{"id":12921,"date":"2015-11-15T20:38:11","date_gmt":"2015-11-15T18:38:11","guid":{"rendered":"http:\/\/is.saglikdanisma.net\/?p=11898"},"modified":"2015-11-15T20:38:11","modified_gmt":"2015-11-15T18:38:11","slug":"eklem-hareket-genisligi-modeli-veya-fonksiyonel-model","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/eklem-hareket-genisligi-modeli-veya-fonksiyonel-model\/","title":{"rendered":"Eklem Hareket Geni\u015fli\u011fi Modeli veya Fonksiyonel Model"},"content":{"rendered":"<p>Bu modeli kullanabilmek i\u00e7in \u00fc\u00e7 ayr\u0131 basama\u011f\u0131n takip edilerek bir b\u00fct\u00fcn halinde de\u011ferlendirilmesi mecburidir. Bu \u00fc\u00e7 basamak \u015funlard\u0131r.<\/p>\n<p>Eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131<\/p>\n<p>Spesifik omurga hastal\u0131\u011f\u0131 tan\u0131s\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131<\/p>\n<p>Spinal sinir kay\u0131plar\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131<\/p>\n<p>Yaralanma modeli bireyin hastal\u0131\u011f\u0131na uygun de\u011filse veya omurgaya ba\u011fl\u0131 \u00f6z\u00fcr\u00fc belirlemede daha fazla klinik veri gerekiyorsa eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 modeli kullan\u0131l\u0131r. Bu modelde baz\u0131 basamaklar izlenmelidir. Patoloji stabil ve kal\u0131c\u0131 olmal\u0131, yetersizlik en az bir y\u0131ld\u0131r devam ediyor olmal\u0131d\u0131r. Servikal, torakal veya lomber b\u00f6lgeden hastan\u0131n yak\u0131nmalar\u0131 ile ilgili temel b\u00f6lge se\u00e7ilir.<\/p>\n<p>Birinci basamak olarak spesifik omurga hastal\u0131klar\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fck tablosundan uygun tan\u0131 se\u00e7ilir. \u0130ki veya daha fazla tan\u0131 mevcutsa en \u00f6nemli tek tan\u0131 al\u0131n\u0131r ve tan\u0131ya ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fck kaydedilir.<\/p>\n<p>\u0130kinci basamak olarak se\u00e7ilen temel b\u00f6lgenin hareket a\u00e7\u0131kl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcl\u00fcr ve buna uygun \u00f6z\u00fcrl\u00fcl\u00fck y\u00fczdesi ilgili tablolardan saptan\u0131r. E\u011fer omurgada bir miktar hareket olmas\u0131na ra\u011fmen ayn\u0131 zamanda ankiloz var ise, n\u00f6tral pozisyona en yak\u0131n hareket derecesi ankiloz derecesi olarak kabul edilir ve ankiloz derecesine g\u00f6re \u00f6z\u00fcrl\u00fcl\u00fck y\u00fczdesi hesaplan\u0131r. Ayn\u0131 b\u00f6lgede bir\u00e7ok y\u00f6nde hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 var ise elde edilen \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131 toplan\u0131r. \u00d6rne\u011fin: servikal b\u00f6lgede eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 \u00f6l\u00e7\u00fcm\u00fcnde hem fleksiyon, ekstansiyon hem de rotasyonda hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 var ise \u00f6l\u00e7\u00fcmlerin sonucunda elde edilen \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131 Balthazard y\u00f6ntemi kullan\u0131lmay\u0131p aritmetik olarak toplanacakt\u0131r.<\/p>\n<p>\u00dc\u00e7\u00fcnc\u00fc basamak olarak ilgili omurga b\u00f6lgesinin ili\u015fkili oldu\u011fu ekstremitelerde duyu veya motor kay\u0131p varsa duyusal veya motor kayb\u0131n say\u0131sal de\u011feri, ilgili tablolardan ayr\u0131 ayr\u0131 saptan\u0131r (Tablo 1.8 veya Tablo 1.9<strong>).