Investigation of the relationship between trunk control, functional mobility, and balance in children with spastic cerebral palsy

Yıl 2014, Cilt: 1 Sayı: 1 - Cilt: 1 Sayı: 1, 1 - 8, 23.07.2016

Cemil Özal Mintaze Kerem Günel

Öz

Purpose: The aim of this study was to investigate the relation between trunk control, functional mobility and balance in children with cerebral palsy (CP). Methods: Nine hemiparetic and 10 diparetic children with spastic CP, between the ages of 5-17 years were included in the study. The Trunk Impairment Scale (TIS) was used to evaluate functional strength, postural control and quality of trunk movements. The Pediatric Berg Balance Scale (PBBS) was used to evaluate functional balance in daily living activities. The timed up and go test (TUG) and Timed Up and Down Stairs Test were used to evaluate functional mobility and balance. Ankle dorsiflexion selective motor control (SMC) test was used in evaluating selective movements. Results: There were significant relationships between dynamic, coordination and total sub-items of TIS and SMC; between static sub-item and PBBS, TUG, TUDS (p<0.05). Conclusion: The limitations in postural control and balance cause limitations in voluntary skills performance including mobility abilities. The importance of this study is manifesting the relationship between trunk control and functional mobility skills and balance

Anahtar Kelimeler

Cerebral palsy, Postural balance, Motor skills

Spastik serebral palsili çocuklarda gövde kontrolü ile fonksiyonel mobilite ve denge arasındaki ilişkinin incelenmesi

Öz

Amaç: Bu çalışmada spastik tip serebral palsili (SP) çocuklarda gövde kontrolü ile fonksiyonel mobilite ve denge arasındaki ilişkinin incelenmesi amaçlandı. Yöntem: Yaşları 5-17 yıl arasında değişen, 9’u hemiparetik, 10’u ise diparetik olan 19 spastik tip SP’li çocuk alındı. Gövdenin fonksiyonel kuvvetini, postüral kontrolünü ve gövde hareketlerinin niteliğini değerlendirmek için Gövde Etkilenim Ölçeği (GEÖ); günlük yaşam aktivitelerindeki fonksiyonel dengeyi değerlendirmek amacıyla Pediatrik Berg Denge Ölçeği (PBDÖ) kullanıldı. Fonksiyonel mobilite ve dengeyi değerlendirmek için fonksiyonel hareket becerileri testlerinden zamanlı ayağa kalk ve yürü testi (ZKY) ile zamanlı merdiven çıkıp inme testi (ZMÇİ) kullanıldı. Selektif hareketlerin değerlendirilmesinde ayak bileği dorsifleksiyonu selektif motor kontrol testi (SMK) kullanıldı. Bulgular: GEÖ’nin dinamik, koordinasyon alt başlıkları ve toplam puanlarının PBDÖ, ZKY, ZMÇİ ve SMK ile; statik alt başlığın ise PBDÖ, ZKY ve ZMÇİ ile anlamlı düzeyde bir ilişki olduğu görüldü (p

Anahtar Kelimeler

Serebral palsi, Postüral denge, Motor beceriler

Kaynakça

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