Araştırma Makalesi
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TEK TARAFLI SEREBRAL PALSİLİ OKUL ÇAĞINDAKİ ÇOCUKLARDA KATILIMI ETKİLEYEN YÜRÜYÜŞ VE DENGE İLE İLGİLİ FAKTÖRLER

Yıl 2024, , 168 - 174, 25.07.2024
https://doi.org/10.34108/eujhs.1362538

Öz

Tek taraflı serebral palsili (UCP) çocuklarda yürüme ve denge bozuklukları yaygın olmasına rağmen, bunların katılım üzerindeki etkileri tam olarak aydınlatılamamıştır.Bu çalışma, okul çağındaki UCP'li çocuklarda katılımı etkileyen özellikle yürüyüş ve denge ile ilgili faktörleri araştırmayı amaçlamaktadır. Bu tanımlayıcı ilişki arayıcı çalışma, Kaba Motor Fonksiyon Sınıflandırma Sistemi (GMFCS)seviye I ve II’deki 40 UCP'li çocukla tamamlandı(%50 kız; ortanca yaş = 11 (7-12) yıl). "Kaba Motor Fonksiyon Ölçümü (GMFM-66)", "Pediatrik Denge Ölçeği (PBS)", "Zamanlanmış Kalk ve Yürü Testi (TUG) ve Fonksiyonel Mobilite Skalası (FMS)" ve "BTS G-Walk Spatio-Temporal Yürüyüş Analiz Sistemi" sırasıyla kaba motor fonksiyon, denge, fonksiyonel mobilite ve yürüyüş parametrelerini değerlendirmek için kullanıldı. Katılımı değerlendirmek için "Kanada Mesleki Performans Ölçümü (COPM)" kullanıldı. COPM puanlarını etkileyen değişkenler çok değişkenli regresyon analizi ile incelendi.COPM-performans puanını etkileyen faktörler kadans (B=79.859, p=0.001) ve FMS (B=0.352, p<0.001) idi. Bu değişkenler COPM-performans puanındakideğişimin yaklaşık %45'ini açıkladı (R2adj=0.445). COPM-memnuniyetpuanınıetkileyen faktörler ise kadans (B=0.188, p=0.044) ve daha fazla etkilenen tarafın adım uzunluğu (B=0.137, p=0.008) idi; bu değişkenler ise COPM-memnuniyet puanınındaki değişimin %26'sını açıkladı (R2adj=0.260). UCP'li çocuklarda katılımı etkileyen faktörler kadans, daha fazla etkilenen tarafın adım uzunluğu ve fonksiyonel mobilite idi. UCP'li çocukların katılımını etkili bir şekilde destekleyen rehabilitasyon müdahalelerinin tasarlanmasında yararlı olabileceği için rehabilitasyon uzmanlarının bu faktörleri dikkate almalarınıöneriyoruz.

