Hemiparetik Serebral Palsili Çocuklarda Trapeziometakarpal Eklem Pozisyonunun Stereognozi Duyusu Üzerine Etkisinin İncelenmesi

Year 2022, Volume: 11 Issue: 2, 317 - 323, 14.07.2022

Yıldız Erdoğanoğlu Demet Sarıyıldız

https://doi.org/10.53424/balikesirsbd.1003632

Abstract

Amaç: Bu çalışmanın amacı, hemiparetik Serebral Palsili çocuklarda Trapeziometakarpal (TMK) eklem pozisyonunun stereognozi duyusu üzerine etkisini incelemektir.
Gereç ve Yöntem: Çalışmaya, yaş ortalaması 9.67±3.21 yıl olan 4-16 yaş arasında 24 hemiparetik Serebral Palsili çocuk dahil edildi.
Çocukların başparmak spastisitesi Modifiye Ashworth Skalası ile, el becerileri Manuel Ability Classification ile, elin fonksiyonelliği House Hand Functional Classification System ile, stereognozi duyuları, gözleri kapalı iken Manual Form Perception ile değerlendirildi. Değerlendirme sonrası, McKie Thumb Splint ile TMK eklemi pozisyonlanarak stereognozi duyusu tekrar değerlendirildi.
Bulgular: TMK eklemi splintsiz ve splint ile pozisyonlanma sonrasında stereognozi duyusu, toplam puanları arasında anlamlı bir fark bulunmadı (p >0.05). Ancak TMK eklemi splintsiz ve splint ile pozisyonlanması sonrasında stereognozi test objelerinden diş fırçası ve tarak tanımada anlamlı fark olduğu görüldü (p <0.05).
Sonuç: Hemiparetik Serebral Palsili çocuklarda Trapeziometakarpal (TMK) eklem pozisyonlamasının stegronozi duyusu üzerinde olumlu etkisi olabileceği düşünüldü.

Keywords

Hemipleji, Serebral Palsi, Stereognozi, Başparmak.

Supporting Institution

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Project Number

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Thanks

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Investigation of the Effect of Trapeziometacarpal Joint Position on Stereognosis in Children with Hemiparetic Cerebral Palsy

Abstract

Objective: This study is aimed to examine the effect of Trapeziometacarpal (TMC) joint position on stereognosis sense in children with hemiparetic cerebral palsy.
Material and Method: Twenty-four children with hemiparetic cerebral palsy between the ages of 4-16 with a mean age of 9.67 ± 3.21 years were included in the study. Thumb spasticity of the children was evaluated with the Modified Ashworth Scale, dexterity was evaluated with the Manual Ability Classification, the functionality of the hand was evaluated with the House Hand Functional Classification System, and the senses of stereognosia were evaluated with the Manual Form Perception with the eyes closed. After the evaluation, the TMC joint was positioned with McKie Thumb Splint, and stereognosis was re-evaluated.
Results: There was no significant difference between the sense of stereognosis and total scores after positioning with and without TMC joint splint (p> 0.05). However, after the TMC joint was positioned with and without splint, it was observed that there was a significant difference in recognition of toothbrush and comb, among the stereognosia test objects (p <0.05).
Conclusion: It was thought that trapeziometacarpal (TMC) joint positioning may have a positive effect on the sense of stegronosia in children with hemiparetic Cerebral Palsy.

Keywords

Hemiplegia, Cerebral Palsy, Stereognosis, Thumb.

Project Number

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