<\/strong> \u0130lgili b\u00f6lgenin duyusal \u00f6z\u00fcrl\u00fcl\u00fck y\u00fczdesini bulmak i\u00e7in ili\u015fkili sinir k\u00f6k\u00fcn\u00fcn maksimum de\u011ferinin (Tablo 1.10 ) Tablo 1.8\u2019de ki\u015finin durumuna kar\u015f\u0131l\u0131k geken duyusal kayba ba\u011fl\u0131 \u00f6z\u00fcr y\u00fczdesi al\u0131n\u0131r. \u00d6rne\u011fin: C5 sinir k\u00f6k\u00fcnde 3. derece duyusal kayb\u0131 olan hastan\u0131n bu basamak i\u00e7in \u00f6z\u00fcr oran\u0131 %3\u2019t\u00fcr (5 x %60) (Tablo 1.10\u2019da C5 i\u00e7in duyu kayb\u0131n\u0131n alaca\u011f\u0131 maksimum de\u011fer x Tablo 1.8\u2019de 3. derece duyu kayb\u0131 i\u00e7in verilen y\u00fczde de\u011fer %60). Ayn\u0131 i\u015flem, varsa motor kay\u0131p de\u011ferleri i\u00e7in de yap\u0131l\u0131r. B\u00f6ylece ilgili b\u00f6lgenin ekstremitesindeki duyusal ve motor \u00f6z\u00fcrl\u00fcl\u00fck y\u00fczdesi ayr\u0131 ayr\u0131 belirlenmi\u015f olur ve Balthazard y\u00f6ntemi kullan\u0131larak tek ekstremiteye ait \u00f6z\u00fcrl\u00fcl\u00fck y\u00fczdesi belirlenir. E\u011fer her iki ekstremitede de n\u00f6rolojik kay\u0131p var ise, her ekstremite i\u00e7in ayr\u0131 ayr\u0131 bulunan de\u011ferler Balthazard y\u00f6ntemiyle birle\u015ftirilerek tek bir de\u011fer elde edilir. Birinci, ikinci ve \u00fc\u00e7\u00fcnc\u00fc basamaktan elde edilen \u00f6z\u00fcrl\u00fcl\u00fck oranlar\u0131 Balthazard y\u00f6ntemi kullan\u0131larak birle\u015ftirilir ve bu modele g\u00f6re tek bir de\u011fer elde edilir. E\u011fer birden fazla omurga b\u00f6lgesinde kay\u0131p var ise, her bir b\u00f6lge i\u00e7in yukar\u0131daki basamaklar ayr\u0131 ayr\u0131 uygulan\u0131r. Her b\u00f6lge i\u00e7in elde edilen son de\u011ferler Balthazard y\u00f6ntemiyle birle\u015ftirilir.<\/p>\n<p>Skolyoz i\u00e7in kardiovask\u00fcler sistem ve g\u00f6\u011f\u00fcs hastal\u0131klar\u0131 ilgili tablolar\u0131 ile eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 modelinden elde edilen de\u011ferler <a href=\"http:\/\/is.saglikdanisma.net\/2015\/balthazard-hesaplama-tablosu.html\">Balthazard y\u00f6ntemi<\/a> kullan\u0131larak birle\u015ftirilir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Bu modeli kullanabilmek i\u00e7in \u00fc\u00e7 ayr\u0131 basama\u011f\u0131n takip edilerek bir b\u00fct\u00fcn halinde de\u011ferlendirilmesi mecburidir. Bu \u00fc\u00e7 basamak \u015funlard\u0131r. Eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131 Spesifik omurga hastal\u0131\u011f\u0131 tan\u0131s\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131 Spinal sinir kay\u0131plar\u0131na ba\u011fl\u0131 \u00f6z\u00fcrl\u00fcl\u00fc\u011f\u00fcn hesaplanmas\u0131 Yaralanma modeli bireyin hastal\u0131\u011f\u0131na uygun de\u011filse veya omurgaya ba\u011fl\u0131 \u00f6z\u00fcr\u00fc belirlemede daha fazla klinik veri gerekiyorsa eklem hareket [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11891,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[249,226,257,27,28,30,32],"class_list":["post-12921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ozurluluk-raporu","tag-eklem-hareketleri","tag-hareket-bozuklugu","tag-hareket-genisligi","tag-ozur-oran-cetveli","tag-ozur-orani","tag-ozurlu","tag-yonetmelik-eki"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12921","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=12921"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12921\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/media?parent=12921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=12921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=12921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}