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THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY

Yıl 2022, Cilt: 24 Sayı: 1, 73 - 82, 30.04.2022
https://doi.org/10.24938/kutfd.1009538

Öz

Objective: This study aimed to evaluate physical activity and physical fitness in adolescents with cerebral palsy.
Material and Methods: Forty individuals (20 cerebral palsy and 20 asymptomatic adolescents) were included in the study. Physical activity levels were measured by Physical Activity Questionnaire for Adolescents; balance, agility, flexibility and arm movement speed, which are physical fitness parameters, were evaluated with Eurofit test battery; lower extremity muscle strength was evaluated with Muscle Force Evaluation Form; functional independence in the quality of life the individuals was evaluated with Functional Independence Measurement scales and cardiopulmonary endurance was assessed by 6-minute walking test.
Results: In statistical analysis, there was no significant difference between two groups for the assessment of agility, 6-minute walk test, flexibility, arm movement speed, balance. There was a significant difference in physical activity and functional independence in favor of asymptomatic group.
Conclusion: As a result of our study, it was determined that the levels of physical activity and physical fitness of the adolescents with cerebral palsy were lower. We believe that it is important to direct these individuals to sports and recreational activities, to increase their physical activity and fitness levels, and to reduce difference with their asymptomatic peers.

Kaynakça

  • 1. Strauss D, Shavelle R, Reynolds R, Rosenbloom L, Day S. Survival in cerebral palsy in the last 20 years: signs of improvement. Developmental Medicine & Child Neurology. 2007;49(2):86-92.
  • 2. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-131.
  • 3. Conchar L, Bantjes J, Swartz L, Derman W. Barriers and facilitators to participation in physical activity: The experiences of a group of South African adolescents with cerebral palsy. J Health Psychol. 2016;21(2):152-63.
  • 4. Fowler EG, Kolobe TH, Damiano DL, Thorpe DE, Morgan DW, Brunstrom JE et al. Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Phys Ther. 2007;87(11):1495-510.
  • 5. MacPhail HA, Kramer JF. Effect of isokinetic strength‐training on functional ability and walking efficiency in adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 1995;37(9):763-75.
  • 6. Hoofwijk M, Unnithan V, Bar-Or O. Maximal treadmill performance of children with cerebral palsy. Pediatr Exerc Sci. 1995;7(3):305-13.
  • 7. Unnithan VB, Dowling JJ, Frost G, Bar-Or O. Role of co-contraction in the O2 cost of walking in children with cerebral palsy. Med Sci Sports Exerc. 1996;28(12):1498-504.
  • 8. Verschuren O, Ketelaar M, Takken T, Helders PJ, Gorter JW. Exercise programs for children with cerebral palsy: a systematic review of the literature. Am J Phys Med Rehabil. 2008;87(5):404-17.
  • 9. Verschuren O, Ada L, Maltais DB, Gorter JW, Scianni A, Ketelaar M. Muscle strengthening in children and adolescents with spastic cerebral palsy: considerations for future resistance training protocols. Phys Ther. 2011;91(7):1130-9.
  • 10. Bailey RC, Olson J, Pepper SL, Porszasz J, Barstow TJ, Cooper DM. The level and tempo of children's physical activities: an observational study. Med Sci Sports Exerc. 1995;27(7):1033-41.
  • 11. Naçar M, Günay O. Adolesan Sağlığı. In: Öztürk Y, Günay O, eds. Halk Sağlığı Genel Bilgiler. Kayseri. Erciyes Üniversitesi Yayınları, Önder Ofset, 2011:711-746.
