THE RELATIONSHIP OF UNIMANUAL AND BIMANUAL CAPACITY WITH PERCEIVED BIMANUAL PERFORMANCE IN CHILDREN WITH UNILATERAL CEREBRAL PALSY

Yıl 2024, Cilt: 7 Sayı: 3, 262 - 271

Hilal Başak Can , Gönül Acar , Gaye Torna , Çiğdem Çekmece , Fuat Bilgili

https://doi.org/10.52538/iduhes.1510201

Öz

The aim of this investigation was to examine the correlation between unimanual and bimanual capacities as well as the perceived bimanual performance among children diagnosed with unilateral cerebral palsy (CP), aged between 6 and 12 years. A total of 34 children, consisting of 15 girls and 19 boys with a mean age of 9.47±1.62 years, participated. The Box and Block Test to quantify the unimanual capacity of both hands and the placing and turning tests, which are subtests of the Minnesota Manual Dexterity Test (MMDT), to evaluate unimanual and bimanual capacities, respectively, were used. Parents evaluated perceived bimanual performance through the Children's Hand-Use Experience Questionnaire (CHEQ) and ABILHAND-Kids. The capacity of the affected hand was found to be significantly correlated with the CHEQ subscales at a low to moderate level (R2 = 15-35%) and with ABILHAND-Kids at a low level (R2 = 16-17%). Bimanual capacity demonstrated a significant correlation ranging from low to moderate with the CHEQ subscales (R2 = 15-33%), and exhibited a weak correlation with ABILHAND-Kids (R2 = 13%). It was observed that the capacity of the contralateral hand, as measured by the MMDT placing test, exhibited a low level of significant correlation with the CHEQ subscale feeling bothered. The results indicated that the affected hand capacity and bimanual capacity had a low to moderate relationship with perceived bimanual performance. Furthermore, the predictability of perceived bimanual performance by the affected hand capacity and bimanual capacity was low.

Anahtar Kelimeler

Bimanual capacity, Bimanual performance, Unimanual capacity, Unilateral cerebral palsy

UNİLATERAL SEREBRAL PALSİLİ ÇOCUKLARDA UNİMANUEL VE BİMANUEL KAPASİTENİN ALGILANAN BİMANUEL PERFORMANSLA İLİŞKİSİ

Öz

Çalışmada 6-12 yaş aralığındaki unilateral Serebral Palsi’li (SP) çocuklarda unimanuel ve bimanuel kapasitenin algılanan bimanuel performansla ilişkisini araştırmak amaçlandı. Çalışmaya yaş ortalaması 9,47±1,62 yıl olan, 15'i kız ve 19'u erkek olmak üzere toplam 34 çocuk katıldı. Her iki elin unimanuel kapasitesini ölçmek için Kutu ve Blok Testi kullanıldı; unimanuel ve bimanuel kapasiteyi değerlendirmek için ise sırasıyla Minnesota El Becerisi Testi'nin (MMDT) alt testleri olan yerleştirme ve döndürme testleri kullanıldı. Ebeveynler, Çocukların El Kullanım Deneyimi Anketi (CHEQ) ve ABILHAND-Kids aracılığıyla algılanan bimanüel performansı değerlendirdi. Etkilenen elin kapasitesinin CHEQ alt skalaları ile düşük-orta düzeyde (R2=%15-35) ve ABILHAND-Kids ile düşük düzeyde (R2=%16-17) anlamlı ilişkili olduğu; bimanuel kapasitenin CHEQ alt skalaları ile düşük-orta (R2=%15-33) ve ABILHAND-Kids ile düşük düzeyde (R2=%13) anlamlı ilişkili olduğu bulundu. Kontralateral elin MMDT’nin yerleştirme alt testi ile ölçülen kapasitesinin CHEQ’in hissedilen rahatsızlık alt skalası ile düşük düzeyde anlamlı ilişkisi olduğu saptandı. Sonuç olarak etkilenen elin kapasitesi ve bimanuel kapasite algılanan bimanuel performansla düşük-orta düzeyde ilişkiliydi ve algılanan bimanuel performansın etkilenen elin kapasitesi ve bimanuel kapasite tarafından tahmin edilebilirliği düşüktü.

Anahtar Kelimeler

Bimanuel kapasite, Bimanuel performans, Unimanuel kapasite, Unilateral serebral palsi

Kaynakça

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