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The Relationship Between Consanguinity and Other Factors with Gross Motor Function Levels in Children with Neuromotor Developmental Delay

Yıl 2025, Cilt: 14 Sayı: 2, 288 - 294, 30.08.2025

Öz

Objective: It is well established that consanguinity is a risk factor for neuromotor developmental delay. In our clinical observations, we have noted that children with neuromotor delay, and consanguineous parents tend to have more delayed gross motor skills. This study aimed to investigate the frequency of consanguinity in children with neuromotor developmental delay, and whether there is any relationship between consanguinity, gross motor function classification, and other parameters. Materials and Methods: Two hundred and six paediatric patients diagnosed with neuromotor developmental delay and referred to the rehabilitation clinic were included in the study. In the children included in the study, consanguinity and gross motor function levels were evaluated in conjunction with diagnosis, gestational age, birth weight, and various maternal and paternal factors, and inter-group comparisons were made. Results: 68% of the patients had a history of consanguinity. 65.5% of the children had a history of incubator care, 35.4% had a history of asphyxia, and 30.1% had a history of epilepsy. Upon reviewing the diagnoses, 63.6% were diagnosed with cerebral palsy, and 13.6% were diagnosed with axial hypotonia. Furthermore, no significant relationship was found between incubator care, asphyxia, epilepsy, neuromotor developmental delay, and consanguinity with gross motor classification. Conclusion: In our study, no significant relationship was found between consanguinity, gross motor classification, and other parameters in children with neuromotor developmental delay. Further studies are required to determine whether consanguineous marriage influences motor classification in neuromotor developmental delay.

