Uzay terapisinin serebral palsili hastalarda etkinliği

Year 2025, Volume: 6 Issue: 6, 642 - 646, 27.12.2025

Gökhan Özkoçak , Fatma Nur Kesiktaş , Kadriye Öneş

https://doi.org/10.47582/jompac.1793558

Abstract

Amaç: Serebral palside (SP) uzay terapisinin, Gross Motor Function Measure (GMFM-88) kullanılarak fonksiyonel durum üzerindeki etkisini değerlendirmek.
Yöntem: SP’li 20 hasta basit rastgele örnekleme ile iki gruba ayrıldı: uzay terapi grubu ve kontrol grubu. Tüm hastalara fizyoterapist eşliğinde haftada 5 gün olmak üzere toplam 30 seans uygulandı. Uzay terapi grubundaki 10 hastaya Bobath tekniği ile kombine uzay terapi verilirken, kontrol grubundaki 10 hasta yalnızca Bobath yöntemiyle tedavi edildi. Hastaların fonksiyonel durumu tedavi öncesi ve sonrası GMFM-88 ile değerlendirildi.
Bulgular: Her iki grupta da GMFM-88 toplam ve alt ölçek puanlarında anlamlı artış saptandı (p<0.05). Gruplar arası karşılaştırmada, uzay terapi + Bobath tekniği kombinasyonunun, yalnızca Bobath yöntemine göre GMFM-88’in "yatma ve dönme" ile "oturma" alt ölçeklerinde daha etkili olduğu belirlendi (p=0.045 ve 0.048).
Sonuç: Bobath yöntemi SP rehabilitasyonunda etkili bir yaklaşımdır. Ancak, yeni bir tedavi seçeneği olan suit terapinin Bobath ile kombinasyonu daha iyi sonuçlar sağlayabilir.

Keywords

Bobath tekniği , Serebral palsi , Gross motor fonksiyon ölçümü , Uzay terapi

Ethical Statement

Çalışma protokolü, Bakırköy Dr. Sadi Konuk Eğitim ve Araştırma Hastanesi Klinik Araştırma Etik Kurulu tarafından incelenmiş ve onaylanmıştır (Protokol Kodu: 2018/401). Çalışmaya katılım için tüm çocuk katılımcıların ebeveynlerinden yazılı bilgilendirilmiş onam alınmıştır. Çalışmanın tüm aşamaları Helsinki Bildirgesi'nin etik ilkelerine uygun olarak yürütülmüştür.

Supporting Institution

No

Thanks

No

Suit therapy effectiveness in patients with cerebral palsy

Abstract

Aims: To evaluate the effectiveness of suit therapy on function status with Gross motor function measure (GMFM-88) in cerebral palsy (CP).
Methods: Twenty patients suffering from CP were randomized by simple sampling method and divided into two groups as a suite therapy and a control group. A total of 30 sessions were performed to all patients as 5 days a week, by the physiotherapist. Ten patients in suit therapy group were given suit therapy combined with the Bobath technique. Tan patients in control group were treated with only the Bobath technique for the same period of time. The functional status of the patients was evaluated with
GMFM-88 before and after treatment.
Results: GMFM-88 total and subscale scores showed statistically significant increase in both groups with therapy (p<0.05). GMFM-88 changes were compared between groups; suit therapy+Bobath technique was observed more effective than Bobath technique in the lying and rolling, and sitting subscale of GMFM-88 (p=0.045 and 0.048, respectively).
Conclusion: The Bobath method is an effective treatment method in CP rehabilitation. Furthermore, combining suite therapy, which is a new treatment option in the treatment of CP, may be provide better outcomes.

Keywords

Bobath technique , cerebral palsy , Gross motor function measure , suit therapy

Ethical Statement

The study protocol was reviewed and approved by the Clinical Research Ethics Committee of Bakırköy Dr.Sadi Konuk Training and Research Hospital (Protocol Code: 2018/401). Written informed consent for participation in the study was obtained from the parents of all child participants. All stages of the study were conducted in accordance with the ethical principles of the Declaration of Helsinki.

Supporting Institution

No

Thanks

No

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