SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ

Kamile Uzun Akkaya

SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ

Year 2015, Volume: 26 Issue: 3, 0 - 0, 11.06.2016

Abstract

Amaç: Bu çalışmanın amacı Serebral Palsili (SP) bireylerde nörogelişimsel tedavi programına (NGT) ek olarak uygulanan kinezyoteyp (KT) ve nöromüsküler elektrik stimülasyonu (NMES) uygulamaları- nın günlük yaşam aktiviteleri ve yaşam kaliteleri üzerine etkilerini araştırmaktır. Yöntemler: Çalışmaya yaşları 5-12 arasında değişen, SP tanısı almış, kaba motor fonksiyon sınıflama sistemi (KMFSS)’ne göre 3-4-5 seyiyesinde toplam 45 çocuk dahil edildi. Çocuklar 3 gruba ayrıldı; 1. gruba NGT uygulandı, 2. gruba NGT ve NMES uygulaması yapıldı, 3. gruba ise NGT’ye ek olarak NMES ve KT birlikte uygulandı. Tedaviler 6 hafta boyunca devam etti. Değerlendirmeler tedavi öncesi ve tedavi sonrasında yapıldı. Oturma dengelerini değerlendirmek için kaba motor fonksiyon ölçümünün (KMFÖ) oturma bölümü, fonksiyonel uzanma becerilerini değerlendirmek amacıyla modifiye fonksiyonel uzanma testi, günlük yaşam becerilerini değerlendirmek için WeeFIM ve ya- şam kalitelerini değerlendirmek için de Serebral Palsi’de Yaşam Kalitesi anketi (CPQOL) kullanıldı. Sonuçlar: İstatistiksel analize göre KMFÖ oturma bölümünde 3 grupta da anlamlı fark görüldü ama 3. gruptaki değişim diğer gruplardan daha fazlaydı (p<0.05). WeeFIM’in kendine bakım, ileti- şim ve sosyal iletişim bölümünde sadece 3. grupta anlamlı fark görülürken (p<0.05), WeeFIM total skorunda 2. ve 3. gruplarda anlamlı artış görüldü (p<0.05). CPQOL yaşam kalitesi anketinde de genel olarak tüm gruplarda anlamlı fark gözlenirken 3. gruptaki artışın daha fazla olduğu gözlendi. Tartışma: SP’li çocuklarda NGT’ye ek olarak paravertebral kaslara uygulanan NMES ve KT uygulamaları oturma performanslarını artırmakta günlük yaşam aktivitelerindeki bağımsızlıklarını ve yaşam kalitelerini olumlu yönde etkilemektedir. Anahtar Kelimeler: Serebral palsi. günlük yaşam

