YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ

Abstract

Amaç: Oral motor problemler ile beslenme ve yutma problemleri serebral palsili çocuklarda en sık rastlanan problemlerden bir tanesidir. Yeme İçme Becerisi Sınıflandırma Sistemi (EDACS) serebral palsili çocuklarda yeme ve içme performansını sınıflandırmak için kullanılır. Bu çalışmanın amaçları, EDACS’ı Türkçe’ye çevirmek, değerlendirici-içi güvenirliği ve diğer fonksiyonel sınıflandırma sistemleri ile ilişkisini araştırmaktı. Yöntem: EDACS İngilizce’den Türkçe’ye çevrildi. EDACS’ın Türkçe versiyonu 125 serebral palsili çocuğa uygulandı. Değerlendirici-içi güvenirliği için Türkçe EDACS iki hafta sonra tekrar puanlandı. Çocukların fonksiyonel durumlarını belirlemek için Kaba Motor Fonksiyon Sınıflandırma Sistemi, El Becerileri Sınıflandırma Sistemi ve İletişim Fonksiyonları Sınıflandırma Sistemi seviyeleri de kaydedildi. Sonuçlar: Yaş ortalaması 7,44±3,95 yıl olan 54 kız ve 71 erkek çalışmaya katıldı. Türkçe EDACS’ın değerlendirmeci içi güvenirliği neredeyse mükemmeldi (ICC=0,972 ve Güven Aralığı=0,959-0,980, p<0,001). Türkçe EDACS ile Kaba Motor Fonksiyon Sınıflandırma Sistemi (r=0,769), El Becerileri Sınıflandırma Sistemi (r=0,786) ve İletişim Fonksiyonları Sınıflandırma Sistemi (r=0,824) arasında anlamlı pozitif korelasyon bulundu (p<0,001). Tartışma: Türkçe EDACS son derece güvenilir bir araç olarak bulundu. Serebral palsili çocukların fonksiyonel yeme ve içme becerileri, motor fonksiyon seviyeleri ve iletişim durumları ile ilişkilidir.

Keywords

• Yeme
• Serebral Palsi
• İçme
• Yutma

THE TURKISH VERSION OF THE EATING AND DRINKING ABILITY CLASSIFICATION SYSTEM: INTRARATER RELIABILITY AND THE RELATIONSHIPS WITH THE OTHER FUNCTIONAL CLASSIFICATION SYSTEMS IN CHILDREN WITH CEREBRAL PALSY

Abstract

Purpose: Oral motor problems, feeding and swallowing problems are one of the most common problems in children with cerebral palsy. The Eating and Drinking Ability Classification System (EDACS) is used to classify eating and drinking performance in children with cerebral palsy. The aims of this study were to translate the EDACS into the Turkish and to investigate its intra-rater reliability and the relationship with other functional classification systems. Methods: The EDACS was translated from English into Turkish. The Turkish version of the EDACS was applied to 125 children with cerebral palsy. For intra-rater reliability, the Turkish EDACS was re-scored after two weeks. Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System were also recorded to determine the functional status of children. Results: Fifty-four females and 71 males with a mean age of 7.44±3.95 years were included. The intra-rater reliability of the Turkish EDACS was almost perfect (ICC=0.972, Confidence Interval=0.959-0.980, p<0.001). Significant correlations were found between the Turkish EDACS and Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System (r=0.769, r=0.786, and r=0.824, respectively, p<0.001). Conclusion: The Turkish EDACS was found as a highly reliable instrument. The level of functional eating and drinking abilities is related to motor functional levels and communication status of children with cerebral palsy.

Keywords

• Eating
• Cerebral Palsy
• Drinking
• Swallowing

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