Serebral Palsili Çocuklarda Yapılandırılmış Nörogelişimsel Tedavi ve Duyu Bütünleme Yaklaşımlarının Oturma Dengesi Üzerine Etkisinin Araştırılması

Year 2020, Volume: 3 Issue: 2, 107 - 116, 31.05.2020

Cemil Arslan Esra Ünsal Kübra Şahadet Sezer Devrim Tarakcı

Abstract

Bu araştırma, Serebral Palsi'li çocuklarda uygulanan bireyselleştirilmiş yapılandırılmış Nörogelişimsel Tedavi Yaklaşımı ve Duyu Bütünleme Yaklaşımlarının oturma dengesi üzerine etkilerini karşılaştırmak amacıyla yapılmıştır. Çalışmaya 28 olgu dâhil edildi. Bir gruba 12 seans olacak şekilde yapılandırılmış Duyu Bütünleme uygulaması, diğer gruba 12 seans bireyselleştirilmiş Nörogelişimsel Tedavi yaklaşımı uygulandı. Değerlendirmeler tedavi öncesinde ve sonrasında yapıldı. Pedalo Sensamove Denge Testi ile denge ve propriosepsiyon parametreleri, motor beceri seviyesi kaba motor fonksiyon ölçütü GMFM-88 ile değerlendirildi. Tedavi sonrası her iki gruptaki olguların fonksiyonellik, oturma dengesi, motor seviye, denge ve propriosepsiyon ölçümlerinde olumlu değişim görüldü ancak istatistiksel düzeyde anlamlılık bulunmadı (p>0,05). Çalışma sonunda, Serebral Palsi'li çocuklarda her iki tedavi programının karşılaştırılmasında değerlendirme parametrelerinde istatistiksel olarak anlamlı bir sonuç ortaya çıkmamasıyla birlikte, uygulamalar sonunda ortaya çıkan olumlu değişimler yapılandırılmış duyu bütünleme uygulamalarının Serebral Palsi'li çocukların bireyselleştirilmiş eğitim programlarında yer almasının gerekliliği ortaya koymaktadır.

Keywords

serebral palsi, duyu, oturma

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