Serebral Palsili Çocuklarda Fonksiyonel Seviye, Gövde Kontrolü ve Solunum Fonksiyonları Arasındaki İlişki

Öz

Serebral Palsi (SP), immatür beyinde bir lezyon sonucu ortaya çıkan ve beynin gelişimini etkileyen, bir grup hareket ve postür problemleri ile karakterize gelişimsel bir bozukluktur. Çalışmamızın amacı, SP’li çocuklarda, fonksiyonel seviye, gövde kontrolü ve solunum fonksiyonlarının incelenmesi ve karşılaştırılmasıydı. Çalışmamıza, ortalama yaşları 11,21±3,02 yıl olan, %.51’i kız, %.49’u erkek, toplam 61 SP’li çocuk dahil edildi. Katılımcıların demografik ve hastalıkla ilgili bilgileri ‘sosyodemografik veri formu’ ile; fonksiyonel seviyeleri, “Kaba Motor Fonksiyon Sınıflandırma Sistemi” (KMFSS) ile; gövde kontrolü, “Gövde Kontrol Ölçüm Skalası” (GKÖS) ile; solunum fonksiyonları spirometre kullanılarak yapılan ‘solunum fonksiyon testi’ ile değerlendirildi. SP’li çocukların, %54’ü, Seviye 1; %26’sı, Seviye 2; %20’si, Seviye 3 içinde yer almaktaydı. Gruplar arası değerlendirmelerde, Seviye 1 ve 2’de yer alan çocukların gövde kontrolü, Seviye 3’te yer alan çocuklardan daha iyi düzeydeydi (p<0,05). Bununla birlikte, çocukların fonksiyonel seviyesine göre FVC, FEV1, PEF, FEF25, FEF75, FEF25-75, ve FEV1/FVC parametreleri istatistiksel olarak anlamlı farklılık göstermedi (p>0,05). Gövde kontrolü ile birinci saniyede çıkarılan ekspirasyon hacmi (FEV1) arasında pozitif yönlü düşük düzey istatistiksel olarak anlamlı ilişki saptandı (r=0,01, p=0,05). Öte yandan, gövde kontrolü ile diğer solunum fonksiyonları parametreleri arasında istatistiksel olarak anlamlı düzeyde ilişki yoktu (p>0,05). SP’li çocuklarda, fonksiyonel seviye arttıkça gövde kontrolü artarken solunum fonksiyonlarında değişiklik görülmedi.

Anahtar Kelimeler

• Gövde kontrolü
• serebral palsi
• solunum fonksiyon testi

The Relationship Between Functional Level, Trunk Control, and Respiratory Functions in Children with Cerebral Palsy

Öz

Cerebral palsy (CP) is a developmental disorder characterized by a group of movement and posture problems that occur as a result of a lesion in the immature brain and affect the development of the brain. Our study aimed to examine and compare the functional level, trunk control, and respiratory functions in children with cerebral palsy (CP). There were a total of 61 children with CP, 51% female, and 49% male, with a mean age of 11.21±3.02 years. Demographic and disease-related information were evaluated with ‘sociodemographic data form,’ functional levels with the ‘Gross Motor Function Classification System, trunk control with the ‘Trunk Control Measurement Scale’ (TCMS), and respiratory functions with ‘the respiratory function test’ using a spirometer. The functional levels of children with CP, 54% were Level 1, 26% were Level 2 and 20% were Level 3. In intergroup analysis, the mean trunk control of the children with Level 1 and 2 were statistically significantly higher than the children in Level 3 (p<0.05). Despite this, the children's FVC, FEV1, PEF, FEF25, FEF75, FEF25-75, and FEV1/FVC parameters did not show significant statistical differences at functional levels (p>0.05). There was a positive low-level statistically significant correlation between the mean FEV1 value and the scores of TCMS (r=0.01, p<0.05). On the other hand, no statistically significant correlation was found between trunk control and other respiratory function parameters (p>0.05). In children with CP, while trunk control increased as the functional level rose, there was no change in their respiratory functions.

Anahtar Kelimeler

• Cerebral palsy
• respiratory function test
• trunk control

Kaynakça

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