SPASTİK DİPLEJİK SEREBRAL PALSİDE DUYU BÜTÜNLEME TERAPİSİ VE GELENEKSEL FİZYOTERAPİ PROGRAMININ SPASTİTE, DENGE VE MOTOR FONKSİYONU ÜZERİNE ETKİLERİ

Öz

Amaç: Bu kontrollü deneysel çalışma, spastik diplejik tip serebral palsili (SP) çocuklarda konvansiyonel tedavi programına eklenen duyu bütünleme tedavisinin (DBT); spastisite, denge ve motor fonksiyona etkisini araştırmak üzerine planlandı. Yöntem: Her iki gruba da 8 hafta boyunca haftada 3 kez 45 dakikalık terapi programı uygulandı. Spastisite düzeyi Modifiye Ashworth Skalası (MAS) ile, denge düzeyi Pediatrik Berg Denge Ölçeği (PBDÖ) ile, motor fonksiyon düzeyi Kaba Motor Fonksiyon Ölçütü (KMFÖ-88) ile, fonksiyonel bağımsızlık düzeyi Pediatrik Fonksiyonel Bağımsızlık Ölçümü (PFBÖ) ile değerlendirildi. Bulgular: Müdahale grubunun Hamstring MAS değerinde anlamlı bir değişiklik vardı (p=0,008). Gruplar PBDÖ'deki değişim farkı değerleri açısından karşılaştırıldığında, müdahale grubu lehine istatistiksel olarak anlamlı bir fark bulundu (p=0,001). Gruplar PFBÖ'deki değişim farkı değerleri açısından karşılaştırıldığında, müdahale grubu lehine istatistiksel olarak anlamlı bir fark bulundu (p=0,007). Tartışma: Konvansiyonel terapi programına eklenen DBT, SP'li hastalarda hamstring kaslarının gevşetilmesi, dengenin iyileştirilmesi ve fonksiyonel bağımsızlığın artırılması açısından tek başına konvansiyonel terapi programından daha etkili olduğu görüldü.

Anahtar Kelimeler

• Serebral Palsi
• Duyu Bütünleme Terapisi
• Duyusal İşleme Bozukluğu

THE EFFECTS OF SENSORY INTEGRATION THERAPY AND CONVENTIONAL THERAPY PROGRAMME ON SPASTICITY, BALANCE AND MOTOR FUNCTION IN SPASTIC DIPLEGIC CEREBRAL PALSY

Abstract

Purpose: This controlled intervention study was designed to investigate the effects of sensory integration therapy (SIT) added to a conventional therapy programme on levels of spasticity, balance, motor function and functional independence in children with spastic diplegic cerebral palsy (CP). Method: Both groups received a 45-minute therapy programme 3 times a week for 8 weeks. Spasticity was assessed using the Modified Ashworth Scale (MAS), balance was assessed using the Pediatric Berg Balance Scale (PBBS), gross motor function was assessed using the Gross Motor Function Measure 88 (GMFM-88) and functional independence was assessed using the Functional Independence Measure For Children (WeeFIM). Results: There was a significant change in hamstring MAS in the intervention group (p=0.008). When the groups were compared in terms of the difference in change scores for PBBS, a statistically significant difference was found in favour of the intervention group (p=0.001). When the groups were compared in terms of difference in change scores for WeeFIM, a statistically significant difference was found in favour of the intervention group (p=0.007). Conclusion: SIT added to a conventional therapy programme was found to be more effective than a conventional therapy programme alone in relaxing hamstring muscles, improving balance and increasing functional independence in patients with CP.

Keywords

• Cerebral Palsy
• Sensory Integration Therapy
• Sensory Processing Disorder

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