Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy

Burcu Semin Akel; Aynur Demirel; Gul Baltaci

doi:10.21653/tfrd.280073

Research Article

HEMİPARETİK SEREBRAL PALSİ’Lİ ÇOCUKLARDA KAVRAMA TEMAS ALANININ STEREOLOJİK YÖNTEMLE BELİRLENMESİ

Year 2015, Volume: 26 Issue: 2, 86 - 92, 16.08.2015

Burcu Semin Akel Aynur Demirel Gul Baltaci

https://doi.org/10.21653/tfrd.280073

Abstract

Amaç: Çalışmanın amacı farklı boyuttaki objelerde parmak ve el temas alanını hesaplamak
için bir yöntem sunmak ve Serebral Palsi’li çocukların sonuçlarını sağlıklı grupla karşılaştırmaktır.

Yöntemler: Manuel yetenek sınıflama sistemi’ne göre I veya II kavrama seviyesi bulunan,
Modifiye Ashworth Skalasına göre 1 ya da 1+ seviyelerinde spastisiteye sahip olan 26 hemiparetik Serebral Palsi’li ve 25 sağlıklı toplam 51 çocuk çalışmaya alınmıştır. Çapları 2,5, 4 ve
5 cm olan silindirik objeler çocuklar tarafından kavrandıktan sonra temas alanları Cavalieri
prensibi stereolojik ölçüm yöntemi ile hesaplanmıştır.

Sonuç: Kavrama temas alanı 2,5 cm çaplı obje üzerinde tenar bölgede, 4 ve 5 cm çaplı obje
üzerinde ise hipotenar bolgede istatistiksel olarak farklı bulunmuştur (p<0.05).

Tartışma: Klinisyenler Serebral palside adduktor spastisitesi nedeniyle baş parmakla daha
fazla ilgilenmektedir. Buna karşın, özellikle büyük çaplı obje kavraması sırasında dikkat hipotenar bölgeye de verilmelidir. Çalışma ile elde edilen veriler el fonksiyonunu geliştirmede yol
gösterebilir.

Keywords

Serebral Palsi, El, Kas Spastisitesi, El kuvveti

References

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Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy

Year 2015, Volume: 26 Issue: 2, 86 - 92, 16.08.2015

Burcu Semin Akel Aynur Demirel Gul Baltaci

https://doi.org/10.21653/tfrd.280073

Abstract

Purpose: The aim of the study is to present a method used to estimate hand and finger
contact areas on different sized objects and compare results of children with Cerebral Palsy
(CP) with healthy peers.

Methods: A total of 51 children, 26 with hemiparetic CP classified as I or II according to
Manuel Ability Classification System and had 1 or 1+ level spasticity as to Modified Ashworth
Scale and 25 healthy peers were included to the study. The contact area was calculated by
the Cavalieri principle of stereological estimation after children grasped cylindrical objects
having diameters of 2.5, 4 and 5 cm.

Results: The contact areas were found to be different at the thenar side for the grasped
object with 2.5 cm diameter, and at the hypothenar side for the objects with 4 and 5 cm
diameters (p<0.05).

Discussion: Clinicians are more interested with thumb since the contribution of adductor
spasticity in CP. However, hypothenar contribution should be also considered especially with
objects having larger diameters. The data gained from the study can guide rehabilitation
efforts towards improving hand function.

Keywords

Cerebral Palsy, Hand, Muscle Spasticity, Hand Strength

References

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There are 1 citations in total.

Details

Subjects	Health Care Administration
Journal Section	Articles
Authors	Burcu Semin Akel This is me Aynur Demirel This is me Gul Baltaci This is me
Publication Date	August 16, 2015
Published in Issue	Year 2015 Volume: 26 Issue: 2

Cite

APA	Akel, B. S., Demirel, A., & Baltaci, G. (2015). Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy. Fizyoterapi Rehabilitasyon, 26(2), 86-92. https://doi.org/10.21653/tfrd.280073
AMA	Akel BS, Demirel A, Baltaci G. Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy. Fizyoterapi Rehabilitasyon. August 2015;26(2):86-92. doi:10.21653/tfrd.280073
Chicago	Akel, Burcu Semin, Aynur Demirel, and Gul Baltaci. “Determination of Grip Contact Areas With Stereologic Measurement in Children With Hemiparetic Cerebral Palsy”. Fizyoterapi Rehabilitasyon 26, no. 2 (August 2015): 86-92. https://doi.org/10.21653/tfrd.280073.
EndNote	Akel BS, Demirel A, Baltaci G (August 1, 2015) Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy. Fizyoterapi Rehabilitasyon 26 2 86–92.
IEEE	B. S. Akel, A. Demirel, and G. Baltaci, “Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy”, Fizyoterapi Rehabilitasyon, vol. 26, no. 2, pp. 86–92, 2015, doi: 10.21653/tfrd.280073.
ISNAD	Akel, Burcu Semin et al. “Determination of Grip Contact Areas With Stereologic Measurement in Children With Hemiparetic Cerebral Palsy”. Fizyoterapi Rehabilitasyon 26/2 (August 2015), 86-92. https://doi.org/10.21653/tfrd.280073.
JAMA	Akel BS, Demirel A, Baltaci G. Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy. Fizyoterapi Rehabilitasyon. 2015;26:86–92.
MLA	Akel, Burcu Semin et al. “Determination of Grip Contact Areas With Stereologic Measurement in Children With Hemiparetic Cerebral Palsy”. Fizyoterapi Rehabilitasyon, vol. 26, no. 2, 2015, pp. 86-92, doi:10.21653/tfrd.280073.
Vancouver	Akel BS, Demirel A, Baltaci G. Determination of Grip Contact Areas with Stereologic Measurement in Children with Hemiparetic Cerebral Palsy. Fizyoterapi Rehabilitasyon. 2015;26(2):86-92.