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OBSTETRİK BRAKİYAL PLEKSUS PALSİLİ ÇOCUKLARIN AKTİVİTE PERFORMANSININ GELİŞTİRİLMESİNE YÖNELİK MÜDAHALE

Year 2021, Volume: 32 Issue: 2, 141 - 147, 10.08.2021
https://doi.org/10.21653/tjpr.990896

Abstract

Amaç: Obstetrik brakiyal pleksus paralizisi (OBPP) doğum sırasında meydana gelen, ameliyat edilse bile çocukların aktivite ve katılım sorunlarının görüldüğü bir sendromdur. Bu çalışmanın amacı OBPP olan çocukların aktivite performanslarını (AP) arttırmak için yapılan müdahalenin etkilerini araştırmaktı.
Yöntemler: Bu çalışmaya OBPP tanısı olan, 4-7 yaşları arasında 29 çocuk katıldı. Müdahale grubu altı kız ve 12 erkekten, kontrol grubu ise sekiz kız, üç erkekten oluştu. Çocuklarının AP sorunları Kanada Aktivite Performans Ölçeği (COPM) ile belirlendi. Çocukların fonksiyonel kapasiteleri ise, Pediatrik Özürlülük Değerlendirme Envanteri (PEDI) ile değerlendirildi. Müdahale grubundaki çocuklar, kendileri, ailelerinin belirttiği istek ve beklentileri ile terapistin değerlendirmesine yönelik hazırlanan AP içeren programa üç ay boyunca haftada üç gün, günde 40 dakika katıldı.
Sonuçlar: Müdahale grubunda, kendine bakım, mobilite, sosyal fonksiyon ve toplam PEDI puanları ile COPM performans ve memnuniyet puanları anlamlı olarak arttı (p<0.05). Kontrol grubunda PEDI mobilite, sosyal fonksiyon ve toplam puanları anlamlı olarak düzeldi (p<0.05). PEDI kendine bakım (p=0,020) ve toplam (p=0,009) puanları açısından iki grup arasında anlamlı fark vardı. Kontrol grubunda COPM performans ve memnuniyet puanları açısından anlamlı farklılık saptanmadı (p>0.05).
Tartışma: Bu çalışma, OBPP'li çocuklarda AP müdahalesi ile ilgili ilk çalışmadır. Bu çalışma, OBPP'li çocuklarda AP artırılmasına yönelik müdahaleyi ve bu müdahalede COPM kullanılarak değerlendirmeyi önermektedir.

