Uzay terapisinin serebral palsili hastalarda etkinliği

Abstract

Amaç: Serebral palside (SP) uzay terapisinin, Gross Motor Function Measure (GMFM-88) kullanılarak fonksiyonel durum üzerindeki etkisini değerlendirmek. Yöntem: SP’li 20 hasta basit rastgele örnekleme ile iki gruba ayrıldı: uzay terapi grubu ve kontrol grubu. Tüm hastalara fizyoterapist eşliğinde haftada 5 gün olmak üzere toplam 30 seans uygulandı. Uzay terapi grubundaki 10 hastaya Bobath tekniği ile kombine uzay terapi verilirken, kontrol grubundaki 10 hasta yalnızca Bobath yöntemiyle tedavi edildi. Hastaların fonksiyonel durumu tedavi öncesi ve sonrası GMFM-88 ile değerlendirildi. Bulgular: Her iki grupta da GMFM-88 toplam ve alt ölçek puanlarında anlamlı artış saptandı (p<0.05). Gruplar arası karşılaştırmada, uzay terapi + Bobath tekniği kombinasyonunun, yalnızca Bobath yöntemine göre GMFM-88’in "yatma ve dönme" ile "oturma" alt ölçeklerinde daha etkili olduğu belirlendi (p=0.045 ve 0.048). Sonuç: Bobath yöntemi SP rehabilitasyonunda etkili bir yaklaşımdır. Ancak, yeni bir tedavi seçeneği olan suit terapinin Bobath ile kombinasyonu daha iyi sonuçlar sağlayabilir.

Keywords

• Bobath tekniği
• Serebral palsi
• Gross motor fonksiyon ölçümü
• Uzay terapi

Suit therapy effectiveness in patients with cerebral palsy

Abstract

Aims: To evaluate the effectiveness of suit therapy on function status with Gross motor function measure (GMFM-88) in cerebral palsy (CP). Methods: Twenty patients suffering from CP were randomized by simple sampling method and divided into two groups as a suite therapy and a control group. A total of 30 sessions were performed to all patients as 5 days a week, by the physiotherapist. Ten patients in suit therapy group were given suit therapy combined with the Bobath technique. Tan patients in control group were treated with only the Bobath technique for the same period of time. The functional status of the patients was evaluated with GMFM-88 before and after treatment. Results: GMFM-88 total and subscale scores showed statistically significant increase in both groups with therapy (p<0.05). GMFM-88 changes were compared between groups; suit therapy+Bobath technique was observed more effective than Bobath technique in the lying and rolling, and sitting subscale of GMFM-88 (p=0.045 and 0.048, respectively). Conclusion: The Bobath method is an effective treatment method in CP rehabilitation. Furthermore, combining suite therapy, which is a new treatment option in the treatment of CP, may be provide better outcomes.

Keywords

• Bobath technique
• cerebral palsy
• Gross motor function measure
• suit therapy

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