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TREADMİL EGZERSİZİ YAPTIRILAN SEREBRAL PALSİLİ ÇOCUKLARDA SOMATOTİP PROFİLLER VE EGZERSİZE BAĞLI DEĞİŞİKLİKLER

Yıl 2014, Cilt: 8 Sayı: 2, 207 - 214, 01.08.2014

Öz

Amaç. Serebral palsili çocuklarda oluşan beyin lezyonu sonucu beyin gelişiminin geri kalması yaşıtlarına oranla tüm vücudu etkileyen fonksiyonel bir yetersizliğe neden olmaktadır. Bu çalışmada serebralpalsi tanısı konmuş engelli çocuklarda treadmil egzersizinin somatotip profiller ve bazı değişkenler üzerine etkisini araştırmak amaçlandı. Metod. Çalışmaya özel eğitim ve rehabilitasyon merkezinde düzenli fizik tedavi görmekte olan yaşları 7–15 arasında değişen toplam 37 serebral palsili çocuk yer aldı. Deney grubu 20 8 kız 12 erkek , kontrol grubunda 17 10 kız, 7 erkek çocuk yer almıştır. Rehabilitasyon merkezinde fizik tedavileri devam ederken, deney grubundaki çocuklara fizik tedavi uzmanı eşliğinde ekstra tredmilde, haftada 2, üç ay süreyle toplamda 24 kez yürüyüş egzersizi yaptırıldı. Egzersiz başlangıç ve son hızları, egzersiz süresi, mesafe ve tüketilen kalori değerleri ölçüldü. Çalışma öncesi ve sonrası çocukların somatotip özellikleri değerlendirildi. Bulgular. Egzersize başlangıç ve sonu hızları, tredmildeki egzersiz süresi, mesafe ve tüketilen kalori miktarlarında istatistiksel olarak anlamlı artışlar meydana geldi. Egzersiz başlangıcı ve sonu nabız değerlerinde ise anlamlı farklılıklar bulunmamıştır. Deney ve kontrol gruplarının egzersiz öncesi ve sonrası gruplar arası karşılaştırmada mezomorfi, endomorfi ve vücut yağ yüzdelerinde anlamlı farklılık bulunmazken, egzersiz sonrası ektomorfi ve Ponderal index değerlerinde anlamlı farklılık tespit edildi. Sonuç. Serebral palsili çocuklarda treadmil egzersizinin; egzersiz hızlarında, yürüme mesafesinin uzamasında, egzersize bağlı kalori harcamasında, daha rahat hareket ve kontrollü yürümeye vücut tiplerinin olumlu yönde düzeleceğine yardımcı olacağı düşüncesindeyiz. Anahtar kelimeler: Serebral palsi, egzersiz, somatotip

