TEK TARAFLI SEREBRAL PALSİLİ OKUL ÇAĞINDAKİ ÇOCUKLARDA KATILIMI ETKİLEYEN YÜRÜYÜŞ VE DENGE İLE İLGİLİ FAKTÖRLER

Year 2024, , 168 - 174, 25.07.2024

Halil İbrahim Çelik , Seda Nur Kemer

https://doi.org/10.34108/eujhs.1362538

Abstract

Tek taraflı serebral palsili (UCP) çocuklarda yürüme ve denge bozuklukları yaygın olmasına rağmen, bunların katılım üzerindeki etkileri tam olarak aydınlatılamamıştır.Bu çalışma, okul çağındaki UCP'li çocuklarda katılımı etkileyen özellikle yürüyüş ve denge ile ilgili faktörleri araştırmayı amaçlamaktadır. Bu tanımlayıcı ilişki arayıcı çalışma, Kaba Motor Fonksiyon Sınıflandırma Sistemi (GMFCS)seviye I ve II’deki 40 UCP'li çocukla tamamlandı(%50 kız; ortanca yaş = 11 (7-12) yıl). "Kaba Motor Fonksiyon Ölçümü (GMFM-66)", "Pediatrik Denge Ölçeği (PBS)", "Zamanlanmış Kalk ve Yürü Testi (TUG) ve Fonksiyonel Mobilite Skalası (FMS)" ve "BTS G-Walk Spatio-Temporal Yürüyüş Analiz Sistemi" sırasıyla kaba motor fonksiyon, denge, fonksiyonel mobilite ve yürüyüş parametrelerini değerlendirmek için kullanıldı. Katılımı değerlendirmek için "Kanada Mesleki Performans Ölçümü (COPM)" kullanıldı. COPM puanlarını etkileyen değişkenler çok değişkenli regresyon analizi ile incelendi.COPM-performans puanını etkileyen faktörler kadans (B=79.859, p=0.001) ve FMS (B=0.352, p<0.001) idi. Bu değişkenler COPM-performans puanındakideğişimin yaklaşık %45'ini açıkladı (R2adj=0.445). COPM-memnuniyetpuanınıetkileyen faktörler ise kadans (B=0.188, p=0.044) ve daha fazla etkilenen tarafın adım uzunluğu (B=0.137, p=0.008) idi; bu değişkenler ise COPM-memnuniyet puanınındaki değişimin %26'sını açıkladı (R2adj=0.260). UCP'li çocuklarda katılımı etkileyen faktörler kadans, daha fazla etkilenen tarafın adım uzunluğu ve fonksiyonel mobilite idi. UCP'li çocukların katılımını etkili bir şekilde destekleyen rehabilitasyon müdahalelerinin tasarlanmasında yararlı olabileceği için rehabilitasyon uzmanlarının bu faktörleri dikkate almalarınıöneriyoruz.

Keywords

Günlük Yaşam Aktiviteleri, Denge, Serebral Palsi, Yürüyüş, Katılım

GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY

Abstract

Although gait and balance impairments are prevalent in children with unilateral cerebral palsy (UCP), their effects on participation are not completely elucidated. This study aims to explore factors affecting participation in children with UCP, particularly those related to gait and balance. This descriptive relation-seeker study was completed with 40 children with UCP at Gross Motor Function Classification System (GMFCS) levels I and II (50% female; median age = 11 (7-12)years). "The Gross Motor Function Measure (GMFM-66)", "The Pediatric Balance Scale (PBS)", "The Timed Up and Go test (TUG) and The Functional Mobility Scale (FMS)", and "The BTS G-Walk Spatiotemporal Gait Analysis System" were used to evaluate the gross motor function, balance, functional mobility, and quantitative gait parameters, respectively. "The Canadian Occupational Performance Measure (COPM)" was employed to evaluate participation. Variables affecting the COPM scores were analyzed by multivariate regression analysis.The factors affecting the COPM-performance score were cadence (B = 79.859, p = 0.001) and FMS (B = 0.352, p<0.001). These variables explained about 45% of thevariation in the COPM-performance score (R2adj = 0.445). The factors affecting the COPM-satisfaction score were cadence (B = 0.188, p=0.044) and stride length of the more affected side (B = 0.137, p=0.008), which explained 26% of thevariation in the COPM-satisfaction score (R2adj =0 .260).The factors affecting participation in children with UCP were cadence, stride length of the more affected side, and functional mobility. We recommend that rehabilitation specialists consider these factors, as they may be beneficial in designing rehabilitation interventions that effectively promote participation in children with UCP.

Keywords

Activities of Daily Living, Balance, Cerebral Palsy, Gait, Participation

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