Kaynakça

  • Asif, M., Anayat, M., Tariq, F., Noureen, T., Din, G. N. U., Becker, C., Becker, K., Thiele, H., Makhdoom, E. U. H., Shaiq, P. A., Baig, S. M., Nürnberg, P., Hussain, M. S., Raja, G. K., & Abdullah, U. (2022). Whole-exome sequencing of pakistani consanguineous families identified pathogenic variants in genes of intellectual disability. Genes, 14(1), 48. https://doi.org/10.3390/genes14010048.
  • Aslan, F., Çalkavur, Ş. (2022). Prematüre Bebeklerde Nörogelişimsel Risk Faktörleri. Güncel Pediatri Dergisi, 20(3), 272-280. https://doi.org/10.4274/jcp.2022.54036
  • Blumenfeld, O., Ben-Pazi, H., Ornoy, A., Josef, A., & Shohat, T. (2020). Prevalence of cerebral palsy with Gross Motor Function Classification System levels IV and V in children in Israel: a cross-cultural comparison. Child's nervous system : ChNS : official Journal of The International Society For Pediatric Neurosurgery, 36(2), 411–416. https://doi.org/10.1007/s00381-019-04262-5
  • Caesar, R. A., Boyd, R. N., Cioni, G., Ware, R. S., Doherty, J., Jackson, M. P., Salthouse, K. L., Colditz, P. B., & PREMTiME Study Group (2023). Early detection of developmental delay in infants born very preterm or with very low birthweight. Developmental Medicine and Child Neurology, 65(3), 346–357. https://doi.org/10.1111/dmcn.15381
  • Chen, L., Wen, H., Lou, H., Chen, X., Chen, D., Zhu, S., & Zhang, X. (2023). Differences in prenatal diagnosis rate of congenital anomalies associated with singletons and multiple births: An observational study of more than 1.9 million births in Zhejiang Province, eastern China, during 2012-2018. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 163(1), 282–290. https://doi.org/10.1002/ijgo.14821.
  • Christensen, R., Chau, V., Synnes, A., Grunau, R. E., & Miller, S. P. (2021). Longitudinal neurodevelopmental outcomes in preterm twins. Pediatric Research, 90(3), 593–599. https://doi.org/10.1038/s41390-020-0840-7
  • Çarman, K. (2016). Çocuklarda Normal Nöromotor Gelişme/Normal Neuromotor Development Of Children. Osmangazi Tıp Dergisi, 38(1), 17-19. http://dx.doi.org/10.20515/otd.01898
  • Çelik, P. (2021). Hipoksik İskemik Ensefalopati Nedeniyle Terapötik Hipotermi Uygulanan Bebeklerin Nörogelişimsel Sonuçları. Türkiye Çocuk Hastalıkları Dergisi,15(5), 359-364. http://dx.doi.org/10.12956/tchd.788065
  • Diabelková, J., Rimárová, K., Urdzík, P., Dorko, E., Houžvičková, A., Andraščíková, Š., Drabiščák, E., & Škrečková, G. (2022). Risk factors associated with low birth weight. Central European Journal of Public Health, 30(Supplement),43–49. https://doi.org/10.21101/cejph.a6883.
  • Hsieh, W. H., Huang, P. C., Tsai, P. C., Lee, W., Hu, Y., Lee, W. C., & Hsieh, R. L. (2023). Short-term multidisciplinary family-centered workshop for preschool children with global developmental delays. Pediatric Research, 94(2), 707–714. https://doi.org/10.1038/s41390-023-02507-3
  • Karatoprak, E., Sözen, G., & Saltık, S. (2019). Risk factors associated with epilepsy development in children with cerebral palsy. Child's nervous system : ChNS: Journal of The International Society For Pediatric Neurosurgery, 35(7), 1181–1187. https://doi.org/10.1007/s00381-019-04152-w
  • Keramat, K. U., Khalily, M. A., Bhutta, A. H., Khattak, P., Habib, A., & Bhutta, N. I. (2022). Risk factors evaluation of cerebral palsy in Hazara division Khyber Pakhtunkhwa Pakistan: A cross-sectional survey. The Journal of the Pakistan Medical Association, 72(7), 1315–1319. https://doi.org/10.47391/JPMA.1669
  • Kerimoğlu, G., Kavuncuoğlu, S., Arslan, G., Kocaman, C., Yıldız, H., Aksüyek, E., & Kaya, A. (2004). Neuromotor Developmental Follow-up of the Preterm Infants. The Journal of Tepecik Education and Research Hospital, 14(1), 33-39.
  • Khan, S. A., Talat, S., & Malik, M. I. (2022). Risk factors, types, and neuroimaging findings in Children with Cerebral Palsy. Pakistan Journal of Medical sciences, 38(7), 1738–1742. https://doi.org/10.12669/pjms.38.7.6175
  • Kliegman, R. M., Stanton, B., Geme, J. S., Schor, N. F., & Behrman, R. E. (2015). Nelson textbook of pediatrics. Elsevier Health Sciences.
  • Mushta, S. M., King, C., Goldsmith, S., Smithers-Sheedy, H., Badahdah, A. M., Rashid, H., Badawi, N., Khandaker, G., & McIntyre, S. (2022). Epidemiology of cerebral palsy among children and adolescents in arabic-speaking countries: a systematic review and meta-analysis. Brain Sciences, 12(7), 859. https://doi.org/10.3390/brainsci12070859.
  • Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine and Child Neurology, 39(4), 214–223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
  • Yalçin, S. S., Yurdakök, K., Tezel, B., & Ozbaş, S. (2012). Family and infant characteristics in relation to age at walking in Turkey. The Turkish Journal Of Pediatrics, 54(3), 260–268.
  • Yimenicioglu, S., Kaya, T. B., Yıldırım, E., Arayıcı, S., Bildirici, Y., & Ekici, A. (2023). The factors affecting neurodevelopmental outcomes in HIE. Acta Neurologica Belgica, 123(5), 1903–1909. https://doi.org/10.1007/s13760-022-02126-5.

Nöromotor Gelişim Geriliği Olan Çocuklarda Akraba Evliliği ve Diğer Faktörlerin Kaba Motor Fonksiyon Düzeyleri ile İlişkisi

