SEREBRAL PALSİLİ ÇOCUKLARDA DÜZENLİ FİZYOTERAPİ YAKLAŞIMINA BAŞLAMA YAŞININ ARAŞTIRILMASI

Year 2019, Volume: 2 Issue: 2, 31 - 37, 01.12.2019

Neslihan Altuntaş Yılmaz Gökmen Yapalı

Abstract

Amaç:
Bu çalışma serebral
palsili çocukların ilk tanı aldıkları yaş ile düzenli olarak fizyoterapiye
başlama yaşlarının belirlenmesini amaçlamıştır.

Gereç
ve Yöntemler:
Özel eğitim ve rehabilitasyon kurumunda, düzenli olarak rehabilitasyon desteği
alan 57 çocuk hasta çalışmaya dahil edildi. 
Hastaların demografik verileri, klinik tipleri, risk faktörleri
belirlendi ve fonksiyonel kapasiteleri Kaba Motor Fonksiyon Sınıflama Sistemi
(KMFSS) ile değerlendirildi.

Bulgular: Hastaların yaş ortalaması 11,70 ± 7,45
yıldır, 22’si (%40,74) kız, 35’i (%61,4) erkekti. 40
hasta (% 70,2) spastik tip, 3 hasta  (%
5,3) diskinetik tip, 3 hasta  (% 5,3)
ataksik tip, 11 hasta (% 19,3) miks tipti. 
KMFSS ve doğum ağırlıkları ilişkisi açısından anlamlı bir ilişki
bulunmadı (p>0,05). Çocukların ilk motor gelişim geriliğinin fark edildiği
yaş ay olarak 7,74 ± 7,09 iken düzenli olarak ilk fizyoterapi ve rehabilitasyon
yaklaşımlarına başlama yaşı ay olarak 29,95± 11,04 olarak tespit edildi.

Sonuç: Serebral palsili olan çocukların ilk
motor gelişim geriliklerinin fark edildiği andan, düzenli fizyoterapi
yaklaşımlarına başlama yaşlarına kadar geçen sürecin ciddi bir kayıptır. Erken
dönem fizyoterapi müdahalesi için riskli bebeklerin ilgili uzmanlara
yönlendirilmesi gerekir. Sağlık politikalarının bu doğrultuda planlanması
gerektiğini düşünüyoruz.

Keywords

Serebral palsi, fizyoterapi, tedaviye başlama yaşı

CHILDREN with CEREBRAL PALSY INVESTIGATION of the AGE to START a REGULAR PHYSIOTHERAPY APPROACH

Abstract

Aim:
The aim of this study was to determine the age at which children with
cerebral palsy were first diagnosed and the age at which they started regular
physiotherapy.

Material
and Methods:
Fifty-seven children who received regular rehabilitation support in a special
education and rehabilitation institution were included in the study.
Demographic data, clinical types, risk factors, and functional capacities of
the patients were evaluated using the Gross Motor Function Classification
System (GMFSS).

Results: The mean age of the patients was
11.70 ± 7.45 years, 22 (40.74%) were female and 35 (61.4%) were male. Forty
patients (70.2%) were spastic type, 3 patients (5.3%) were dyskinetic type, 3
patients (5.3%) were ataxic type, 11 patients (19.3%) were mixed type. There
was no significant relationship between GMFSS and birth weights (p> 0.05).
The age at which the first motor developmental retardation of the children was
noticed was 7.74 ± 7.09 months and 29.95 ± 11.04 months for the first
physiotherapy and rehabilitation approaches.

Conclusion: It is a serious loss of the period from the
first motor developmental retardation of children with cerebral palsy to the
age of starting regular physiotherapy approaches. Risky babies should be
referred to the relevant specialists for early physiotherapy intervention. We
think that health policies should be planned accordingly

Keywords

Cerebral palsy, physiotherapy, treatment age

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