References

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Ferriero DM, editors. Principles and Practice of Pediatric Neurology.
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Matthews DJ, Wilson P. Cerebral Palsy. In: Molnar GE, Alexander
MA, editors. Pediatric Rehabilitation. Philadelphia: Hanley and
Belfus Inc, 1999; p. 193-219.
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Dursun N. Serebral Palsi. In: Oğuz H, Dursun E, Dursun, editors.
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Günel MK. Rehabilitation of children with cerebral palsy from
a physiotherapist’s perspective. Acta Orthop Traumatol Turc.
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Rosenbaum P, Paneth N, Leviton A., Goldstein M. and Bax MA.
The definition and classification of cerebral palsy. Dev Med Child
Neurol Suppl; 2007;109:8–14.
Nelson B. Cerebral Palsy. In: Swaiman KF editor. Pediatric
Neurology, St.Louis,Baltimore,Toronto, 1989; p. 363-372.
Livanelioğlu A, Günel MK. Serebral Palside Fizyoterapi 1. Baskı.
Ankara: Yeni Özbek Matbaası. 2009.
Footer CD. The effects of therapeutic taping on gross motor
function in children with cerebral palsy. Pediatr Phys Ther.
;18(4):245-52.
Capozzo A. Analysis of the linear displacement of the head
and trunk during walking at different speeds. J Biomech.
;14(6):411–25.
Moe-Nilssen R, Helbostad JL. Interstride trunk acceleration variability
but not step width variability can differentiate between
fit and frail older adults. Gait Posture. 2005;21(2):164-70.
Prosser LA, Lee SCK, Barbe MF, VanSant AF. & Lauer RT. Trunk
and hip muscle activity in early walkers with and without cerebral
palsy: A frequency analysis. J Electromyogr Kinesiol. 2010;
(5):851–859.
Verheyden G, Mertin J, Preger R, Kiekens C, Weerdt WD. The
Trunk Impairment Scale: A new tool to measure motor impairment
of the trunk after stroke. Clin Rehabil. 2004;18(3):326–34.
Bertenthal B,von Hofsten C. Eye, head and trunk control: The
foundation for manual development. Neurosci Biobeh Rev.
;22(4):515–20.
Saavedra S, Joshi A, Wollacott MH, Van Donkleaar P. Eye-hand
coordination in children with cerebral palsy. Exp Brain Res.
;192(2):155–65.
Saavedra S, Woollacott MH, Van Donkleaar P. Head stability during
quite sitting in children with cerebral palsy: Effect of vision
and trunk support. Exp Brain Res. 2010;201(1):13–23.
Verheyden G, Nieuwboer A, Wit L De, Feys H, Schuback B, Baert
I et al. Trunk Performance after stroke: An eye catching predictor
of functional outcome. J Neurol Neurosurg Psychiatry.
;78(7):694-8.
Raine S. Defining the Bobath concept-using the Delphi technique.
Phys Res Int. 2006; 11(1):4-13.
Raine S. The Bobath Concept: Devolepments and Current Theoretical
Underpinning. In Raine S (editor). Bobath Concept: Theory
and Clinical Practice In Neurological Rehabilitation. Singapore:
Wiley-Blackwell, 2009; p. 1-22.
Velickovic TD, Perat MV. Basic Principles of the neurodevelopmental
treatment. Medicana. 2005;42(41):112-20.
Bobath K, Bobath B. The neuro-developmental treatment. In: Scrutton
D, editor. Management of the Motor Disorders of Children
with Cerebral Palsy. Oxford: Blackwell Scientific Publications
Ltd, 1984; p6-18.
Karabay İ, Dogan A, Arslan MD, Dost G, Ozgirgin N. Effects of
functional electrical stimulation on trunk control in children with
diplegic cerebral palsy. Disabil Rehabil. 2012; 34(11): 965-70.
Park ES, Park CI, Lee HJ, Cho YS. The effect of electrical stimulation
on the trunk control in young children with spastic diplegic
cerebral palsy. J Korean Med Sci. 2001;16(3):347-50.
Şimşek TT, Türkücüoğlu B, Çokal N, Üstünbaş G, Şimşek İE. The
effects of Kinesio taping on sitting posture, functional independence
and gross motor function in children with cerebral palsy.
Disabil Rehabil. 2011;33(21-22):2058-63.
Palisano R, Rosenbaum P, Walter S, Russell D, Wood E. and Galuppi
B. Development and reliability of a system to classify gross
motor function in children with cerebral palsy. Dev Med Child
Neurol. 1997;39(4):214-23.
Wood E, Rosenbaum P. The Gross Motor Function Classification
System for Cerebral Palsy: a study of reliability and stability over
time. Dev Med Child Neurol. 2000;42(5):292-96.
Duncan PW, Weiner DK, Chandler J,Studenski S. Functional reach:
a new clinical measure of balance. J Gerontol. 1990;45(6):192-7.
Balaban Ö, Nacır B, Erdem HR, Karagöz A. Denge Fonksiyonunun
Değerlendirilmesi. J Phys Med Rehabil Sci. 2009;12(3):133-9.
Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel
değerlendirme metodları, Türk Fiz Tıp Rehab Derg.
;47(3):16-20. “Article in Turkish”
Cerebral Palsy Quality of Life [homepage on the Internet]. Melbourne:
-2015[2001 Sep 3; 2015 Feb 26]. Available from :
http://www.cpqol.org.au/index.html.
Kase K, Martin P, Yasukawa A. Kinesiotaping in Pediatrics: Fundamentals
and Whole Body Taping. 2nd ed. USA, LLC. 2006.
Dewar R, Love S, Johnston ML. Exercise interventions improve
postural control in children with cerebral palsy: a systematic review.
Dev Med Child Neurol. 2014; 57(6):504-20.
Simon A, Pinho AS, Santos AS, Pagnussat AS. Facilitation handlings
induce increase in electromyographic activity of muscles
involved in head control of Cerebral Palsy children. Res Dev Disabil.
;35(10:)2547-57.
Knox V, Ewans AL. Evaluation of thefunctional effects of acourse
of Bobaththerapy in childrenwith cerebral palsy: apreliminary
study. Dev Med Child Neurol. 2002;44(7):447-60.
Liu WY, Zaino CA, Westcott SL. Anticipatory postural adjustments
in children with cerebral palsy and children with typical
development. Pediatr Phys Ther. 2007;19(3):188-95.
Uniform Data System for Medical Rehabilitation. Guide for the
Uniform Data Set for Medical Rehabilitation for Children (WeeFIM),
version 4.0. [homepage on the Internet]. Buffalo, NY: State
University of New York at Buffalo, 1993 [cited 2014 Sept 28].
Available from: http://cirrie.buffalo.edu/encyclopedia/en/pdf/
functional_assessment.pdf.
Kara OK, Uysal SA, Turker D, Karayazgan S, Gunel MK., Baltaci
G. The effects of Kinesio Taping on body functions and activity
in unilateral spastic cerebral palsy: a single-blind randomized
controlled trial. Dev Med Child Neurol. 2014;57(1):81-8
Waters E, Davis E, Mackinnon A, Boyd R, Graham HK. Kai Lo. S.
et al. Psychometric properties of the quality of life questionnaire
for children with CP. Dev Med Child Neurol. 2007;49(1):49-55.