Kaynakça

  • Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109(Suppl 109):8-14.doi:10.1111/j.1469-8749.2007.tb12610.x.
  • Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta‐analysis. Dev Med Child Neurol. 2013;55(6):509-519.doi:10.1111/dmcn.12080.
  • Basoya S, Kumar S, Wanjari A.. Cerebral Palsy: A Narrative Review on Childhood Disorder. Cureus. 2023;15(11):e49050. doi:10.7759/cureus.49050.
  • Zhou J, Butler EE, Rose J. Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment. Front Hum Neurosci. 2017;11:103.doi:10.3389/fnhum.2017.00103.
  • Saether R, Helbostad JL, Riphagen II, Vik T. Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review. Dev Med Child Neurol. 2013;55(11):988-999.doi:10.1111/dmcn.12162.
  • Pashmdarfard M, Richards LG, Amini M. Factors Affecting Participation of Children with Cerebral Palsy in Meaningful Activities: Systematic Review. Occup Ther Health Care. 2021;35(4):442-479.doi:10.1080/07380577.2021.1938339.
  • Chiu HC, Ada L, Bania TA. Mechanically assisted walking training for walking, participation, and quality of life in children with cerebral palsy. Cochrane Database Syst Rev. 2020;11(11):CD013114.doi:10.1002/14651858.CD013114.pub2.
  • Thirumanickam A, Raghavendra P, Olsson C. Participation and social networks of school-age children with complex communication needs: A descriptive study. Augment Altern Commun. 2011;27(3):195-204.doi:10.3109/07434618.2011.610818.
  • Lee AM. Using the ICF-CY to organise characteristics of children's functioning. Disabil Rehabil. 2011; 33: 605-616. doi:10.3109/09638288.2010.505993.
  • Shikako-Thomas K, Majnemer A, Law M, Lach L. Determinants of participation in leisure activities in children and youth with cerebral palsy: systematic review. Phys Occup Ther Pediatr. 2008;28(2):155-169.doi:10.1080/01942630802031834.
  • Bania TA, Taylor NF, Chiu HC, Charitaki G. What are the optimum training parameters of progressive resistance exercise for changes in muscle function, activity and participation in people with cerebral palsy? A systematic review and meta-regression. Physiotherapy. 2023;119:1-16.doi:10.1016/j.physio.2022.10.001.
  • Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.doi:10.3758/bf03193146.
  • Russell D, Rosenbaum P, Avery L, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User’s Manual. Hamilton, Ontario, Canada: Can Child Centre for Childhood Disability Research McMaster University. In: London, UK: Mac Keith Press:c2002:145-210.
  • Yi SH, Hwang JH, Kim SJ, Kwon JY. Validity of pediatric balance scales in children with spastic cerebral palsy. Neuropediatrics. 2012;43(06):307-313.doi:10.1055/s-0032-1327774.
  • Erden A, Acar Arslan E, Dündar B, Topbas M, Cavlak U. Reliability and validity of Turkish version of pediatric balance scale. Acta Neurol Belg. 2021;121(3):669-675.doi:10.1007/s13760-020-01302-9
  • Hassani S, Krzak JJ, Johnson B, et al. One‐Minute Walk and modified Timed Up and Go tests in children with cerebral palsy: performance and minimum clinically important differences. Dev Med Child Neurol. 2014;56(5):482-489.doi:10.1111/dmcn.12325.
  • Graham HK, Harvey A, Rodda J, Nattrass GR, Pirpiris M. The functional mobility scale (FMS). J Pediatr Orthop. 2004;24(5):514-520.doi:10.1097/00004694-200409000-00011.
  • Yazıcı MV, Çobanoğlu G, Yazıcı G. Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turk J Med Sci. 2022 Jun;52(3):658-666.
  • Kang M, Smith E, Goldsmith CH, Switzer L, Rosenbaum P, Wright FV, Fehlings D. Documenting change with the Canadian Occupational Performance Measure for children with cerebral palsy. Dev Med Child Neurol. 2020 Oct;62(10):1154-1160. doi:10.55730/1300-0144.5358.
  • Cusick A, Lannin NA, Lowe K. Adapting the Canadian Occupational Performance Measure for use in a paediatric clinical trial. Disabil Rehabil. 2007;29(10):761-766.doi:10.1080/09638280600929201.
  • Barton B, Peat J. Medical statistics: a guide to SPSS, data analysis, and critical appraisal (2nd edition), Wiley, UK, 2014.
  • Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.doi:10.4236/jwarp.2015.77047.
  • Bourgeois AB, Mariani B, Aminian K, Zambelli P, Newman C. Spatio-temporal gait analysis in children with cerebral palsy using, foot-worn inertial sensors. Gait Posture. 2014;39(1):436-442.doi:10.1016/j.gaitpost.2013.08.029.
  • Furtado SR, Sampaio RF, Kirkwood RN, Vaz DV, Mancini MC. Moderating effect of the environment in the relationship between mobility and school participation in children and adolescents with cerebral palsy. Braz J Phys Ther. 2015;19:311-319.doi:10.1590/bjpt-rbf.2014.0127.
  • Schenker R, Coster WJ, Parush S. Neuroimpairments, activity performance, and participation in children with cerebral palsy mainstreamed in elementary schools. Dev Med Child Neurol. 2005;47(12):808-814.doi:10.1017/S0012162205001714.
  • Seyhan-Bıyık K, Arslan UE, Özal C, et al. The effects of fatigue, gross motor function, and gender on participation in life situations of school-aged children with cerebral palsy: A parental perspective. Arch Pediatr. 2022;29(8):560-565.doi:10.1016/j.arcped.2022.08.020.
  • Reedman SE, Boyd RN, Ziviani J, Elliott C, Ware RS, Sakzewski L. Participation predictors for leisure‐time physical activity intervention in children with cerebral palsy. Dev Med Child Neurol. 2021;63(5):566-575.doi:10.1111/dmcn.14796.
  • Rosenbaum PL, Palisano RJ, Bartlett DJ, Galuppi BE, Russell DJ. Development of the Gross Motor Function Classification System for cerebral palsy. Dev Med Child Neurol 2008; 50: 249-253. doi:10.1111/j.1469-8749.2008.02045.x.
  • Chen CL, Shen IH, Chen CY, Wu CY, Liu WY, Chung CY. Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Res Dev Disabil. 2013 Mar;34(3):916-922.doi:10.1016/j.ridd.2012.11.006.
  • Vila-Nova F, Dos Santos Cardoso de Sa C, Oliveira R, Cordovil R. Differences in leisure physical activity participation in children with typical development and cerebral palsy. Dev Neurorehabil. 2021;24(3):180-186.doi:10.1080/17518423.2020.1819461.

GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY

Yıl 2024, , 168 - 174, 25.07.2024
https://doi.org/10.34108/eujhs.1362538

Öz

Although gait and balance impairments are prevalent in children with unilateral cerebral palsy (UCP), their effects on participation are not completely elucidated. This study aims to explore factors affecting participation in children with UCP, particularly those related to gait and balance. This descriptive relation-seeker study was completed with 40 children with UCP at Gross Motor Function Classification System (GMFCS) levels I and II (50% female; median age = 11 (7-12)years). "The Gross Motor Function Measure (GMFM-66)", "The Pediatric Balance Scale (PBS)", "The Timed Up and Go test (TUG) and The Functional Mobility Scale (FMS)", and "The BTS G-Walk Spatiotemporal Gait Analysis System" were used to evaluate the gross motor function, balance, functional mobility, and quantitative gait parameters, respectively. "The Canadian Occupational Performance Measure (COPM)" was employed to evaluate participation. Variables affecting the COPM scores were analyzed by multivariate regression analysis.The factors affecting the COPM-performance score were cadence (B = 79.859, p = 0.001) and FMS (B = 0.352, p<0.001). These variables explained about 45% of thevariation in the COPM-performance score (R2adj = 0.445). The factors affecting the COPM-satisfaction score were cadence (B = 0.188, p=0.044) and stride length of the more affected side (B = 0.137, p=0.008), which explained 26% of thevariation in the COPM-satisfaction score (R2adj =0 .260).The factors affecting participation in children with UCP were cadence, stride length of the more affected side, and functional mobility. We recommend that rehabilitation specialists consider these factors, as they may be beneficial in designing rehabilitation interventions that effectively promote participation in children with UCP.

