Hastaların kognitif görevle yavaşlaması, kognitif görev sırasında dikkatini bilişsel fonksiyonlarına odaklamalarından kaynaklanıyor olabilir. Bu sonuca göre yürüme, bir nesneyi taşıma gibi bir aktiviteden çok düşünme aktivitesinden etkilenmektedir.
Hastaların bu durum konusunda bilgilendirilmesi, oluşabilecek düşme olaylarını engelleyebilir.
Düşünürken yürüme becerisi kolun motor iyileşmesinden gövde ve bacağın iyileşmesine göre daha az etkilenmektedir. Kolun motor iyileşmesi gövde ve bacak kadar olmasa da tüm yürüme hızlarında etkilidir. Kol bilinen bakım aktiviteleri ya da günlük yaşam aktivitelerinde rolünün yanında, vücudun bütünlüğüyle yürümeyi de etkileyebilir ve koldaki iyileşme yürümeyi de etkileyebilir.
Rahat yürüme ve motor yürümeyi denge, yürüme becerisi, yorgunluk ve motor bozukluk benzer yakınlıkta etkilemektedir. Kognitif yürüme de bu değerlerden daha az olsa da etkilenmektedir. Kognitif görevle yürümeyi belirleyici yeni araştırılmalar yapılması bu konudaki yeniliklerin önünü açabilir.
Kognitif görev sırasında yürüme fonksiyonunu motor bozukluklarla birlikte etkileyen başka kognitif beceriler olabilir. Bunun için dikkat ve yürütücü fonksiyonlara yönelik testler seçilmesi, ikili görev için kognitif durum belirlemede daha uygun olabilir.
Kognitif görev verilirken hastaların eğitim durumu, yaşlarına göre uygun görev verilmesi daha anlamlı sonuçlar çıkarabilir.
Düşme öyküsü alınırken hastanın yanında sürekli bir gözlemcisi olup olmadığı, özyeterliliği ve fiziksel aktivitesi de sorgulanıp, hastaların unutma ya da ifade etmemelerine karşı yakınlarından da bilgi alınması daha doğru verilerin alınmasını sağlayabilir. Düşmeye neden olan faktörlerin belirlenmesi için hastalara düşme kaydı tutmayı öğretmek de faydalı olabilir.
Yaş arttıkça düşünmeyle yürüme hızındaki değişim, inmeye bağlı oluşan dikkat bozukluklarının yanında yaşlanmaya bağlı olarak da bu yürüme hızının
azalabileceğini göstermektedir. Bu durumun tespiti için yaşıt kontrol grubunun çalışmaya dahil olması daha anlamlı sonuçlar elde etmemizi sağlayabilir.
Sendelemeler düşmeyle sonuçlanmayabilir. Sendeleme yaşayan hastaların düşmeyi nasıl önlediklerinin araştırılması düşme konusundaki eksikliğin giderilmesinde de faydalı olabilir.
Genel yorgunluk hisseden hastalar daha çok denge kayıpları yaşayabilir. Bu hastaların hangi tür yorgunluk yaşadıklarının araştırılıp bulunması denge kayıplarını ve düşmeleri de önleyebilir.
Çalışmadan elde edilen sonuçlar inme tanılı hastalarda farklı yürüme koşullarında değerlendirmelerin yapılmasının, toplum içi yürüme aşamasına geçilip geçilmeyeceğinin belirlenmesinde faydalı olabileceğini, denge, yorgunluk ve motor fonksiyonlardaki bozukluğun farklı yürüme çeşitleriyle ilişkili olduğunu göstermiştir.
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