UNİLATERAL SEREBRAL PALSİLİ ÇOCUKLARDA ÜST EKSTREMİTENİN İSTEMLİ SELEKTİF MOTOR KONTROLÜ VE ÜST EKSTREMİTE FONKSİYONLARI İLE İLİŞKİSİ

Abstract

Amaç: Çalışmada, unilateral Serebral Palsili (SP) çocuklarda üst ekstremite istemli selektif motor kontrolünü (SMK) tanımlamak ve SMK ile üst ekstremite fonksiyonları arasındaki ilişkiyi incelemek amaçlanmıştır. Yöntemler: Çalışmaya yaşları 6 ile 18 arasında değişen 24 unilateral SP tanılı çocuk dahil edilmiştir. Üst ekstremite fonksiyonlarını değerlendirmek için Üst Ekstremite Beceri Kalitesi Testi (ÜEBKT) kullanıldı. El becerisi, Jebsen-Taylor El Fonksiyon Testinin (JTT) süreli görevleri kullanılarak ölçüldü. Üst ekstremitenin SMK, video kayıt yöntemi kullanılarak Üst Eksremite Selektif Kontrol Skalası (ÜESKS) ile ölçüldü. Sonuç: Omuzdan parmaklara ÜESKS skorlarında istatistiksel olarak anlamlı düşüşler Page istatistiksel trend testi kullanılarak kaydedildi (p<0,001). ÜESKS toplam puanı ile ÜEBKT toplam puanı arasında anlamlı bir pozitif korelasyon vardı (r: 0,796; p <0,001). Ayrıca ÜESKS skoru, JTT ile anlamlı bir negatif korelasyon gösterdi (r: - 0,875; p <0,001). Tartışma: Unilateral SP'li çocuklarda üst ekstremite SMK ile üst ekstremite fonksiyonları arasında ilişki bulundu. Selektif üst ekstremite hareketlerindeki eksikliğin, fonksiyonel el becerilerini etkilediği bulunmuştur. Bu nedenle üst ekstremite fonksiyonlarını değerlendirmede ve potansiyel olarak rehabilitasyonunda üst ekstremite SMK göz önünde bulundurulmalıdır.

Keywords

• Serebral Palsi
• Üst Ekstremite
• Motor beceriler

UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS

Abstract

Purpose: The study aimed to define the upper extremity selective voluntary motor control (SVMC) in children with unilateral Cerebral Palsy (CP). It was also aimed to investigate the relationship between upper extremity SVMC and upper extremity functions. Methods: Twenty-four children diagnosed with unilateral CP, aged between 6 and 18, were included in the study. The Quality of Upper Extremity Skills Test (QUEST) assessed the upper extremity functions. Manual dexterity was measured using the Jebsen-Taylor Hand Function Test (JTT) timed tasks. The SVMC of the upper extremity was measured using the Selective Control of Upper Extremity Scale (SCUES) using the videotape recording method. Results: Statistically significant decreases in SCUES scores from shoulder to fingers were recorded using the Page statistical test for trend (p<0.001). There was a significant positive correlation between the SCUES total score and the QUEST total score (r: 0.796; p <0.001). Also, score on SCUES showed a significant negative correlation with JTT (r:- 0.875; p <0.001). Conclusion: In children with unilateral CP, there was a relationship between upper extremity selective voluntary control and upper extremity functions. Deficiency in selective upper extremity movements disturbed functional manual skills, indicating these impairments' significance in assessing upper extremity functions and, potentially, rehabilitation.

Keywords

• Cerebral Palsy
• Upper Extremity
• Motor Skills

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