Year 2015, Volume: 26 Issue: 3, 0 - 0, 11.06.2016

Kamile Uzun Akkaya

Abstract

References

Swaiman KF, Wu YW. Cerebral palsy. In: Swaiman KF, Ashwal S,
Ferriero DM, editors. Principles and Practice of Pediatric Neurology.
Philadelphia, PA: Elsevier, 2006; p. 491–504.
Matthews DJ, Wilson P. Cerebral Palsy. In: Molnar GE, Alexander
MA, editors. Pediatric Rehabilitation. Philadelphia: Hanley and
Belfus Inc, 1999; p. 193-219.
Richards CL, Malouin F. Cerebral palsy: definition, assessment
and rehabilitation. Handb Clin Neurol. 2013;111:183–95.
Dursun N. Serebral Palsi. In: Oğuz H, Dursun E, Dursun, editors.
Tıbbi Rehabilitasyon. İstanbul: Nobel Tıp Kitapevleri, 2004; p.
- 74.
Günel MK. Rehabilitation of children with cerebral palsy from
a physiotherapist’s perspective. Acta Orthop Traumatol Turc.
; 43(2):173-180.
Rosenbaum P, Paneth N, Leviton A., Goldstein M. and Bax MA.
The definition and classification of cerebral palsy. Dev Med Child
Neurol Suppl; 2007;109:8–14.
Nelson B. Cerebral Palsy. In: Swaiman KF editor. Pediatric
Neurology, St.Louis,Baltimore,Toronto, 1989; p. 363-372.
Livanelioğlu A, Günel MK. Serebral Palside Fizyoterapi 1. Baskı.
Ankara: Yeni Özbek Matbaası. 2009.
Footer CD. The effects of therapeutic taping on gross motor
function in children with cerebral palsy. Pediatr Phys Ther.
;18(4):245-52.
Capozzo A. Analysis of the linear displacement of the head
and trunk during walking at different speeds. J Biomech.
;14(6):411–25.
Moe-Nilssen R, Helbostad JL. Interstride trunk acceleration variability
but not step width variability can differentiate between
fit and frail older adults. Gait Posture. 2005;21(2):164-70.
Prosser LA, Lee SCK, Barbe MF, VanSant AF. & Lauer RT. Trunk
and hip muscle activity in early walkers with and without cerebral
palsy: A frequency analysis. J Electromyogr Kinesiol. 2010;
(5):851–859.
Verheyden G, Mertin J, Preger R, Kiekens C, Weerdt WD. The
Trunk Impairment Scale: A new tool to measure motor impairment
of the trunk after stroke. Clin Rehabil. 2004;18(3):326–34.
Bertenthal B,von Hofsten C. Eye, head and trunk control: The
foundation for manual development. Neurosci Biobeh Rev.
;22(4):515–20.
Saavedra S, Joshi A, Wollacott MH, Van Donkleaar P. Eye-hand
coordination in children with cerebral palsy. Exp Brain Res.
;192(2):155–65.
Saavedra S, Woollacott MH, Van Donkleaar P. Head stability during
quite sitting in children with cerebral palsy: Effect of vision
and trunk support. Exp Brain Res. 2010;201(1):13–23.
Verheyden G, Nieuwboer A, Wit L De, Feys H, Schuback B, Baert
I et al. Trunk Performance after stroke: An eye catching predictor
of functional outcome. J Neurol Neurosurg Psychiatry.
;78(7):694-8.
Raine S. Defining the Bobath concept-using the Delphi technique.
Phys Res Int. 2006; 11(1):4-13.
Raine S. The Bobath Concept: Devolepments and Current Theoretical
Underpinning. In Raine S (editor). Bobath Concept: Theory
and Clinical Practice In Neurological Rehabilitation. Singapore:
Wiley-Blackwell, 2009; p. 1-22.
Velickovic TD, Perat MV. Basic Principles of the neurodevelopmental
treatment. Medicana. 2005;42(41):112-20.
Bobath K, Bobath B. The neuro-developmental treatment. In: Scrutton
D, editor. Management of the Motor Disorders of Children
