POLİOMYELİT SEKELİ OLAN ÇOCUKLARDA ALT EKSTREMİTE VE GÖVDEDE KAS KUVVET DAĞILIMI

Yıl 2007, Sayı: 2, 29 - 42, 01.11.2007

Türkan Akbayrak Filiz Can Fatma Uygur Serap Kaya

Öz

Poliomyelitli çocuklarda alt ekstremite ve gövdeye ait kaslardaki kuvvet dağılımını incelemek amacı ile Ankara Ortopedik Özürlüler Okulu’nda eğitim gören ve poliomyelit sekeli olan 76 çocukta alt ekstremite ve gövdeye ait 18 kas grubuna manüel kas testi uygulanarak, toplam 2452 kas değerlendirilmiştir. Çalışmanın sonunda poliomyelitte en çok tutulan ve tam paralizi veya pleji tablosu gösteren kasların tibialis anterior (%17. 9), peroneal kaslar (%17. 9), gastrosoleus (%16. 7) ve quadriceps femoris olduğu (%9. 5), daha sonra bunu sırasıyla tibialis posterior (%8. 3), dış hamstringler (%7. 1), iç hamstringler (%6) ve kalça adduktörlerinin (%4. 8) izlediği gözlenmiştir. En az tutulan kasların ise gövde kasları ile kalça fleksör ve ekstansörlerinin olduğu ve quadratus lumborumun genellikle tutulmadığı gözlenmiştir. Sonuç olarak bu kaslardaki zayıflığın bilinmesi ve belirli aralıklarla değerlendirilmesinin poliomyelitin kliniğinde, tedavisinde ve postpolio sendromu gibi ilerideki klinik değişikliklerde önemi vardır

Anahtar Kelimeler

poliomyelit, kas kuvveti, deformite programı, alt ekstremite amputeleri, rehabilitasyon

THE DISTRIBUTION OF MUSCLE STRENGTH OF THE LOWER EXTREMITY AND TRUNK MUSCLES IN POLIOMYELITIS SEQUELLED CHILDREN

Öz

With the aim of assessing the distribution of muscle strength in the lower extremity and trunk muscles of 76 children with poliomyelitis in the ‘School for Orthopedically Handicapped Children’ were evaluated. Manual muscle testing techniques were used to test 18 muscle groups, as a total 2452 muscles in which lower extremity and trunk. The results of the study showed that the most frequently affected muscles which are flaccid or completely paralyzed were tibialis anterior (17. 9%), peroneal muscles (17. 9%), gastrosoleus (16. 7%) and quadriceps femoris (9. 5 %) followed by tibialis posterior (8. 3%), lateral (7. 1%) and medial (6%) hamstrings and hip adductors (4. 8%), respectively. It was found that the lowest incidence of affection of muscles was trunk muscles, hip flexors and extensors and, quadratus lumborum remained in normal strength. In conclusion, determining of the weakness in muscles and examining of the muscle strength with regular intervals in poliomyelitis squalled children are very important for clinical features and treatment of the poliomyelitis which may leads to post-polio syndrome

Anahtar Kelimeler

poliomyelitis, muscle strength, deformity

Kaynakça

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