increase in the hemoglobin values of the patients increases the probability of being in the functional ambulatory group 1,655 times (p=0.024). Conclusion: In this study, hemoglobin level was found to be associated with disability, ambulation and balance status in patients with post-stroke hemiplegia. For better rehabilitation success, it should be kept in mind to evaluate the hemoglobin levels of the patients.
Anahtar Kelime:

İnme Sonrası Hemipleji Gelişen Hastalarda Hemoglobin, Folat, Vitamin B12 ve 25 (OH) Vitamin D3 Düzeylerinin Fonksiyon, Disabilite, Ağrı ve Denge Üzerine Etkisi

Öz:
Amaç: Hemoglobin, folat, 25 (OH) vitamin D3 ve vitamin B12 düzeyle rinin inme riski ile ilişkili olduğu bildirilmiş olsa da, bu düzeyler ile inme sonrası hemipleji gelişenlerin fonksiyonel durum, disabilite, ağrı veya denge durumları arasındaki ilişkiler hakkındaki veriler kısıtlıdır. Bu çalışmada, değişkenlerin dü zeyleri ile inme sonrası hemipleji gelişen hastalardaki fonksiyonel durum, ağrı ve denge gibi parametreler arasındaki ilişkinin araştırılması amaçlandı. Gereç ve Yöntemler: Çalışmaya 39 hasta dâhil edildi. Brunnstrom iyileşme evreleri, Berg Denge Skalası, Fonksiyonel Ambülasyon Sınıflaması (FAS), Leeds Nöropatik Semptom ve Belirtilerin Değerlendirmesi ağrı skalası, Barthel İndeks skorları be lirlendi. Ayrıca hastaların santral ağrıları ve hemiplejik omuz ağrıları nümerik derecelendirme ölçeği kullanılarak değerlendirildi. Katılımcıların hemoglobin, folat, vitamin B12 ve 25 (OH) vitamin D3 seviyeleri kaydedildi. Bulgular: Fonk siyonel ambülasyonu olan (FAS Evre 3-5) hastalarda, fonksiyonel ambülasyonu olmayan (FAS Evre 0-2) hastalara göre hemoglobin seviyeleri anlamlı olarak daha yüksekti (sırasıyla ortalama±standart sapma 13,77±2,38, 12,13±1,58) (p=0,019). Ayrıca hemoglobin seviyeleri Barthel İndeksi (r=0,496, p=0,002) ve Berg Denge Skalası (r=0,458, p=0,005) ile pozitif ilişkiliydi. Folat, vitamin B12 ve 25 (OH) vitamin D3 seviyeleri hiçbir skala ile ilişkili bulunmadı. Çok değiş kenli lojistik regresyon analizi sonuçlarına göre hastaların hemoglobin değerle rindeki bir birimlik artış fonksiyonel ambulatuar grupta olma olasılığını 1.655 kat artırmaktadır (p=0,024). Sonuç: İnme sonrası hemiplejili hastalarda hemoglobin düzeyi ile disabilite, ambülasyon ve denge durumu ilişkili bulunmuştur. Daha iyi rehabilitasyon başarısı için hastaların hemoglobin düzeylerini değerlendirmek akılda tutulmalıdır.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA okçu m, TUNCAY F, Koçak F, DOGRU-CIFTCI Y, KARAKUZU GÜNGÖR Z, Kaya S (2022). The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. , 286 - 292. 10.31609/jpmrs.2021-87387
Chicago okçu mehmet,TUNCAY FİGEN,Koçak Fatmanur Aybala,DOGRU-CIFTCI YILDIZ GONCA,KARAKUZU GÜNGÖR ZEYNEP,Kaya Samet Sancar The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. (2022): 286 - 292. 10.31609/jpmrs.2021-87387
MLA okçu mehmet,TUNCAY FİGEN,Koçak Fatmanur Aybala,DOGRU-CIFTCI YILDIZ GONCA,KARAKUZU GÜNGÖR ZEYNEP,Kaya Samet Sancar The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. , 2022, ss.286 - 292. 10.31609/jpmrs.2021-87387
AMA okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. . 2022; 286 - 292. 10.31609/jpmrs.2021-87387
Vancouver okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. . 2022; 286 - 292. 10.31609/jpmrs.2021-87387
IEEE okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S "The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia." , ss.286 - 292, 2022. 10.31609/jpmrs.2021-87387
ISNAD okçu, mehmet vd. "The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia". (2022), 286-292. https://doi.org/10.31609/jpmrs.2021-87387
APA okçu m, TUNCAY F, Koçak F, DOGRU-CIFTCI Y, KARAKUZU GÜNGÖR Z, Kaya S (2022). The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 25(3), 286 - 292. 10.31609/jpmrs.2021-87387
Chicago okçu mehmet,TUNCAY FİGEN,Koçak Fatmanur Aybala,DOGRU-CIFTCI YILDIZ GONCA,KARAKUZU GÜNGÖR ZEYNEP,Kaya Samet Sancar The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 25, no.3 (2022): 286 - 292. 10.31609/jpmrs.2021-87387
MLA okçu mehmet,TUNCAY FİGEN,Koçak Fatmanur Aybala,DOGRU-CIFTCI YILDIZ GONCA,KARAKUZU GÜNGÖR ZEYNEP,Kaya Samet Sancar The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, vol.25, no.3, 2022, ss.286 - 292. 10.31609/jpmrs.2021-87387
AMA okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2022; 25(3): 286 - 292. 10.31609/jpmrs.2021-87387
Vancouver okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia. Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi. 2022; 25(3): 286 - 292. 10.31609/jpmrs.2021-87387
IEEE okçu m,TUNCAY F,Koçak F,DOGRU-CIFTCI Y,KARAKUZU GÜNGÖR Z,Kaya S "The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia." Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, 25, ss.286 - 292, 2022. 10.31609/jpmrs.2021-87387
ISNAD okçu, mehmet vd. "The Effect of Hemoglobin, Folate, Vitamin B12, and 25 (OH) Vitamin D3 Levels on Function, Disability, Pain, and Balance in Patients with Post-Stroke Hemiplegia". Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi 25/3 (2022), 286-292. https://doi.org/10.31609/jpmrs.2021-87387