Kaynakça

  • Colombo G., Joerg M., Schreier R., Dietz V. “Treadmill training of paraplegic patients using a robotic orthosis” Journal of Rehabilitation Research and Development. 37. pp. 693-700, 2000.
  • Deluca P.A. “The musculoskeletal management of children with cereb
  • ral palsy” Pediatrics Clinics of
  • North America, volume 43 (5). pp. 1135-1150, 1996.
  • Durnin, J.V.G.A. Womersley, J. “Body fat assessed
  • from the total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years” British Journal of Nutrition. 32, 77-97. 1974
  • Gilbert SR, Gilbert AC, Henderson RC. “Skeletal
  • maturation in children with Quadriplegic cerebral palsy” Journal of Pediatrics and Orthopedics. 24 (3). pp. 292-298, 2004.
  • Hakgüder A, “İnme Rehabilitasyonunda Vücut
  • Ağırlığı destekli Tredmil Kullanımı” Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 53(1).41-44, 2007 [In Turkish].
  • Hesse S, Konrad M, Uhlenbrock D. “Treadmill
  • walking with partial body weight support versus floor walking in hemiparetic subjects” Archives of Physical Medicine and Rehabilitation. 80. pp. 421- 427. 1999.
  • Jürimae T, Sööt T, Jürümae J. “Relationships of
  • anthropometrical parameters and body composition with bone mineral content or density in young women with different levels of physical activity” Journal of Physiological Anthropology and Applied Human Science. 24(6). pp. 579-587, 2005.
  • King W, Levin R, Schmidt R, Oestreich A, Heubi J.E. “Prevalence of reduced bone mass in children and Developmental Medicine and Child Neurology. 45(1); pp 12-16, 2003. spastic quadriplegia”
  • Kosak M.C, Reding M.J. “Comparison of partial
  • body weight supported treadmill gait training versus aggressive bracing assisted walking post stroke” Neurorehabilitation and Neural Repair. 14. pp.13- 19, 2000.
  • Kuban KC, Leviton A. “Cerebral palsy”. New
  • England Journal of Medicine. 330:188-195, 1994.
  • Lawlor A.D, Satar N, Smith D.G. “The Associations
  • of Physical Activity and Adiposity with Alanine Aminotransferase Glutamyltransferase” Epidemiology. 161. pp 1081-1088, 2005. Gamma- Journal of
  • Linhares R.V, MattaM.O, Jorge R.P. “Effects of sexual dermatoglyphics, somatotype and basic physical qualities of adolescents” Arquivos Brasileiros de Endocrinologia and Metabologia. 53 (1).pp. 47-54, 2009. body composition
  • Mark DB, Hlatky MA, Harrell FE Jr, Lee KL, Califf RM, Pryor DB. “Exercise treadmill score for predicting prognosis in coronary artert disease” Annals of Internal Medicine, 106. pp. 793-780. 1987.
  • Mattern-Baxter K., Bellamy S, Mansoor J.K. “Effects of intensive locomotor treadmill training on young children with cerebral palsy” Pediatric Physical Therapy. 21 (4). pp 308-318, 2009
  • Mattern-Baxter, K. Bellamy S. Mansoor, J.K. “Effects of intensive locomotor treadmill training on young children with cerebral palsy”. Pediatric Physical Therapy. 21. pp. 308–319. 2009.
  • Molnar G.E. “Rehabilitation in cerebral palsy” The
  • Western Journal of Medicine. 154. pp. 156-572, 1991 Özer K. Antropometri Sporda Morfolojik Planlama, Kazancı Matbaacılık, Istanbul 1993 (In Turkey).
  • Pellegrino L, Dormanns JP. Making the diagnosis of cerebral palsy. In: Domans JP, Pellegrino L, editors. Caring for children with cerebral palsy. A Team Approach. Baltimore, Brookes Publishing, pp. 31-54. 1998.
  • Provost B, Dieruf K, Burtner PA, Phillips JP, Bernitsky-Beddingfield A, Sullivan KJ, Bowen CA, Toser L. “Endurance and gait in children with cerebral palsy after intensive body weight supported treadmill training” Pediatric Physical Therapy. 19. pp. 2–10. 2007
  • Roberts CD, Vogtle L, Stevenson RD. Effect of hemiplegia on skeletal maturation, Journal of Pediatrics. 125 (5): pp 824-831, 1994.
  • Rowland WT, Vanderburg P, Cunningham L. “Body
  • size and growth of maximal aerobic power in children: A longitudinal (analyzes)” Pediatric Exercise Science. 9. pp. 262-274. 1997.
  • Samson Fang L., Stevenson RD. “Linear Growth velocity in children with cerebral palsy” developmental outcomes”
  • Uygur R. Hemiplejik serebral palsili çocukların antropometrik ölçümler değerlendirilmesi, Yüksek Lisans Tezi, Afyon karahisar Kocatepe Üniversitesi Sağlık Bilimleri Enstitüsü, ss: 58. 2007 [In Turkish]. kullanılarak
  • Yalçın S, Özaras N, Dormans J, Susman M.
  • Serebral palsi tedavi ve rehabilitasyon. Pediatrik ortopedi ve rehabilitasyon dizisi. Mas Matbaacılık, İstanbul, 2000 [In Turkish].