References

  • 1. Basheer H, Zelic V, Rabia F. Functional scoring system for obstetric brachial plexus palsy. J Hand Surg Br. 2000 Feb;25(1):41-5. PubMed PMID: 10763722. Epub 2000/04/14. eng.
  • 2. Boeschoten KH, Folmer, K.B., van der Lee, J. H.& Nollet, F Development of a set of activities to evaluate the arm and hand function in children with obstetric brachial plexus lesion Clin Rehabil. 2007;21:163.
  • 3. Sundholm LK, Eliasson AC, Forssberg H. Obstetric brachial plexus injuries: assessment protocol and functional outcome at age 5 years. Dev Med Child Neurol. 1998 Jan;40(1):4-11. PubMed PMID: 9459211. Epub 1998/02/12. eng.
  • 4. Law M PH, Baptiste S, Townsend E. . Core concepts of occupational therapy. In: E T, editor. Enabling Occupation: An Occupational Therapy Perspective. Ottawa, Canada: Canadian Association of Occupational Therapists; 1997. p. 29-56.
  • 5. Law M. Participation in the occupations of everyday life. Am J Occup Ther. 2002 Nov-Dec;56(6):640-9. PubMed PMID: 12458856. Epub 2002/12/03. eng.
  • 6. Law M. Enhancing participation. Phys Occup Ther Pediatr. 2002;22(1):1-3. PubMed PMID: 12174502. Epub 2002/08/15. eng.
  • 7. Exner C. Development of Hand Skills. In: Case-Smith J, editor. Occupational Therapy for Children. 5 ed. St. Louis, Missouri: Elsevier Mosby; 2005. p. 304- 55.
  • 8. Rodger S. Occupation-centred practice with children, practical guide for occupational therapist. Rodger S, editor. Oxford, UK: Wiley- Blackwell; 2010.
  • 9. Law M, Baptiste, S., Carswel, A., McColl, M.A., Polatajko,H.,Pollock,N. Canadian Occupational Performance Measure. CAOT Publications ACE; 2005.
  • 10. Therapists CAoO. Enabling occupation: an occupational therapy perspective. Ottawa, CA: CAOT Publications ACE; 1997.
  • 11. Strombeck C, Krumlinde-Sundholm L, Remahl S, Sejersen T. Long-term follow-up of children with obstetric brachial plexus palsy I: functional aspects. Dev Med Child Neurol. 2007 Mar;49(3):198-203. PubMed PMID: 17355476. Epub 2007/03/16. eng.
  • 12. Spaargaren E, Ahmed J, van Ouwerkerk WJ, de Groot V, Beckerman H. Aspects of activities and participation of 7-8 year-old children with an obstetric brachial plexus injury. European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 2011 Jul;15(4):345-52. PubMed PMID: 21511503.
  • 13. Ho ES, Curtis CG, Clarke HM. Pediatric Evaluation of Disability Inventory: its application to children with obstetric brachial plexus palsy. The Journal of hand surgery. 2006 Feb;31(2):197-202. PubMed PMID: 16473678. Epub 2006/02/14. eng.
  • 14. Cup EH, Scholte op Reimer WJ, Thijssen MC, van Kuyk-Minis MA. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical rehabilitation. 2003 Jul;17(4):402-9. PubMed PMID: 12785249.
  • 15. Pan AW, Chung L, Hsin-Hwei G. Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational therapy international. 2003;10(4):269-77. PubMed PMID: 14647540.
  • 16. Haley SM CW, Ludlow LH, Haltiwanger JT, Andrellos, PA. Pediatric Evaluation of Disability Inventory: development, standardization and administration manual. In: of T, Univ. B, editors. Boston: 1992.
  • 17. Feldman AB, Haley SM, Coryell J. Concurrent and construct validity of the Pediatric Evaluation of Disability Inventory. Physical therapy. 1990 Oct;70(10):602-10. PubMed PMID: 2217539. Epub 1990/10/01. eng.
  • 18. Berg M, Jahnsen R, Froslie KF, Hussain A. Reliability of the Pediatric Evaluation of Disability Inventory (PEDI). Physical & occupational therapy in pediatrics. 2004;24(3):61-77. PubMed PMID: 15257969. Epub 2004/07/20. eng.
  • 19. Erkin G, Aybay C, Kurt M, Keles I, Cakci A, Ozel S. The assessment of functional status in Turkish children with cerebral palsy (a preliminary study). Child: care, health and development. 2005 Nov;31(6):719-25. PubMed PMID: 16207230. Epub 2005/10/07. eng.
  • 20. Aybay C, Erkin G, Elhan AH, Sirzai H, Ozel S. ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil. 2007 Mar;86(3):176-82. PubMed PMID: 17167346. Epub 2006/12/15. eng.
  • 21. Verkerk GJ, Wolf MJ, Louwers AM, Meester-Delver A, Nollet F. The reproducibility and validity of the Canadian Occupational Performance Measure in parents of children with disabilities. Clin Rehabil. 2006 Nov;20(11):980-8. PubMed PMID: 17065541. Epub 2006/10/27. eng.
  • 22. Wressle E, Lindstrand J, Neher M, Marcusson J, Henriksson C. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment programme. Disabil Rehabil. 2003 May 20;25(10):497-506. PubMed PMID: 12745961. Epub 2003/05/15. eng.
  • 23. Kang DH, Yoo EY, Chung BI, Jung MY, Chang KY, Jeon HS. The application of client-centred occupational therapy for Korean children with developmental disabilities. Occupational therapy international. 2008;15(4):253-68. PubMed PMID: 18819165. Epub 2008/09/27. eng.
  • 24. Atasavun Uysal S, Duger T. Visual perception training on social skills and activity performance in low-vision children. Scandinavian journal of occupational therapy. 2012 Jan;19(1):33-41. PubMed PMID: 21696247. Epub 2011/06/24. eng.

AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY

Year 2021, Volume: 32 Issue: 2, 141 - 147, 10.08.2021
https://doi.org/10.21653/tjpr.990896

Abstract

Purpose: Children with obstetric brachial plexus palsy (OBPP) have problems with activity and participation, even if they are operated. The study aimed to investigate the intervention's effects to increase the occupational performance (OP) of children with OBPP.
Methods: Twenty-nine children with OBPP, aged 4-7 years, participated in this study. The intervention group consisted of six girls and 12 boys, and a control group was composed of eight girls and three boys. The Canadian Occupational Performance Measure (COPM) determined children's OP. The Pediatric Evaluation of Disability Inventory (PEDI) was used to evaluate functional capability. All subjects continued their traditional physiotherapy program of 45 minutes every two days. The intervention group participated in an intervention program, consisting of the children and their families' needs, expectations, and therapists' assessment, about OP 40 minutes per day three days per week for three months.
Results: The PEDI self-care, mobility, social function, and total scores and COPM-performance and COPM-satisfaction scores significantly increased in the intervention group (p<0.05). PEDI mobility, social function, and total scores significantly improved in the control group (p<0.05, Table 1). There was a significant difference in PEDI self-care (p=0.020) and total scores (p=0.009) between the two groups. There was no significant difference in COPM-performance and COPM-satisfaction scores in the control group (p>0.05).
Conclusions: The present study is the first study on OP intervention in children with OBPP. The present study suggests intervening to enhance OP and via assessing using COPM in the children with OBPP.

References

  • 1. Basheer H, Zelic V, Rabia F. Functional scoring system for obstetric brachial plexus palsy. J Hand Surg Br. 2000 Feb;25(1):41-5. PubMed PMID: 10763722. Epub 2000/04/14. eng.
  • 2. Boeschoten KH, Folmer, K.B., van der Lee, J. H.& Nollet, F Development of a set of activities to evaluate the arm and hand function in children with obstetric brachial plexus lesion Clin Rehabil. 2007;21:163.
  • 3. Sundholm LK, Eliasson AC, Forssberg H. Obstetric brachial plexus injuries: assessment protocol and functional outcome at age 5 years. Dev Med Child Neurol. 1998 Jan;40(1):4-11. PubMed PMID: 9459211. Epub 1998/02/12. eng.
  • 4. Law M PH, Baptiste S, Townsend E. . Core concepts of occupational therapy. In: E T, editor. Enabling Occupation: An Occupational Therapy Perspective. Ottawa, Canada: Canadian Association of Occupational Therapists; 1997. p. 29-56.
  • 5. Law M. Participation in the occupations of everyday life. Am J Occup Ther. 2002 Nov-Dec;56(6):640-9. PubMed PMID: 12458856. Epub 2002/12/03. eng.
  • 6. Law M. Enhancing participation. Phys Occup Ther Pediatr. 2002;22(1):1-3. PubMed PMID: 12174502. Epub 2002/08/15. eng.
  • 7. Exner C. Development of Hand Skills. In: Case-Smith J, editor. Occupational Therapy for Children. 5 ed. St. Louis, Missouri: Elsevier Mosby; 2005. p. 304- 55.
  • 8. Rodger S. Occupation-centred practice with children, practical guide for occupational therapist. Rodger S, editor. Oxford, UK: Wiley- Blackwell; 2010.
  • 9. Law M, Baptiste, S., Carswel, A., McColl, M.A., Polatajko,H.,Pollock,N. Canadian Occupational Performance Measure. CAOT Publications ACE; 2005.
  • 10. Therapists CAoO. Enabling occupation: an occupational therapy perspective. Ottawa, CA: CAOT Publications ACE; 1997.
  • 11. Strombeck C, Krumlinde-Sundholm L, Remahl S, Sejersen T. Long-term follow-up of children with obstetric brachial plexus palsy I: functional aspects. Dev Med Child Neurol. 2007 Mar;49(3):198-203. PubMed PMID: 17355476. Epub 2007/03/16. eng.
  • 12. Spaargaren E, Ahmed J, van Ouwerkerk WJ, de Groot V, Beckerman H. Aspects of activities and participation of 7-8 year-old children with an obstetric brachial plexus injury. European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society. 2011 Jul;15(4):345-52. PubMed PMID: 21511503.
  • 13. Ho ES, Curtis CG, Clarke HM. Pediatric Evaluation of Disability Inventory: its application to children with obstetric brachial plexus palsy. The Journal of hand surgery. 2006 Feb;31(2):197-202. PubMed PMID: 16473678. Epub 2006/02/14. eng.
  • 14. Cup EH, Scholte op Reimer WJ, Thijssen MC, van Kuyk-Minis MA. Reliability and validity of the Canadian Occupational Performance Measure in stroke patients. Clinical rehabilitation. 2003 Jul;17(4):402-9. PubMed PMID: 12785249.
  • 15. Pan AW, Chung L, Hsin-Hwei G. Reliability and validity of the Canadian Occupational Performance Measure for clients with psychiatric disorders in Taiwan. Occupational therapy international. 2003;10(4):269-77. PubMed PMID: 14647540.
  • 16. Haley SM CW, Ludlow LH, Haltiwanger JT, Andrellos, PA. Pediatric Evaluation of Disability Inventory: development, standardization and administration manual. In: of T, Univ. B, editors. Boston: 1992.
  • 17. Feldman AB, Haley SM, Coryell J. Concurrent and construct validity of the Pediatric Evaluation of Disability Inventory. Physical therapy. 1990 Oct;70(10):602-10. PubMed PMID: 2217539. Epub 1990/10/01. eng.
  • 18. Berg M, Jahnsen R, Froslie KF, Hussain A. Reliability of the Pediatric Evaluation of Disability Inventory (PEDI). Physical & occupational therapy in pediatrics. 2004;24(3):61-77. PubMed PMID: 15257969. Epub 2004/07/20. eng.
  • 19. Erkin G, Aybay C, Kurt M, Keles I, Cakci A, Ozel S. The assessment of functional status in Turkish children with cerebral palsy (a preliminary study). Child: care, health and development. 2005 Nov;31(6):719-25. PubMed PMID: 16207230. Epub 2005/10/07. eng.
  • 20. Aybay C, Erkin G, Elhan AH, Sirzai H, Ozel S. ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil. 2007 Mar;86(3):176-82. PubMed PMID: 17167346. Epub 2006/12/15. eng.
  • 21. Verkerk GJ, Wolf MJ, Louwers AM, Meester-Delver A, Nollet F. The reproducibility and validity of the Canadian Occupational Performance Measure in parents of children with disabilities. Clin Rehabil. 2006 Nov;20(11):980-8. PubMed PMID: 17065541. Epub 2006/10/27. eng.
  • 22. Wressle E, Lindstrand J, Neher M, Marcusson J, Henriksson C. The Canadian Occupational Performance Measure as an outcome measure and team tool in a day treatment programme. Disabil Rehabil. 2003 May 20;25(10):497-506. PubMed PMID: 12745961. Epub 2003/05/15. eng.
  • 23. Kang DH, Yoo EY, Chung BI, Jung MY, Chang KY, Jeon HS. The application of client-centred occupational therapy for Korean children with developmental disabilities. Occupational therapy international. 2008;15(4):253-68. PubMed PMID: 18819165. Epub 2008/09/27. eng.
  • 24. Atasavun Uysal S, Duger T. Visual perception training on social skills and activity performance in low-vision children. Scandinavian journal of occupational therapy. 2012 Jan;19(1):33-41. PubMed PMID: 21696247. Epub 2011/06/24. eng.
There are 24 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Songul Atasavun Uysal This is me 0000-0001-7334-411X