Kaynakça

  • Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109(Suppl 109):8-14.doi:10.1111/j.1469-8749.2007.tb12610.x.
  • Oskoui M, Coutinho F, Dykeman J, Jetté N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta‐analysis. Dev Med Child Neurol. 2013;55(6):509-519.doi:10.1111/dmcn.12080.
  • Basoya S, Kumar S, Wanjari A.. Cerebral Palsy: A Narrative Review on Childhood Disorder. Cureus. 2023;15(11):e49050. doi:10.7759/cureus.49050.
  • Zhou J, Butler EE, Rose J. Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment. Front Hum Neurosci. 2017;11:103.doi:10.3389/fnhum.2017.00103.
  • Saether R, Helbostad JL, Riphagen II, Vik T. Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review. Dev Med Child Neurol. 2013;55(11):988-999.doi:10.1111/dmcn.12162.
  • Pashmdarfard M, Richards LG, Amini M. Factors Affecting Participation of Children with Cerebral Palsy in Meaningful Activities: Systematic Review. Occup Ther Health Care. 2021;35(4):442-479.doi:10.1080/07380577.2021.1938339.
  • Chiu HC, Ada L, Bania TA. Mechanically assisted walking training for walking, participation, and quality of life in children with cerebral palsy. Cochrane Database Syst Rev. 2020;11(11):CD013114.doi:10.1002/14651858.CD013114.pub2.
  • Thirumanickam A, Raghavendra P, Olsson C. Participation and social networks of school-age children with complex communication needs: A descriptive study. Augment Altern Commun. 2011;27(3):195-204.doi:10.3109/07434618.2011.610818.
  • Lee AM. Using the ICF-CY to organise characteristics of children's functioning. Disabil Rehabil. 2011; 33: 605-616. doi:10.3109/09638288.2010.505993.
  • Shikako-Thomas K, Majnemer A, Law M, Lach L. Determinants of participation in leisure activities in children and youth with cerebral palsy: systematic review. Phys Occup Ther Pediatr. 2008;28(2):155-169.doi:10.1080/01942630802031834.
  • Bania TA, Taylor NF, Chiu HC, Charitaki G. What are the optimum training parameters of progressive resistance exercise for changes in muscle function, activity and participation in people with cerebral palsy? A systematic review and meta-regression. Physiotherapy. 2023;119:1-16.doi:10.1016/j.physio.2022.10.001.
  • Faul F, Erdfelder E, Lang A-G, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39(2):175-191.doi:10.3758/bf03193146.
  • Russell D, Rosenbaum P, Avery L, Lane M. Gross Motor Function Measure (GMFM-66 & GMFM-88) User’s Manual. Hamilton, Ontario, Canada: Can Child Centre for Childhood Disability Research McMaster University. In: London, UK: Mac Keith Press:c2002:145-210.
  • Yi SH, Hwang JH, Kim SJ, Kwon JY. Validity of pediatric balance scales in children with spastic cerebral palsy. Neuropediatrics. 2012;43(06):307-313.doi:10.1055/s-0032-1327774.
  • Erden A, Acar Arslan E, Dündar B, Topbas M, Cavlak U. Reliability and validity of Turkish version of pediatric balance scale. Acta Neurol Belg. 2021;121(3):669-675.doi:10.1007/s13760-020-01302-9
  • Hassani S, Krzak JJ, Johnson B, et al. One‐Minute Walk and modified Timed Up and Go tests in children with cerebral palsy: performance and minimum clinically important differences. Dev Med Child Neurol. 2014;56(5):482-489.doi:10.1111/dmcn.12325.
  • Graham HK, Harvey A, Rodda J, Nattrass GR, Pirpiris M. The functional mobility scale (FMS). J Pediatr Orthop. 2004;24(5):514-520.doi:10.1097/00004694-200409000-00011.
  • Yazıcı MV, Çobanoğlu G, Yazıcı G. Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turk J Med Sci. 2022 Jun;52(3):658-666.
  • Kang M, Smith E, Goldsmith CH, Switzer L, Rosenbaum P, Wright FV, Fehlings D. Documenting change with the Canadian Occupational Performance Measure for children with cerebral palsy. Dev Med Child Neurol. 2020 Oct;62(10):1154-1160. doi:10.55730/1300-0144.5358.
  • Cusick A, Lannin NA, Lowe K. Adapting the Canadian Occupational Performance Measure for use in a paediatric clinical trial. Disabil Rehabil. 2007;29(10):761-766.doi:10.1080/09638280600929201.
  • Barton B, Peat J. Medical statistics: a guide to SPSS, data analysis, and critical appraisal (2nd edition), Wiley, UK, 2014.
  • Mukaka MM. A guide to appropriate use of correlation coefficient in medical research. Malawi Med J. 2012;24(3):69-71.doi:10.4236/jwarp.2015.77047.
  • Bourgeois AB, Mariani B, Aminian K, Zambelli P, Newman C. Spatio-temporal gait analysis in children with cerebral palsy using, foot-worn inertial sensors. Gait Posture. 2014;39(1):436-442.doi:10.1016/j.gaitpost.2013.08.029.
  • Furtado SR, Sampaio RF, Kirkwood RN, Vaz DV, Mancini MC. Moderating effect of the environment in the relationship between mobility and school participation in children and adolescents with cerebral palsy. Braz J Phys Ther. 2015;19:311-319.doi:10.1590/bjpt-rbf.2014.0127.
  • Schenker R, Coster WJ, Parush S. Neuroimpairments, activity performance, and participation in children with cerebral palsy mainstreamed in elementary schools. Dev Med Child Neurol. 2005;47(12):808-814.doi:10.1017/S0012162205001714.
  • Seyhan-Bıyık K, Arslan UE, Özal C, et al. The effects of fatigue, gross motor function, and gender on participation in life situations of school-aged children with cerebral palsy: A parental perspective. Arch Pediatr. 2022;29(8):560-565.doi:10.1016/j.arcped.2022.08.020.
  • Reedman SE, Boyd RN, Ziviani J, Elliott C, Ware RS, Sakzewski L. Participation predictors for leisure‐time physical activity intervention in children with cerebral palsy. Dev Med Child Neurol. 2021;63(5):566-575.doi:10.1111/dmcn.14796.
  • Rosenbaum PL, Palisano RJ, Bartlett DJ, Galuppi BE, Russell DJ. Development of the Gross Motor Function Classification System for cerebral palsy. Dev Med Child Neurol 2008; 50: 249-253. doi:10.1111/j.1469-8749.2008.02045.x.
  • Chen CL, Shen IH, Chen CY, Wu CY, Liu WY, Chung CY. Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Res Dev Disabil. 2013 Mar;34(3):916-922.doi:10.1016/j.ridd.2012.11.006.
  • Vila-Nova F, Dos Santos Cardoso de Sa C, Oliveira R, Cordovil R. Differences in leisure physical activity participation in children with typical development and cerebral palsy. Dev Neurorehabil. 2021;24(3):180-186.doi:10.1080/17518423.2020.1819461.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makalesi
Yazarlar

