Assessment of Cranial Antrophometry in Cerebral Palsy: A Pilot Study

Year 2018, Issue: 6, 551 - 560, 30.12.2018

İlknur Atkın Gülşah Kınalı

https://doi.org/10.38079/igusabder.451533

Abstract

Aim:
Cranial asymmetry is now an important evaluation parameter in the field of
pediatric physiotherapy. Physiotherapists are studying more about the cranial
region associated with body functions. However, there is still a need for
evidence-based work. Cranial asymmetry is also an important evaluation method
of osteopathy, a complementary therapy method. Method: This study was conducted in 24 children with Cerebral Palsy
between the ages of 1-12 and 22 healthy children in the same age group at a
physical therapy and rehabilitation hospital. This study was performed on 24
cerebral palsies between 1-12 years old who came to a physical therapy and
rehabilitation hospital and 22 healthy children in the same age group. Cranial
anthropometric values were measured using cranial calliper in standard
positions.

Findings:
Cerebral palsy subjects had mean head diameter (48 mm), length (136 mm) and
width (123 mm), and healthy subjects had head diameter (53 mm), length (152 mm)
and width (133 m). Values ​​of
individuals with cerebral palsy were significantly lower than healthy subjects
(p = 0.00, p = 0.00, p = 0.00).

Conclusion: We
concluded that the anthropometric measurements of cranial asymmetry should be
applied as a routine protocol in the physical assessment of children with
cerebral palsy and that cranial anomalies should be considered by
physiotherapists, according to the results of our study. There is a need to
study more about the frequency of cranial asymmetry and the effectiveness of
cranial mobilizations as countermeasures.

Keywords

Cerebral palsy, cranial antrophometry, growth, children, osteopathy

Serebral Palsi’de Kranial Antropometrik Değerlendirme: Bir Pilot Çalışma

Abstract

Amaç: Kranial asimetri günümüzde
pediatrik fizyoterapi alanında önemli bir değerlendirme parametresi olmaya
başlamıştır. Fizyoterapistler, vücut fonksiyonları ile bağlantılı olan kranial
bölge hakkında daha fazla çalışma yapmaktadırlar. Ancak halen kanıta dayalı
çalışmalara ihtiyaç vardır. Kranial asimetri ayrıca, bir tamamlayıcı terapi
metodu olan osteopati’nin de önemli bir değerlendirme yöntemidir.

Yöntem: Bu
çalışma bir fizik tedavi ve rehabilitasyon hastanesine gelen 1-12 yaş
arasındaki 24 Serebral Palsi ve aynı yaş grubundaki 22 sağlıklı çocuk üzerinde
yapıldı. Kranial antropometrik değerler standart pozisyonlarda kranial kaliper
kullanılarak ölçüldü.

Bulgular:
Serebral Palsili bireylerin kafa çapı ortalama (48 mm), uzunluğu (136 mm) ve
genişliği (123 mm) ve sağlıklı bireylerin kafa çapı (53 mm) , uzunluğu (152 mm)
ve genişliği (133 m) idi. Serebral palsili bireylerin değerleri, sağlıklı
bireylerden anlamlı derecede düşüktü (p=0.00,p=0.00,p=0.00).

Sonuç: Araştırma
sonuçlarına göre, kranial asimetri ile ilgili antropometrik ölçümlerinin
Serebral Palsili çocukların fiziksel değerlendirmeleri içinde rutin bir
protokol olarak uygulanması ve kranial anomalilerin fizyoterapistler tarafından
göz önüne alınması gerektiği kanısına varılmıştır. Kranial asimetrilerin
sıklığı ve karşı önlem olarak kranial mobilizasyonların etkinliği konusunda
daha fazla çalışmaya ihtiyaç vardır.

Keywords

Serebral palsi, kranial antropometri, büyüme, çocuk, osteopati

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