PMID- 28694397
OWN - NLM
STAT- MEDLINE
DCOM- 20180419
LR  - 20181023
IS  - 1308-4488 (Electronic)
IS  - 1016-5169 (Linking)
VI  - 45
IP  - 5
DP  - 2017 Jul
TI  - [Effect of disease severity on upper extremity muscle strength, exercise 
      capacity, and activities of daily living in individuals with pulmonary arterial 
      hypertension].
PG  - 434-440
LID - 10.5543/tkda.2017.24557 [doi]
AB  - OBJECTIVE: Pulmonary arterial hypertension (PAH) is a rare disease. Although 
      muscle strength, exercise capacity, quality of life, and activities of daily 
      living of patients with PAH are affected, it is not known how they are affected 
      by disease severity. The purpose of the present study was to investigate effects 
      of disease severity on upper extremity muscle strength, exercise capacity, and 
      performance of activities of daily living in patients with PAH. METHODS: 
      Twenty-five patients with disease severity classified according to the New York 
      Heart Association (NYHA) as functional class II (n=14) or class III (n=11) were 
      included in the study. Upper-extremity exercise capacity and limitations in 
      performing activities of daily living were assessed with 6-minute pegboard and 
      ring test (6PBRT) and the Milliken activities of daily living scale (MAS), 
      respectively. Shoulder flexion, elbow extension, elbow flexion muscle strength, 
      and handgrip strength were measured with dynamometer. RESULTS: There were no 
      significant differences in age, gender, body mass index, or mean pulmonary artery 
      pressure between groups (p>0.05). The 6PBRT, MAS, and elbow flexion (right) and 
      grip strength (right and left) results were significantly lower in NYHA III group 
      than in NYHA II group (p=0.004, p=0.002, p=0.043, p=0.002 and p=0.003, 
      respectively). There was no significant difference in shoulder flexion, elbow 
      flexion (left), or elbow extension between groups (p>0.05). CONCLUSION: Results 
      suggest that upper extremity exercise capacity, elbow flexion muscle strength 
      (right), and handgrip strength decrease and that limitations in activities of 
      daily living grow as disease severity increases in patients with PAH. When 
      planning rehabilitation programs, disease severity should be considered and 
      evaluations and treatments for the upper extremities should be included.
FAU - Ozcan Kahraman, Buse
AU  - Ozcan Kahraman B
AD  - Dokuz Eylul University School of Physical Therapy and Rehabilitation, Izmir, 
      Turkey. buse.ozcan@deu.edu.tr.
FAU - Ozsoy, Ismail
AU  - Ozsoy I
FAU - Acar, Serap
AU  - Acar S
FAU - Ozpelit, Ebru
AU  - Ozpelit E
FAU - Akdeniz, Bahri
AU  - Akdeniz B
FAU - Sevinc, Can
AU  - Sevinc C
FAU - Savci, Sema
AU  - Savci S
LA  - tur
PT  - Journal Article
TT  - Pulmoner arteriyel hipertansiyonlu bireylerde hastalik siddetinin ust ekstremite 
      kas kuvveti, egzersiz kapasitesi ve gunluk yasam aktivitelerine etkisi.
PL  - Turkey
TA  - Turk Kardiyol Dern Ars
JT  - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir
JID - 9426239
SB  - IM
MH  - *Activities of Daily Living
MH  - Aged
MH  - Body Mass Index
MH  - Elbow/physiopathology
MH  - Exercise/*physiology
MH  - Female
MH  - Hand Strength
MH  - Humans
MH  - Hypertension/*physiopathology/rehabilitation
MH  - Male
MH  - Middle Aged
MH  - Muscle Strength/*physiology
MH  - Muscle Strength Dynamometer
MH  - Pulmonary Artery/*physiopathology
MH  - Pulmonary Wedge Pressure
MH  - Range of Motion, Articular/physiology
MH  - Severity of Illness Index
MH  - Shoulder Joint/physiopathology
MH  - Upper Extremity/*physiopathology
EDAT- 2017/07/12 06:00
MHDA- 2018/04/20 06:00
CRDT- 2017/07/12 06:00
PHST- 2017/07/12 06:00 [entrez]
PHST- 2017/07/12 06:00 [pubmed]
PHST- 2018/04/20 06:00 [medline]
AID - 10.5543/tkda.2017.24557 [doi]
PST - ppublish
SO  - Turk Kardiyol Dern Ars. 2017 Jul;45(5):434-440. doi: 10.5543/tkda.2017.24557.