Halil İbrahim Çelik 0000-0003-3849-6382

Seda Nur Kemer 0000-0002-0623-302X

Erken Görünüm Tarihi 22 Temmuz 2024
Yayımlanma Tarihi 25 Temmuz 2024
Gönderilme Tarihi 18 Eylül 2023
Yayımlandığı Sayı Yıl 2024

Kaynak Göster

APA Çelik, H. İ., & Kemer, S. N. (2024). GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY. Sağlık Bilimleri Dergisi, 33(2), 168-174. https://doi.org/10.34108/eujhs.1362538
AMA Çelik Hİ, Kemer SN. GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY. JHS. Temmuz 2024;33(2):168-174. doi:10.34108/eujhs.1362538
Chicago Çelik, Halil İbrahim, ve Seda Nur Kemer. “GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY”. Sağlık Bilimleri Dergisi 33, sy. 2 (Temmuz 2024): 168-74. https://doi.org/10.34108/eujhs.1362538.
EndNote Çelik Hİ, Kemer SN (01 Temmuz 2024) GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY. Sağlık Bilimleri Dergisi 33 2 168–174.
IEEE H. İ. Çelik ve S. N. Kemer, “GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY”, JHS, c. 33, sy. 2, ss. 168–174, 2024, doi: 10.34108/eujhs.1362538.
ISNAD Çelik, Halil İbrahim - Kemer, Seda Nur. “GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY”. Sağlık Bilimleri Dergisi 33/2 (Temmuz 2024), 168-174. https://doi.org/10.34108/eujhs.1362538.
JAMA Çelik Hİ, Kemer SN. GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY. JHS. 2024;33:168–174.
MLA Çelik, Halil İbrahim ve Seda Nur Kemer. “GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY”. Sağlık Bilimleri Dergisi, c. 33, sy. 2, 2024, ss. 168-74, doi:10.34108/eujhs.1362538.
Vancouver Çelik Hİ, Kemer SN. GAIT- AND BALANCE-RELATED FACTORS AFFECTING PARTICIPATION IN SCHOOL-AGED CHILDREN WITH UNILATERAL CEREBRAL PALSY. JHS. 2024;33(2):168-74.