Eda Tonga This is me

Publication Date August 10, 2021
Published in Issue Year 2021 Volume: 32 Issue: 2

Cite

APA Atasavun Uysal, S., & Tonga, E. (2021). AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 32(2), 141-147. https://doi.org/10.21653/tjpr.990896
AMA Atasavun Uysal S, Tonga E. AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Turk J Physiother Rehabil. August 2021;32(2):141-147. doi:10.21653/tjpr.990896
Chicago Atasavun Uysal, Songul, and Eda Tonga. “AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 32, no. 2 (August 2021): 141-47. https://doi.org/10.21653/tjpr.990896.
EndNote Atasavun Uysal S, Tonga E (August 1, 2021) AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32 2 141–147.
IEEE S. Atasavun Uysal and E. Tonga, “AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY”, Turk J Physiother Rehabil, vol. 32, no. 2, pp. 141–147, 2021, doi: 10.21653/tjpr.990896.
ISNAD Atasavun Uysal, Songul - Tonga, Eda. “AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32/2 (August 2021), 141-147. https://doi.org/10.21653/tjpr.990896.
JAMA Atasavun Uysal S, Tonga E. AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Turk J Physiother Rehabil. 2021;32:141–147.
MLA Atasavun Uysal, Songul and Eda Tonga. “AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 32, no. 2, 2021, pp. 141-7, doi:10.21653/tjpr.990896.
Vancouver Atasavun Uysal S, Tonga E. AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Turk J Physiother Rehabil. 2021;32(2):141-7.