  • 12. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Medicine & Child Neurology. 2008;50(10):744-50.
  • 13. Tanir H. The effect of physical activity level and certain anthropometric characteristics on academic achievement among the pupils at grade eight in primary schools. Unpublished doctoral thesis. Kırıkkale University, Institute of Health Sciences, Kırıkkale.2013.
  • 14. Erikoğlu Ö, Atalay Güzel N, Pense M, Erikoğlu Örer G. Comparison of physical fitness parameters with EUROFIT Test Battery of male adolescent soccer players and sedentary counterparts. International Journal of Science Culture and Sport. 2015;3(3):43-52.
  • 15. Leunkeu AN, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Phys Med Rehabil. 2012;93(12):2333-2339.
  • 16. Kucukdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
  • 17. Verschuren O, Ketelaar M, Takken T, Van Brussel M, Helders PJ, Gorter JW. Reliability of hand-held dynamometry and functional strength tests for the lower extremity in children with cerebral palsy. Disability and Rehabilitation. 2008;30(18):1358-1366.
  • 18. Morris C, Newdick H, Johnson A. Variations in the orthotic management of cerebral palsy. Child: Care, Health and Development. 2002;28(2):139-147.
  • 19. Sahoo R, Rege S, RaoSocial S. Participation in Children with Cerebral Palsy. Online J Health Allied Sci. 2017;16(4):1-4.
  • 20. Claassen AA, Gorter JW, Stewart D, Verschuren O, Galuppi BE, Shimmell LJ. Becoming and staying physically active in adolescents with cerebral palsy: protocol of a qualitative study of facilitators and barriers to physical activity. BMC Pediatrics. 2011;11(1):1-11.
  • 21. Carlon SL, Taylor NF, Dodd KJ, Shields N. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disability and Rehabilitation. 2013;35(8):647-55.
  • 22. Maher CA, Williams MT, Olds T, Lane AE. Physical and sedentary activity in adolescents with cerebral palsy. Dev Med Child Neurol. 2007;49(6):450-457.
  • 23. Telford DM, Signal DM, Hofman PL, Gusso S. Physical activity in adolescents with and without type 1 diabetes during the New Zealand COVID-19 pandemic lockdown of 2020. Int J Environ Res Public Health. 2021;18(9):4475.
  • 24. El C, Huzmeli I, Dogru Huzmeli E, Duman F. Evaluation of cardiorespiratory state in patients with cerebral palsy. Ann Med Res. 2019;26(3):447-451.
  • 25. Akınoğlu B, Nezire K. Hemiparetik ve diparetik serebral paralizili çocuklarda fiziksel uygunluk düzeyinin belirlenmesi. Fizyoterapi Rehabilitasyon. 2018;29(1):11-18.
  • 26. Ulrich S, Hildenbrand FF, Treder U, Fischler M, Keusch S, Speich R et al. Reference values for the 6-minute walk test in healthy children and adolescents in Switzerland. BMC Pulmonary Medicine. 2013;13(1):49.
  • 27. García CC, Alcocer-Gamboa A, Ruiz MP, Caballero IM, Faigenbaum AD, Esteve-Lanao J et al. Metabolic, cardiorespiratory, and neuromuscular fitness performance in children with cerebral palsy: a comparison with healthy youth. J Exerc Rehabil. 2016;12(2):124-131.
  • 28. Panibatla S, Kumar V, Narayan A. Relationship between trunk control and balance in children with spastic cerebral palsy: a cross-sectional study. J Clin Diagn Res. 2017;11(9):05-8.
  • 29. Özal C, Günel MK. Spastik serebral palsili çocuklarda gövde kontrolü ile fonksiyonel mobilite ve denge arasındaki ilişkinin incelenmesi. Journal of Exercise Therapy and Rehabilitation. 2014;1(1):01-8.
  • 30. Gillett JG, Lichtwark GA, Boyd RN, Barber LA. Functional capacity in adults with cerebral palsy: lower limb muscle strength matters. Arch Phys Med Rehabil. 2018;99(5):900-906.