SOMATOTYPE PROFILES AND CHANGES DEPENDING ON TREADMILL EXERCISE IN CHILDREN WITH CEREBRAL PALSY123

Yıl 2014, Cilt: 8 Sayı: 2, 207 - 214, 01.08.2014

Öz

Objective. The postponement of the brain development as a result of brain lesion causes some functional inabilities affecting the whole body of the children with cerebral palsy compared to their peers. In this study, it was aimed to investigate the effects of the treadmill exercise on somatotype profiles and some variables in disabled children diagnosed with cerebral palsy. Methods. The subjects of the study were 37 children with cerebral palsy whose ages range from 7 to 15 and they were taking regular physical therapy in a private education and rehabilitation center. The experimental group and the control group consists of 20 children 8 girls and 12 boys and 17 children 10 girls and 7 boys , respectively. The subjects of the experimental group were performed treadmill exercise under the supervision of a physical therapist twice a week for three months totally 24 walking exercises while their treatments in the center were continuing. The initial and final speeds, duration of the exercise, the distance covered and the calories burnt were recorded and the somatotypical characteristics of the subjects were evaluated before and after the study. Results. It was encountered that the initial and final pace of the exercise, the duration of the use of the treadmill, the distance covered and the calories burnt increased significantly. No remarkable changes in the pulse rates were determined before and after the exercise. During the comparison of the experimental and control groups before and after the exercise, some noteworthy variations in ectomorphy and ponderal index were confirmed after the exercise even though no considerable differences in mesomorphy, endomorphy and body fat percentage were determined. Conclusion. We are of the opinion that the treadmill exercise will positively affect the pace of the exercise, the distance covered, the calories burnt by the children with cerebral palsy, moving more freely, controlled walking and body type

