Liver Transplantation
Conditions
Brief summary
Liver transplantation is a life-saving treatment of choice for patients with acute or chronic liver failure. Liver transplantation is performed with a graft taken from a living donor or cadaver in patients with end-stage liver failure or who develop various complications regardless of the stage of the disease.In liver diseases, cognitive problems occur as well as physical problems. It has been observed that in some liver diseases, including hepatitis C, Wilson's disease, primary biliary cirrhosis, cognitive dysfunction that negatively affects the quality of life of patients, from mild cognitive problems to hepatic encephalopathy. Our study will be carried out in Malatya İnönü University Turgut Özal Medical Center Liver Transplant Institute Hospital in order to investigate the effects of motor-cognitive dual-task exercises on cognitive function, balance and functional capacity in liver transplant patients.It will be divided into 2 groups as classical physiotherapy and motor-cognitive exercise. Classical physiotherapy and motor-cognitive exercise programs will be applied to the groups in accordance with the clinical characteristics of the individuals, tolerable, and in a standardized manner specific to the individuals. Evaluations will be made on the first day and at the end of the twenty-fourth session while the patient is in the service before starting the treatment.
Interventions
OTHERexercise
Application of two different exercises to liver transplant individuals.
Sponsors
Hasan Kalyoncu University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
Yes
Inclusion criteria
* Be able to mobilize alone * Having performed a liver transplant over the age of 50 * Spontaneous breathing * Being hemodynamically stable * Ability to read and write * Not having an orthopedic disability and functional capacity limitation * Being conscious and cooperative
Exclusion criteria
* Not agreeing to participate in the study * Not continuing the treatment regularly * Having neurological or neuropsychiatric problems * Being colorblind
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Cognitive Functions | One day | The Montreal Cognitive Assessment Scale will be used to evaluate cognitive functions. The score is between 0-30 points. In order to be considered as a cognitive disorder, the participant must get a score below 21 points. |
| Evaluation of Balance | One day before the rehabilitation | Functional reach and timed get-go test were used for dynamic balance assessment, and single-leg standing tests were used for static balance assessment. A day before the rehabilitation |
| Assessment of functional capacity | One day before the rehabilitation | In order to determine the functional capacity, a 6-minute walking test was applied. A day before the rehabilitation |
Countries
Turkey (Türkiye)
Outcome results
None listed