Premature ve zamanında doğan bebeklerde erken fizyoterapi sonuçlarının karşılaştırılması

Year 2015, Volume: 2 Issue: 1 - Volume: 2 Issue: 1, 27 - 34, 23.07.2016

Nilay Çömük Balcı Zafer Erden Mintaze Kerem Günel

Abstract

Amaç: Riskli bebeklerde erken fizyoterapi nöromotor problemleri azaltmaktadır. Bu çalışma, erken dönem hedefe yönelik nöromotor fizyoterapinin etkinliğini, premature ve zamanında doğan bebekler arasında karşılaştırmak amacıyla planlandı. Yöntem: Yaşları 0-12 ay arasında olan 18 riskli bebek, yaşları ve gestasyonel yaşlarına göre premature doğan ve zamanında doğan gruplarına ayrıldı. Her grup 12 hafta boyunca haftada 3 gün, günde 45 dk erken dönem hedefe yönelik nöromotor fizyoterapi yaklaşımı içeren tedavi aldı. Terapilerin etkinliği Alberta Infant Motor Scale (AIMS), Hammersmith Infant Neurological Examination (HINE), ve Goal Attainment Scale (GAS) kullanılarak değerlendirildi. Bulgular: Her bir grupta tedavi öncesine göre tedavi sonrasında tüm değerlendirmelerde postüral kontrol ve nöromotor yönden anlamlı gelişme kaydedildi (p0.05). Tartışma: Erken dönem hedefe yönelik nöromotor fizyoterapi yaklaşımı, premature doğan ve zamanında doğan riskli bebeklerde nöromotor gelişimi desteklemektedir ve erken rehabilitasyonun nörogelişimsel sonuçları üzerinde gestasyonel yaşın etkisi bulunmamaktadır

Keywords

İnfant, Risk, Rehabilitasyon

Comparing early physiotherapy results between term and preterm at-risk infants

Abstract

Purpose: Early physiotherapy reduces neuromotor problems in at-risk infants. This study was planned to compare the effects of an early goal-directed neuromotor physiotherapy (GDNT) application between preterm and term at-risk infants. Methods: Eighteen at-risk infants between the ages of 0 and 12 months were assigned to the preterm and term groups according to their gestational and corrected age. Each group received GDNT for 45 min, three days per week for 12 weeks. The effectiveness of the therapy was measured using the Alberta Infant Motor Scale (AIMS), the Hammersmith Infant Neurological Examination (HINE), and Goal Attainment Scale (GAS). Results: Both groups improved significantly in postural control and neuromotor aspects after treatment (p<0.05). No differences were found in AIMS, HINE, and GAS findings between the groups (p>0.05). Conclusion: The GDNT can enhance neuromotor development in at-risk term and preterm infants, and gestational age does not have any effect on the neurodevelopmental outcomes of the early rehabilitation

Keywords

Infant, Risk, Rehabilitation

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