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Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması

Year 2024, Volume: 12 Issue: 2, 51 - 60, 07.05.2024
https://doi.org/10.30720/ered.1396534

Abstract

Amaç: Otizm spektrum bozukluğu (OSB) olan okulöncesi çocukların postür ve yürüyüş bozukluklarını inceleyerek OSB’li olmayan akranlarıyla karşılaştırmaktır. Gereç ve Yöntem: Çalışmaya 15 OSB’li ve 10 OSB’li olmayan, 4-7 yaş arasında çocuk dahil edilmiştir. OSB’li çocukların otizmden etkilenme düzeyi Gilliam Otizm Derecelendirme Ölçeği (GARS-2) ile belirlenmiştir. Katılımcıların uzamsal-zamansal yürüyüş özellikleri (yürüyüş hızı, kadens, adım ve çift adım uzunluğu, tek ve çift ayak destek yüzeyi, duruş ve sallanma fazı süresi ve ayak basma açıları) 8 metrelik elektronik yürüyüş parkurunda altı tekrar alınarak değerlendirilmiştir (GaitRite 739P). Ayrıca katılımcıların gözler açık, ayaktayken denge ve ağırlık merkezi ölçümleri bilgisayarlı dinamik postürografi (Smart Balance Master, NeuroCom) ile gerçekleştirilmiştir. Sonuçlar: Araştırma ve kontrol grubu arasında yaş, vücut ağırlığı ve boy uzunlukları arasında anlamlı farklılık bulunmamıştır (p0,05). Yürüyüşün uzamsal-zamansal parametreleri bakımından araştırma ve kontrol grubu arasında anlamlı farklılık tespit edilmemiştir (p0,05). OSB’li çocuklar mediolateral yönde daha fazla salınım gösterse de bu fark anlamlı düzeyde değilken (p0,05), denge puanları akranlarına göre anlamlı düzeyde düşük bulunmuştur (p=0,026). Otizmden etkilenme derecesi ile denge ve yürüyüş puanları arasında anlamlı bir ilişki saptanmamıştır (p0,05). Tartışma: Otizmden etkilenen çocuklarda ortaya çıkabilecek yürüyüş ve denge gibi temel motor sorunların varlığını okulöncesi dönemde tespit etmek üzere bilgisayar temelli ölçümlerle objektif değerlendirmek erken müdahale için yararlı olup otizm semptomlarının daha yoğun olduğu çocuklarda muhtemel postür ve yürüyüş anormallikleri okul çağında takip edilmelidir.

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Comparison of Posture and Gait Characteristics of Preschool Children with Autism with Their Peers

Year 2024, Volume: 12 Issue: 2, 51 - 60, 07.05.2024
https://doi.org/10.30720/ered.1396534

Abstract

Purpose: The aim of this study was to examine the posture and gait disorders of preschool children with autism spectrum disorder (ASD) and compare them with their peers without ASD. Materials and Methods: The study included 15 children with ASD and 10 children without ASD, aged 4-7 years. The level of autism severity of children with ASD was determined with the Gilliam Autism Rating Scale (GARS-2). The participants' spatiotemporal gait characteristics (gait speed, cadence, stride, and double stride length, single- and double-foot support, stance and sway phase duration, and foot landing angles) were assessed using an 8-meter electronic walking track with six repetitions (GaitRite 739P). In addition, equilibrium, and center of gravity measurements of the participants with eyes open and standing were performed by the Computerized Dynamic Posturography (Smart Balance Master, NeuroCom). Results: No significant difference was found between the research and control groups in terms of age, body weight and height (p0,05). No significant difference was found between the experimental and control groups in terms of spatiotemporal parameters of gait (p0,05). Although children with ASD showed more sway in the mediolateral direction, this difference was not significant (p0,05), while their equilibrium scores were significantly lower than their peers (p=0,026). No significant correlation was found between the autism severity and equilibrium & gait scores (p0,05). Discussion: Objective assessment with computer-based measurements to detect the presence of basic motor problems such as gait and balance that may occur in children affected by autism in the preschool period is useful for early intervention, and possible posture and gait abnormalities in children with more intense autism symptoms should be followed up at school age.