Yıl 2025, Cilt: 14 Sayı: 2, 288 - 294, 30.08.2025

Öz

Amaç: Akraba evliliğinin nöromotor gelişim geriliği için bir risk faktörü olduğu iyi bilinmektedir. Klinik gözlemlerimizde ebeveynlerinde akrabalık bulunan nöro-motor geriliği olan çocukların, kaba motor seviyesinin daha geride olduğunu gözlemledik. Bu çalışmada nöromotor gelişim geriliği olan çocuklarda akraba evliliği sıklığı ve kaba motor fonksiyon sınıflaması ile akraba evliliği ve diğer parametreler arasında bir ilişki olup olmadığını incelendi. Gereç ve Yöntem: Nöro-motor gelişim geriliği tanısı almış, rehabilitasyon polikliniğine başvuran 206 çocuk hasta çalışmaya dahil edildi. Çalışmaya dahil edilen çocuklarda akraba evliliği ve kaba motor fonksiyon düzeyleri; tanı, doğum haftası, doğum ağırlığı, çeşitli maternal ve paternal faktörler ile birlikte değerlendirilerek gruplar arası karşılaştırmalar yapıldı. Bulgular: Hastaların %68'inde akraba evliliği vardı. Çocukların %65,5'inde küvöz öyküsü, %35,4'ünde asfiksi öyküsü ve %30,1'inde epilepsi öyküsü vardı. Hastaların tanıları incelendiğinde %63,6'sında serebral palsi, %13,6'sında aksiyel hipotoni, saptandı. Ayrıca, kuvözde kalma, asfiksi, epilepsi, nöromotor gelişim geriliği ve akraba evliliği ile kaba motor sınıflaması arasında anlamlı bir ilişki bulunmamıştır. Sonuç: Çalışmamızda nöromotor gelişim geriliği olan çocuklarda kaba motor sınıflaması ile akraba evliliği ve diğer parametreler arasında anlamlı ilişki bulunamadı. Bu konuda yapılacak ileri çalışmalar konunun aydınlatılmasına yardımcı olacaktır.

