Serebral Palside Ön Diz Ağrısı Sebebi Olarak Patella Alta: Vaka Sunumu ve Rehabilitasyon Yaklaşımı

Yıl 2018, Cilt: 2 Sayı: 1, 41 - 45, 30.04.2018

Hasan Toktaş , Nuran Eyvaz , Ümit Dündar , Selma Eroğlu

Öz

Serebral
palsi (SP); gelişmekte olan fetal veya
infant beyninde oluşan hasar sonucu, hareket ve postür gelişiminin kalıcı
bozukluğudur. Motor bozukluğa duysal, bilişsel, algısal, davranışsal
bozukluklar ve epilepsi yanında sekonder kas iskelet sistemi problemleri de
eşlik edebilir. Kas iskelet sistemi problemleri içinde diz fleksiyon
deformitesi önemli yer tutar. Diz fleksiyon deformitesi, bükük diz yürüyüşüne
ve dizin ekstansör mekanizmasını etkileyerek patella altaya neden olmaktadır.
Bunun sonucunda ön diz ağrısı (ÖDA) gelişebilmektedir. Kuadriseps, özellikle de
vastus medialis oblikus güçlendirme egzersizleri ile patella altanın neden
olduğu ÖDA azaltılabilir, yürüyüş daha iyi hale getirilebilir.

Anahtar Kelimeler

Serebral palsi, Patella alta, Rehabilitasyon

Patella alta as a cause of anterior knee pain in cerebral palcy: case report and rehabilitation approach

Öz

Cerebral
palsy is a permanent disorder of the development in movement  and 
posture which  is a result of damage
in the fetal or infant brain. Sensorial, cognitive,  perceptive, behavioral disorders and
epilepsy, as well as the secondary musculoskeletal problems may accompany motor
disorders. Knee flexion deformity constitutes an essential part of the
musculoskeletal problems. Knee flexion deformity may cause crouch gait and
patella alta by affecting the extensor mechanism of the knee. As a result,
these conditions may cause anterior knee pain. Quadriceps exercises, especially
involving the vastus  medialis obliquus, may
decrease anterior knee pain and improve gait pattern induced by patella alta.

Anahtar Kelimeler

Cerebral palsy, Patella alta, Rehabilitation

Kaynakça

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