Astimli hastalarda kor stabilizasyon egzersizlerinin etkileri

The aim of the study is to investigate core stabilization exercises combined with patient education program and breathing exercises on dynamic balance and respiratory functions. The study included 40 volunteers with asthma (40F; 52.25±11.51years) who applied to Chest Medicine Outpatient Clinic of Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey between November 2015 and March 2016 and got diagnosed and followed up at least 6 month before. Pulmonary functions of all the participants were evaluated by spirometry, maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). Physical activity, anxiety and depression and quality of life were assessed by respectively International Physical Activity Questionnaire Short Form (IPAQ), Hospital Anxiety and Depression Scale (HADS) and Asthma Quality of Life Questionnaire (AQOL). Six minute walking test (6MWT) was used to determine functional capacity of participants. We evaluate the dynamic balance of patients by Prokin PK200, Italy. The patients were randomly divided into Training Group (TG) (n=20) and Control Group (CG) (n=20). All subjects were included asthma education program (AEP) and both groups have trained for diaphragmatic and pursed lip breathing exercises (3times/wk. 6 week duration). The core stabilization program was applied twice a week for 20 minute and for duration 6 week in TG. The main results of this study comparing two groups, TG showed greater improvement in MIP, IPAQ, 6MWT, thoracic mobility for epigastric area and dynamic balance findings (AP, ML equilibrium and medium speed) (respectively p=0.00, p=0.00, p=0.00, p=0.02, p=0.00). Consistent with hypothesis, core stabilization exercises combined with AEP and breathing exercise program was more effective to improve aerobic endurance, quality of life level and dynamic balance findings of people with asthma compared to a program including core exercises with AEP and breathing exercise.