Kaynakça

  • Colombo G., Joerg M., Schreier R., Dietz V. “Treadmill training of paraplegic patients using a robotic orthosis” Journal of Rehabilitation Research and Development. 37. pp. 693-700, 2000.
  • Deluca P.A. “The musculoskeletal management of children with cereb
  • ral palsy” Pediatrics Clinics of
  • North America, volume 43 (5). pp. 1135-1150, 1996.
  • Durnin, J.V.G.A. Womersley, J. “Body fat assessed
  • from the total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years” British Journal of Nutrition. 32, 77-97. 1974
  • Gilbert SR, Gilbert AC, Henderson RC. “Skeletal
  • maturation in children with Quadriplegic cerebral palsy” Journal of Pediatrics and Orthopedics. 24 (3). pp. 292-298, 2004.
  • Hakgüder A, “İnme Rehabilitasyonunda Vücut
  • Ağırlığı destekli Tredmil Kullanımı” Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 53(1).41-44, 2007 [In Turkish].
  • Hesse S, Konrad M, Uhlenbrock D. “Treadmill
  • walking with partial body weight support versus floor walking in hemiparetic subjects” Archives of Physical Medicine and Rehabilitation. 80. pp. 421- 427. 1999.
  • Jürimae T, Sööt T, Jürümae J. “Relationships of
  • anthropometrical parameters and body composition with bone mineral content or density in young women with different levels of physical activity” Journal of Physiological Anthropology and Applied Human Science. 24(6). pp. 579-587, 2005.
  • King W, Levin R, Schmidt R, Oestreich A, Heubi J.E. “Prevalence of reduced bone mass in children and Developmental Medicine and Child Neurology. 45(1); pp 12-16, 2003. spastic quadriplegia”
  • Kosak M.C, Reding M.J. “Comparison of partial
  • body weight supported treadmill gait training versus aggressive bracing assisted walking post stroke” Neurorehabilitation and Neural Repair. 14. pp.13- 19, 2000.
  • Kuban KC, Leviton A. “Cerebral palsy”. New
  • England Journal of Medicine. 330:188-195, 1994.
  • Lawlor A.D, Satar N, Smith D.G. “The Associations
  • of Physical Activity and Adiposity with Alanine Aminotransferase Glutamyltransferase” Epidemiology. 161. pp 1081-1088, 2005. Gamma- Journal of
  • Linhares R.V, MattaM.O, Jorge R.P. “Effects of sexual dermatoglyphics, somatotype and basic physical qualities of adolescents” Arquivos Brasileiros de Endocrinologia and Metabologia. 53 (1).pp. 47-54, 2009. body composition
  • Mark DB, Hlatky MA, Harrell FE Jr, Lee KL, Califf RM, Pryor DB. “Exercise treadmill score for predicting prognosis in coronary artert disease” Annals of Internal Medicine, 106. pp. 793-780. 1987.
  • Mattern-Baxter K., Bellamy S, Mansoor J.K. “Effects of intensive locomotor treadmill training on young children with cerebral palsy” Pediatric Physical Therapy. 21 (4). pp 308-318, 2009
  • Mattern-Baxter, K. Bellamy S. Mansoor, J.K. “Effects of intensive locomotor treadmill training on young children with cerebral palsy”. Pediatric Physical Therapy. 21. pp. 308–319. 2009.
  • Molnar G.E. “Rehabilitation in cerebral palsy” The
  • Western Journal of Medicine. 154. pp. 156-572, 1991 Özer K. Antropometri Sporda Morfolojik Planlama, Kazancı Matbaacılık, Istanbul 1993 (In Turkey).
  • Pellegrino L, Dormanns JP. Making the diagnosis of cerebral palsy. In: Domans JP, Pellegrino L, editors. Caring for children with cerebral palsy. A Team Approach. Baltimore, Brookes Publishing, pp. 31-54. 1998.
  • Provost B, Dieruf K, Burtner PA, Phillips JP, Bernitsky-Beddingfield A, Sullivan KJ, Bowen CA, Toser L. “Endurance and gait in children with cerebral palsy after intensive body weight supported treadmill training” Pediatric Physical Therapy. 19. pp. 2–10. 2007
  • Roberts CD, Vogtle L, Stevenson RD. Effect of hemiplegia on skeletal maturation, Journal of Pediatrics. 125 (5): pp 824-831, 1994.
  • Rowland WT, Vanderburg P, Cunningham L. “Body
  • size and growth of maximal aerobic power in children: A longitudinal (analyzes)” Pediatric Exercise Science. 9. pp. 262-274. 1997.
  • Samson Fang L., Stevenson RD. “Linear Growth velocity in children with cerebral palsy” developmental outcomes”
  • Uygur R. Hemiplejik serebral palsili çocukların antropometrik ölçümler değerlendirilmesi, Yüksek Lisans Tezi, Afyon karahisar Kocatepe Üniversitesi Sağlık Bilimleri Enstitüsü, ss: 58. 2007 [In Turkish]. kullanılarak
  • Yalçın S, Özaras N, Dormans J, Susman M.
  • Serebral palsi tedavi ve rehabilitasyon. Pediatrik ortopedi ve rehabilitasyon dizisi. Mas Matbaacılık, İstanbul, 2000 [In Turkish].
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Research Article
Yazarlar

Nazmi Sarıtaş Bu kişi benim

Hanife Abakay Bu kişi benim

Mustafa Karakuş Bu kişi benim

Betül Coşkun Bu kişi benim

Yayımlanma Tarihi 1 Ağustos 2014
Yayımlandığı Sayı Yıl 2014 Cilt: 8 Sayı: 2

Kaynak Göster

APA Sarıtaş, N., Abakay, H., Karakuş, M., Coşkun, B. (2014). SOMATOTYPE PROFILES AND CHANGES DEPENDING ON TREADMILL EXERCISE IN CHILDREN WITH CEREBRAL PALSY123. Beden Eğitimi Ve Spor Bilimleri Dergisi, 8(2), 207-214.

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