with Cerebral Palsy. Oxford: Blackwell Scientific Publications
Ltd, 1984; p6-18.
Karabay İ, Dogan A, Arslan MD, Dost G, Ozgirgin N. Effects of
functional electrical stimulation on trunk control in children with
diplegic cerebral palsy. Disabil Rehabil. 2012; 34(11): 965-70.
Park ES, Park CI, Lee HJ, Cho YS. The effect of electrical stimulation
on the trunk control in young children with spastic diplegic
cerebral palsy. J Korean Med Sci. 2001;16(3):347-50.
Şimşek TT, Türkücüoğlu B, Çokal N, Üstünbaş G, Şimşek İE. The
effects of Kinesio taping on sitting posture, functional independence
and gross motor function in children with cerebral palsy.
Disabil Rehabil. 2011;33(21-22):2058-63.
Palisano R, Rosenbaum P, Walter S, Russell D, Wood E. and Galuppi
B. Development and reliability of a system to classify gross
motor function in children with cerebral palsy. Dev Med Child
Neurol. 1997;39(4):214-23.
Wood E, Rosenbaum P. The Gross Motor Function Classification
System for Cerebral Palsy: a study of reliability and stability over
time. Dev Med Child Neurol. 2000;42(5):292-96.
Duncan PW, Weiner DK, Chandler J,Studenski S. Functional reach:
a new clinical measure of balance. J Gerontol. 1990;45(6):192-7.
Balaban Ö, Nacır B, Erdem HR, Karagöz A. Denge Fonksiyonunun
Değerlendirilmesi. J Phys Med Rehabil Sci. 2009;12(3):133-9.
Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel
değerlendirme metodları, Türk Fiz Tıp Rehab Derg.
;47(3):16-20. “Article in Turkish”
Cerebral Palsy Quality of Life [homepage on the Internet]. Melbourne:
-2015[2001 Sep 3; 2015 Feb 26]. Available from :
http://www.cpqol.org.au/index.html.
Kase K, Martin P, Yasukawa A. Kinesiotaping in Pediatrics: Fundamentals
and Whole Body Taping. 2nd ed. USA, LLC. 2006.
Dewar R, Love S, Johnston ML. Exercise interventions improve
postural control in children with cerebral palsy: a systematic review.
Dev Med Child Neurol. 2014; 57(6):504-20.
Simon A, Pinho AS, Santos AS, Pagnussat AS. Facilitation handlings
induce increase in electromyographic activity of muscles
involved in head control of Cerebral Palsy children. Res Dev Disabil.
;35(10:)2547-57.
Knox V, Ewans AL. Evaluation of thefunctional effects of acourse
of Bobaththerapy in childrenwith cerebral palsy: apreliminary
study. Dev Med Child Neurol. 2002;44(7):447-60.
Liu WY, Zaino CA, Westcott SL. Anticipatory postural adjustments
in children with cerebral palsy and children with typical
development. Pediatr Phys Ther. 2007;19(3):188-95.
Uniform Data System for Medical Rehabilitation. Guide for the
Uniform Data Set for Medical Rehabilitation for Children (WeeFIM),
version 4.0. [homepage on the Internet]. Buffalo, NY: State
University of New York at Buffalo, 1993 [cited 2014 Sept 28].
Available from: http://cirrie.buffalo.edu/encyclopedia/en/pdf/
functional_assessment.pdf.
Kara OK, Uysal SA, Turker D, Karayazgan S, Gunel MK., Baltaci
G. The effects of Kinesio Taping on body functions and activity
in unilateral spastic cerebral palsy: a single-blind randomized
controlled trial. Dev Med Child Neurol. 2014;57(1):81-8
Waters E, Davis E, Mackinnon A, Boyd R, Graham HK. Kai Lo. S.
et al. Psychometric properties of the quality of life questionnaire
for children with CP. Dev Med Child Neurol. 2007;49(1):49-55.

