Serebral palsili çocuklarda ayak-ayak bileği ortezi kullanım süresini etkileyen faktörlerin incelenmesi: pilot çalışma

Abstract

Amaç: Bu çalışmanın amacı, gece ve yürüme ayak-ayak bileği ortezi (AFO) kullanan, serebral palsili (SP) bireylerde AFO kulanım süresini etkileyen faktörlerin incelenmesiydi. Yöntem: Çalışmamıza 3-18 yaşları arasında, AFO kullanan, SP tanılı 100 birey alındı. Bireylerin demografik özellikleri, SP tipleri, Kaba Motor Fonksiyon Sınıflandırma Sistemi’ne (KMFSS) göre fonksiyonel seviyeleri değerlendirildi. Gece ve gündüz AFO kullanan bireylerin ortezlerini günlük kullanma süreleri ve rehabilitasyon süreleri kaydedildi. Ebeveynlerin eğitim durumları ile birlikte rehabilitasyon ve SP hakkında bilgi seviyeleri sorgulandı. Bulgular: Bireylerin, gece ve yürüme ayak-ayak bileği ortezlerini günlük kullanma süreleri benzer olarak bulundu (p>0.05). SP’li bireylerin klinik özelliklerinin gece ve yürüme ayak-ayak bileği ortezleri için ayrı ayrı etkisi incelendiğinde SP tipinin yürüme AFO’su kullanım süresini etkilediği (p0.05). SP’li bireylerin kaba motor seviyelerinin gece ve gündüz ayak-ayak bileği ortezi kullanım sürelerinde etkili olmadığı bulundu (p>0.05). Ebeveynlerin SP rehabilitasyonu ile ilgili bilgi seviyelerinin yürüme ayak-ayak bileği ortezi kullanma süresini etkilediği gözlenirken (p0.05). Ebeveynlerin SP bilgi seviyelerinin gece ve yürüme ayak-ayak bileği ortezi kullanım süresini etkilemediği bulundu (p>0.05). Sonuç: Çalışmamız, yürüme ayak-ayak bileği ortezini kullanma süresini etkileyen faktörlerin ebeveynin rehabilitasyon bilgi seviyesi ve bireylerin SP tipi olduğunu gösterdi. SP’li bireylerin orteze uyumlarını sağlamak için ailelerin daha ayrıntılı bilgilendirilmesi gerektiğini düşünmekteyiz. Ortez uyumu hakkında bilgiyi sorgulayan yeni araç ve yöntemlerin geliştirilmesine ihtiyaç vardır

Keywords

• Ayak ortezi, Uyum, Serebral palsi

An investigation of the duration of ankle foot orthosis’ daily usage in children with cerebral palsy: a pilot study

Abstract

Purpose: The aim of the study was to investigate the duration of daily usage of gait and night ankle foot orthoses (AFOs) in children with cerebral palsy (CP). Methods: A hundred children with CP (with 3-18 years of age) were included in the study. Demographic characteristics, CP types, and functional level according to the Gross Motor Function Classification System (GMFCS) level were evaluated. The duration of day and night usage of orthosis of the children, and the duration of rehabilitation were recorded. Parent’s education level and knowledge about rehabilitation and CP were also examined. Results: There was no difference between duration of gait AFO and night AFO (p>0.05). Clinical type of CP had an effect on daily usage duration of gait AFO (p<0.05), but no effect on night AFO (p>0.05). The GMFCS had no effect on daily usage duration of gait and night AFOs (p>0.05). Parent’s knowledge level about rehabilitation had an effect on daily usage duration of gait AFO (p<0.05), but no effect on night AFO (p>0.05). Parent’s knowledge level about CP had no effect on daily usage duration of gait and night AFOs (p>0.05). Conclusion: This study showed that parent’s knowledge level about rehabilitation and type of CP had an effect on daily usage duration. It can be concluded that parents must be instructed in detail for the compliance of orthosis. New tools for evaluating of compliance of orthosis are needed

Keywords

• Foot orthoses, Compliance, Cerebral palsy

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