Hemiparetik ve diparetik serebral palsili çocuklarda ayak ark esnekliklerinin ve kalkaneal pozisyonun değerlendirilmesi

Yıl 2015, Cilt: 2 Sayı: 1 - Cilt: 2 Sayı: 1, 8 - 14, 23.07.2016

Gözde Gür Burcu Dilek Yavuz Yakut

Öz

Amaç: Çalışmanın amacı, hemiparetik serebral palsili (SP) çocuklarda subtalar açı, ayak medial longitudinal ve anterior transvers ark esnekliklerini, etkilenen taraf ve etkilenmeyen tarafta değerlendirmek ve spastik diparetik SP’li çocuklarla karşılaştırmaktı. Yöntem: Çalışmaya yaşları 6-15 yıl arasında değişen 37 hemiparetik SP’li ve 32 diparetik SP’li çocuk dahil edildi. Medial longitudinal ark esnekliği navikülar düşme testi ile değerlendirildi. Anterior transvers arkın esnekliği metatarsal genişlik ile hesaplandı. Subtalar açıları ölçüldü. Her iki gruptaki çocukların antropometrik ölçümleri ağırlık aktarmalı ve aktarmasız durumlarda ölçüldü. Bulgular: Hemiparetik SP’lilerde etkilenen ve etkilenmeyen taraf ark esnekliklerinde fark bulunmadı (p>0,05). Etkilenmeyen tarafta subtalar açı, etkilenen tarafa göre daha fazla bulundu (p0,05). Subtalar açı hemiparetik SP’lilerin etkilenen tarafında diparetiklere göre daha az bulunurken (p0,05). Tartışma: Bu çalışma, hemiparetik SP’lilerde ayak özelliklerinin her iki tarafta da benzer olabileceğini göstermiştir. Bu sonuçlar, SP’nin her iki klinik tipinde de subtalar açı değerlerinin, ayak yapısı için belirleyici olabileceğini düşündürmüştür. SP’nin farklı klinik tiplerinde ayak postürünün daha objektif yöntemlerle inceleneceği çalışmalara gereksinim vardır

Anahtar Kelimeler

Serebral palsi, Ayak, Ayak deformiteleri

Assessment of flexibility of arches and calcaneal position of foot in children with hemiparetic and diparetic cerebral palsy

Öz

Purpose: The purpose of the study was to assess of flexibility of medial longitudinal and anterior transverse arches and angle of subtalar joint, and to compare with unaffected side, and with diparetic cerebral palsy (CP) children with hemiparetic CP. Methods: Thirty-seven hemiparetic and 32 diparetic children ages between 6 and 15 years were included in to the study. Flexibility of medial longitudinal arch was assessed using navicular drop test. Flexibility of medial longitudinal arch was assessed using ratio of metatarsal width. Subtalar angles were measured. Anthropometric measurements were taken under weight and non-weight bearing conditions. Measurements were compared with in groups and effected and unaffected feet for hemiparetics, right and left feet for diparetics. Results: There were no differences between flexibility of arches of effected and unaffected feet in patients with hemiparetic CP (p>0.05). Subtalar angle was found to be greater in unaffected side, when compared to effected side (p<0.05). In addition, there were no differences in flexibility ratio of arches between hemiparetic and diparetic patients (p>0.05). Subtalar angle was greater in affected side of hemiparetics compared to the same side of diparetics (p<0.05), but subtalar angle in affected side of hemiparetics was similar to the same side of diparetics (p>0.05). Conclusion: This study demonstrated that flexibility of foot arches may be similar. Subtalar joint may have an important role in determining foot structure in both hemiparetic and diparetic patients. Further study is needed to investigate foot structure using objective methods in children with different types of CP

Anahtar Kelimeler

Cerebral palsy, Foot, Foot deformities

Kaynakça

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