There are 117 citations in total.

Details

Journal Section	Articles
Authors	Kamile Uzun Akkaya This is me
Publication Date	June 11, 2016
Published in Issue	Year 2015 Volume: 26 Issue: 3

Cite

APA	Uzun Akkaya, K. (2016). SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ. Fizyoterapi Rehabilitasyon, 26(3).
AMA	Uzun Akkaya K. SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ. Fizyoterapi Rehabilitasyon. June 2016;26(3).
Chicago	Uzun Akkaya, Kamile. “SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ”. Fizyoterapi Rehabilitasyon 26, no. 3 (June 2016).
EndNote	Uzun Akkaya K (June 1, 2016) SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ. Fizyoterapi Rehabilitasyon 26 3
IEEE	K. Uzun Akkaya, “SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ”, Fizyoterapi Rehabilitasyon, vol. 26, no. 3, 2016.
ISNAD	Uzun Akkaya, Kamile. “SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ”. Fizyoterapi Rehabilitasyon 26/3 (June 2016).
JAMA	Uzun Akkaya K. SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ. Fizyoterapi Rehabilitasyon. 2016;26.
MLA	Uzun Akkaya, Kamile. “SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ”. Fizyoterapi Rehabilitasyon, vol. 26, no. 3, 2016.
Vancouver	Uzun Akkaya K. SEREBRAL PALSİ’Lİ ÇOCUKLARA UYGULANAN FARKLI FİZYOTERAPİ UYGULAMALARININ GÜNLÜK YAŞAMDAKİ BAĞIMSIZLIK DÜZEYİ VE YAŞAM KALİTESİ ÜZERİNE ETKİSİ. Fizyoterapi Rehabilitasyon. 2016;26(3).