Investigation of the Relationship of Hand-Wrist Sensation with Functional Independence and Participation in Individuals with Meningomyelocele

Abstract

Purpose: The aim of this study was to investigate the relationship of hand-wrist sensation with independence and participation in children with meningomyelocele. Material and Methods: 23 normally developing children and 23 children with MMC between the ages of 6-12 were included in the study. Light touch sense “Semmes-Weinstein monofilament test”, two-point discrimination sense “Discriminator”, proprioception “Goniometer”, kinesthesia “Ability to copy different hand positions”, independence “Barthel Index” and participation “Child and adolescent participation questionnaire (CASP)” was evaluated. Results: Participation and functional independence were statistically lower in children with MMC than in normally developing individuals. There was no statistically significant correlation between light touch sense, two-point discrimination sense, proprioception and kinesthesia sense and Barthel index (p> 0.05). There was a statistically significant negative correlation between dominant and non-dominant side light touch sense and two-point discrimination sense and CASP sub-parameter home community participation and school participation (p<0.05). In addition, there was a positive, statistically significant relationship between hand kinesthesia and CASP subparameters, neighborhood community participation and home community participation (p<0.05). Conclusion: Hand-wrist sensation is associated with participation in children with meningomyelocele. Hand-wrist sensation should be included in the assessment, physiotherapy and rehabilitation program in children with meningomyelocele. Improving hand-wrist sensation in children with meningomyelocele may contribute to increased participation.

Keywords

• Meningomyelocele
• participation
• functional independence
• hand-wrist sensation

Meningomyeloselli Çocuklarda El-El Bileği Duyusunun Fonksiyonel Bağımsızlık ve Katılım ile İlişkisinin Araştırılması

Abstract

Amaç: Meningomyeloselli (MMC) çocuklarda el-el bileği duyusunun günlük yaşam aktivitelerindeki fonksiyonel bağımsızlık ve katılım ile ilişkisinin araştırılmasıdır. Gereç ve Yöntem: Çalışmaya 6-12 yaş aralığında 23 normal gelişim gösteren ve 23 MMC’li çocuk dahil edildi. Hafif dokunma duyusu “Semmes-Weinstein Monofilament Testi”, iki nokta ayırımı duyusu “Diskriminatör”, propriyosepsiyon “Gonyometre”, kinestezi “Farklı el pozisyonlarını kopya edebilme yeteneği”, fonksiyonel bağımsızlık “Barthel Indeks” ve katılım “Çocuk ve Adölesan Katılım Anketi (CASP)” ile değerlendirildi. Sonuçlar: MMC’li çocuklarda normal gelişim gösteren çocuklara göre katılım ve fonksiyonel bağımsızlık anket skorları düşüktü. MMC’li çocuklarda dominant ve dominant olmayan taraf hafif dokunma duyusu, iki nokta ayırımı duyusu, propriyosepsiyon ve kinestezi duyusu ile Barthel indeksi arasında istatistiksel olarak anlamlı bir ilişki yoktu (p> 0.05). Dominant ve dominant olmayan taraf hafif dokunma duyusu ve iki nokta ayırımı duyusu ile katılım ve alt parametresi ev toplum katılımı ve okul katılımı arasında negatif yönlü istatistiksel olarak anlamlı orta düzeyde ilişki vardı (p< 0.05). El kinestezi duyusu ile CASP alt parametreleri mahalle toplum katılımı ve ev toplum katılımı arasında pozitif yönlü istatistiksel olarak anlamlı orta düzeyde ilişki vardı. Tartışma: Meningomyeloselli çocuklarda el-el bileği duyusu katılım ile ilişkilidir. Meningomyeloselli çocuklarda el- el bileği duyusu değerlendirme, fizyoterapi ve rehabilitasyon programına dahil edilmelidir. Meningomyeloselli çocuklarda el-el bileği duyusunun geliştirilmesi katılımın artmasına katkı sağlayabilir.

Keywords

• Meningomyelosel
• katılım
• fonksiyonel bağımsızlık
• El-El Bileği Duyusu

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