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  • Duronjić, M., & Válková, H. (2010). The influence of early intervention movement programs on motor skills development in preschoolers with autist spectrum disordes (case study). Acta Univ Palacki Olomuc Gymn, 40(2), 37–45.
  • Eggleston, J. D., Harry, J. R., Hickman, R. A., & Dufek, J. S. (2017). Analysis of gait symmetry during over-ground walking in children with autism spectrum disorder. Gait Posture, 55, 162-166. https://doi.org/10.1016/j.gaitpost.2017.04.026
  • Fournier, K. A., Hass, C. J., Naik, S. K., Lodha, N., & Cauraugh, J. H. (2010a). Motor coordination in autism spectrum disorders: a synthesis and meta-analysis. J Autism Dev Disord, 40, 1227-1240. https://doi.org/10.1007/s10803-010-0981-3
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  • Fournier, K. A., Amano, S., Radonovich, K. J., Bleser, T. M., & Hass, C. J. (2014). Decreased dynamical complexity during quiet stance in children with autism spectrum disorders. Gait Posture, 39(1), 420-423. https://doi.org/10.1016/j.gaitpost.2013.08.016
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  • Ham, H.S., Bartolo, A., Coley, M., Rajendran, G., Szabo, A., & Swanson, S. (2011). Exploring the relationship between gestural recognition and imitation: evidence of dyspraxia in autism spectrum disorders. J Autism Dev elopmental Disord , 41, 1-12. https://doi.org/10.1007/s10803-010-1011-1
  • Hannant, P., Cassidy, S., Tavassoli, T., & Mann, F. (2016). Sensorimotor difficulties are associated with the severity of autism spectrum conditions. Front Integr Neurosci , 10, 28. https://doi.org/10.3389/fnint.2016.00028
  • Hasan, C. Z. C., Jailani, R., Tahir, N. M., Yassin, I. M., & Rizman, Z. I. (2017). Automated classification of autism spectrum disorders gait patterns using discriminant analysis based on kinematic and kinetic gait features. J Appl Biol Sci, 7(1), 150-156.
  • Holloway, J. M., Long, T. M. & Biasini, F. (2018). Relationship between gross motor skills and social function in young boys with autism spectrum disorder. Pediatr Phys Ther, 30(3), 184-190. https://doi.org/10.1097/pep.0000000000000505
  • Jasmin, E., Couture, M., McKinley, P., Reid, G., Fombonne, E., & Gisel, E. (2009). Sensori-motor and daily living skills of preschool children with autism spectrum disorders. J Autism Dev Disord, 39(2), 231-241. https://doi.org/10.1007/s10803-008-0617-z
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There are 59 citations in total.

Details

Primary Language Turkish
Subjects Rehabilitation
Journal Section Research Article
Authors

Fisun Yanardağ 0000-0001-5245-1645

Publication Date May 7, 2024
Submission Date November 27, 2023
Acceptance Date January 3, 2024
Published in Issue Year 2024 Volume: 12 Issue: 2

Cite

APA Yanardağ, F. (2024). Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması. Ergoterapi Ve Rehabilitasyon Dergisi, 12(2), 51-60. https://doi.org/10.30720/ered.1396534
AMA Yanardağ F. Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması. Ergoterapi ve Rehabilitasyon Dergisi. May 2024;12(2):51-60. doi:10.30720/ered.1396534
Chicago Yanardağ, Fisun. “Okulöncesi Otizmli Çocukların Postür Ve Yürüyüş Özelliklerinin Akranları Ile Karşılaştırılması”. Ergoterapi Ve Rehabilitasyon Dergisi 12, no. 2 (May 2024): 51-60. https://doi.org/10.30720/ered.1396534.
EndNote Yanardağ F (May 1, 2024) Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması. Ergoterapi ve Rehabilitasyon Dergisi 12 2 51–60.
IEEE F. Yanardağ, “Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması”, Ergoterapi ve Rehabilitasyon Dergisi, vol. 12, no. 2, pp. 51–60, 2024, doi: 10.30720/ered.1396534.
ISNAD Yanardağ, Fisun. “Okulöncesi Otizmli Çocukların Postür Ve Yürüyüş Özelliklerinin Akranları Ile Karşılaştırılması”. Ergoterapi ve Rehabilitasyon Dergisi 12/2 (May 2024), 51-60. https://doi.org/10.30720/ered.1396534.
JAMA Yanardağ F. Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması. Ergoterapi ve Rehabilitasyon Dergisi. 2024;12:51–60.
MLA Yanardağ, Fisun. “Okulöncesi Otizmli Çocukların Postür Ve Yürüyüş Özelliklerinin Akranları Ile Karşılaştırılması”. Ergoterapi Ve Rehabilitasyon Dergisi, vol. 12, no. 2, 2024, pp. 51-60, doi:10.30720/ered.1396534.
Vancouver Yanardağ F. Okulöncesi Otizmli Çocukların Postür ve Yürüyüş Özelliklerinin Akranları ile Karşılaştırılması. Ergoterapi ve Rehabilitasyon Dergisi. 2024;12(2):51-60.

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