Akademik Veri Yönetim Sistemi
Turkish Journal of Physiotherapy and Rehabilitation, cilt.34, sa.1, ss.115-124, 2023 (ESCI)
Purpose: This study was conducted to examine postural problems in adults with neuromuscular diseases, the incidence of these disorders and to determine the relationship of posture problems with disease severity, functional capacity, activities of daily living, balance and falling. Methods: 47 patients diagnosed with neuromuscular disease with a mean age of 36.34 ± 14.03 years were included in the study. General body posture was evaluated with New York Posture Rating Scale (NYPR) and thoracic kyphosis (TKA) - lumbar lordosis angles (LLA) was evaluated with flexible ruler. Possible scoliosis and pelvic asymmetry were evaluated using a scoliometer. Disease severity was measured with the Upper (UEFI) and Lower Extremity Function Index (LEFI), functional capacity with 2 Minute Walk Test (2MWT), and balance and fall risk with the Timed Up and Go Test (TUG), and daily living activities were recorded with Functional Independence Measure (FIM). Results: The evaluation of postural deformities indicated that the mean NYPR of the patients was 40.24±9.56. The angle of kyphosis was observed in 46.34 % of the patients and the angle of the LLA was out of the norm values in 24.39 %. Scoliometer measurements showed that possible scoliosis was found in 30 (73.2%), spinal asymmetry was found in 11 (26.8%), and pelvic asymmetry was found in 27 patients (65.9%). The correlation between NYPR and UEFI, 2MWT, FIM and TUG was statistically significant (p <0.05). Conclusion: When planning rehabilitation programs, it is thought that detailed evaluation of postural disorders affecting body biomechanics and creating intervention plans appropriate to the results of these evaluations may positively affect the patients’ performance of daily living activities, functional capacities, balance and fall risks. However, studies with larger numbers of patients and including different NMD groups are needed to generalize the results.