Kaynakça

  • Asif, M., Anayat, M., Tariq, F., Noureen, T., Din, G. N. U., Becker, C., Becker, K., Thiele, H., Makhdoom, E. U. H., Shaiq, P. A., Baig, S. M., Nürnberg, P., Hussain, M. S., Raja, G. K., & Abdullah, U. (2022). Whole-exome sequencing of pakistani consanguineous families identified pathogenic variants in genes of intellectual disability. Genes, 14(1), 48. https://doi.org/10.3390/genes14010048.
  • Aslan, F., Çalkavur, Ş. (2022). Prematüre Bebeklerde Nörogelişimsel Risk Faktörleri. Güncel Pediatri Dergisi, 20(3), 272-280. https://doi.org/10.4274/jcp.2022.54036
  • Blumenfeld, O., Ben-Pazi, H., Ornoy, A., Josef, A., & Shohat, T. (2020). Prevalence of cerebral palsy with Gross Motor Function Classification System levels IV and V in children in Israel: a cross-cultural comparison. Child's nervous system : ChNS : official Journal of The International Society For Pediatric Neurosurgery, 36(2), 411–416. https://doi.org/10.1007/s00381-019-04262-5
  • Caesar, R. A., Boyd, R. N., Cioni, G., Ware, R. S., Doherty, J., Jackson, M. P., Salthouse, K. L., Colditz, P. B., & PREMTiME Study Group (2023). Early detection of developmental delay in infants born very preterm or with very low birthweight. Developmental Medicine and Child Neurology, 65(3), 346–357. https://doi.org/10.1111/dmcn.15381
  • Chen, L., Wen, H., Lou, H., Chen, X., Chen, D., Zhu, S., & Zhang, X. (2023). Differences in prenatal diagnosis rate of congenital anomalies associated with singletons and multiple births: An observational study of more than 1.9 million births in Zhejiang Province, eastern China, during 2012-2018. International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics, 163(1), 282–290. https://doi.org/10.1002/ijgo.14821.
  • Christensen, R., Chau, V., Synnes, A., Grunau, R. E., & Miller, S. P. (2021). Longitudinal neurodevelopmental outcomes in preterm twins. Pediatric Research, 90(3), 593–599. https://doi.org/10.1038/s41390-020-0840-7
  • Çarman, K. (2016). Çocuklarda Normal Nöromotor Gelişme/Normal Neuromotor Development Of Children. Osmangazi Tıp Dergisi, 38(1), 17-19. http://dx.doi.org/10.20515/otd.01898
  • Çelik, P. (2021). Hipoksik İskemik Ensefalopati Nedeniyle Terapötik Hipotermi Uygulanan Bebeklerin Nörogelişimsel Sonuçları. Türkiye Çocuk Hastalıkları Dergisi,15(5), 359-364. http://dx.doi.org/10.12956/tchd.788065
  • Diabelková, J., Rimárová, K., Urdzík, P., Dorko, E., Houžvičková, A., Andraščíková, Š., Drabiščák, E., & Škrečková, G. (2022). Risk factors associated with low birth weight. Central European Journal of Public Health, 30(Supplement),43–49. https://doi.org/10.21101/cejph.a6883.
  • Hsieh, W. H., Huang, P. C., Tsai, P. C., Lee, W., Hu, Y., Lee, W. C., & Hsieh, R. L. (2023). Short-term multidisciplinary family-centered workshop for preschool children with global developmental delays. Pediatric Research, 94(2), 707–714. https://doi.org/10.1038/s41390-023-02507-3
  • Karatoprak, E., Sözen, G., & Saltık, S. (2019). Risk factors associated with epilepsy development in children with cerebral palsy. Child's nervous system : ChNS: Journal of The International Society For Pediatric Neurosurgery, 35(7), 1181–1187. https://doi.org/10.1007/s00381-019-04152-w
  • Keramat, K. U., Khalily, M. A., Bhutta, A. H., Khattak, P., Habib, A., & Bhutta, N. I. (2022). Risk factors evaluation of cerebral palsy in Hazara division Khyber Pakhtunkhwa Pakistan: A cross-sectional survey. The Journal of the Pakistan Medical Association, 72(7), 1315–1319. https://doi.org/10.47391/JPMA.1669
  • Kerimoğlu, G., Kavuncuoğlu, S., Arslan, G., Kocaman, C., Yıldız, H., Aksüyek, E., & Kaya, A. (2004). Neuromotor Developmental Follow-up of the Preterm Infants. The Journal of Tepecik Education and Research Hospital, 14(1), 33-39.
  • Khan, S. A., Talat, S., & Malik, M. I. (2022). Risk factors, types, and neuroimaging findings in Children with Cerebral Palsy. Pakistan Journal of Medical sciences, 38(7), 1738–1742. https://doi.org/10.12669/pjms.38.7.6175
  • Kliegman, R. M., Stanton, B., Geme, J. S., Schor, N. F., & Behrman, R. E. (2015). Nelson textbook of pediatrics. Elsevier Health Sciences.
  • Mushta, S. M., King, C., Goldsmith, S., Smithers-Sheedy, H., Badahdah, A. M., Rashid, H., Badawi, N., Khandaker, G., & McIntyre, S. (2022). Epidemiology of cerebral palsy among children and adolescents in arabic-speaking countries: a systematic review and meta-analysis. Brain Sciences, 12(7), 859. https://doi.org/10.3390/brainsci12070859.
  • Palisano, R., Rosenbaum, P., Walter, S., Russell, D., Wood, E., & Galuppi, B. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine and Child Neurology, 39(4), 214–223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
  • Yalçin, S. S., Yurdakök, K., Tezel, B., & Ozbaş, S. (2012). Family and infant characteristics in relation to age at walking in Turkey. The Turkish Journal Of Pediatrics, 54(3), 260–268.
  • Yimenicioglu, S., Kaya, T. B., Yıldırım, E., Arayıcı, S., Bildirici, Y., & Ekici, A. (2023). The factors affecting neurodevelopmental outcomes in HIE. Acta Neurologica Belgica, 123(5), 1903–1909. https://doi.org/10.1007/s13760-022-02126-5.
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Toplum Çocuk Sağlığı
Bölüm Makaleler
Yazarlar

Bilgehan Kolutek Ay 0000-0003-2941-9035

Mustafa Tuna 0000-0002-6713-9352

Yayımlanma Tarihi 30 Ağustos 2025
Gönderilme Tarihi 15 Ağustos 2024
Kabul Tarihi 25 Mart 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 2

Kaynak Göster

APA Kolutek Ay, B., & Tuna, M. (2025). The Relationship Between Consanguinity and Other Factors with Gross Motor Function Levels in Children with Neuromotor Developmental Delay. Balıkesir Sağlık Bilimleri Dergisi, 14(2), 288-294. https://doi.org/10.53424/balikesirsbd.1534185

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