Investigation Of Two Different İnterventions İn Hemiplegic Patients

Effectıveness Of Relaxation And Respiratory Exercise On Sleep Quality, Depressıon And Spasticity In Hemiplegic Stroke Patients: Prelimınary Findings

Background: Our study aims to determine the effect of relaxation and breathing exercises in addition to the treatment procedure on depression level, sleep quality, and spasticity in hemiplegic patients.

Methods: Thirty patients aged 40-70 years diagnosed with hemiplegia were included in the study. All patients received the same Bobath exercise three days a week for six weeks. Patients in Group 2 additionally received breathing and relaxation exercises. Sleep quality assessment by Pittsburgh Sleep Quality Index (PUKI), depression by Hospital Anxiety and Depression Scale (HADS), and spasticity by Modified Ashworth scale (MAS) were used. All assessments were made at baseline and six weeks after exercise treatments.

Inclusion Criteria:

• The study included patients who met the following inclusion criteria:
• having had a stroke at least six months ago,
• possessing adequate cognitive functions,
• having no pre-existing sleep problems before the disease,
• absence of emotional disturbance prior to the disease,
• voluntary participation in the study,
• no cardiovascular problems,
• having a score of 1, 1+, or two according to the modified Ashworth Scale

Exclusion Criteria:

• having a traumatic stroke caused by malignancy or other organic factors, alcohol or drug addiction,
• having a score of 3 or 4 according to the modified Ashworth Scale