Adölesan Serebral Palsili Bireylerde Fiziksel Aktivite ve Fiziksel Uygunluk Seviyelerinin Değerlendirilmesi

Yıl 2022, Cilt: 24 Sayı: 1, 73 - 82, 30.04.2022
https://doi.org/10.24938/kutfd.1009538

Öz

Amaç: Bu çalışmanın amacı, serebral palsili adölesan bireylerde fiziksel aktivite ve fiziksel uygunluk seviyelerinin değerlendirilmesidir.
Gereç ve Yöntemler: Kırk adölesan (20’si serebral palsili, 20’si sağlıklı adölesan) çalışmaya dahil edildi. Bireylerin fiziksel aktivitelerini değerlendirmek için Adölesan Fiziksel Aktivite Ölçeği; fiziksel uygunlukları değerlendirmek için Eurofit bataryasının ilgili parametrelerinin kullanıldığı sürat, esneklik ve denge değerlendirme formu; kardiyopulmoner enduransı değerlendirmek için 6 dakika yürüme testi; günlük yaşam aktivite bağımsızlığını değerlendirmek için Fonksiyonel Bağımsızlık Ölçütü ve alt ekstremite kas kuvvetini değerlendirmek için Kas Kuvveti Değerlendirme Formu kullanıldı.
Bulgular: Yapılan istatistiksel analizde; çeviklik, 6 dakika yürüme testi, esneklik, kol hareket hızı, denge değerlendirmesinde iki grup arasında anlamlı fark bulunmadı. Fiziksel aktivite ve fonksiyonel bağımsızlık açısından sağlıklı grup lehine anlamlı bir fark vardı.
Sonuç: Çalışmamız sonucunda serebral palsili adölesanların fiziksel aktivite ve fiziksel uygunluk seviyelerinin daha düşük olduğu tespit edildi. Bireylerin spor ve rekreasyonel aktivitelere yönlendirmenin önemli olduğu, bu sayede fiziksel aktivite ve uygunluk seviyelerinin artırılabileceğini ve sağlıklı akranlarıyla aradaki farkın azalacağını düşünüyoruz.

Kaynakça

  • 1. Strauss D, Shavelle R, Reynolds R, Rosenbloom L, Day S. Survival in cerebral palsy in the last 20 years: signs of improvement. Developmental Medicine & Child Neurology. 2007;49(2):86-92.
  • 2. Caspersen CJ, Powell KE, Christenson GM. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Rep. 1985;100(2):126-131.
  • 3. Conchar L, Bantjes J, Swartz L, Derman W. Barriers and facilitators to participation in physical activity: The experiences of a group of South African adolescents with cerebral palsy. J Health Psychol. 2016;21(2):152-63.
  • 4. Fowler EG, Kolobe TH, Damiano DL, Thorpe DE, Morgan DW, Brunstrom JE et al. Promotion of physical fitness and prevention of secondary conditions for children with cerebral palsy: section on pediatrics research summit proceedings. Phys Ther. 2007;87(11):1495-510.
  • 5. MacPhail HA, Kramer JF. Effect of isokinetic strength‐training on functional ability and walking efficiency in adolescents with cerebral palsy. Developmental Medicine & Child Neurology. 1995;37(9):763-75.
  • 6. Hoofwijk M, Unnithan V, Bar-Or O. Maximal treadmill performance of children with cerebral palsy. Pediatr Exerc Sci. 1995;7(3):305-13.
  • 7. Unnithan VB, Dowling JJ, Frost G, Bar-Or O. Role of co-contraction in the O2 cost of walking in children with cerebral palsy. Med Sci Sports Exerc. 1996;28(12):1498-504.
  • 8. Verschuren O, Ketelaar M, Takken T, Helders PJ, Gorter JW. Exercise programs for children with cerebral palsy: a systematic review of the literature. Am J Phys Med Rehabil. 2008;87(5):404-17.
  • 9. Verschuren O, Ada L, Maltais DB, Gorter JW, Scianni A, Ketelaar M. Muscle strengthening in children and adolescents with spastic cerebral palsy: considerations for future resistance training protocols. Phys Ther. 2011;91(7):1130-9.
  • 10. Bailey RC, Olson J, Pepper SL, Porszasz J, Barstow TJ, Cooper DM. The level and tempo of children's physical activities: an observational study. Med Sci Sports Exerc. 1995;27(7):1033-41.
  • 11. Naçar M, Günay O. Adolesan Sağlığı. In: Öztürk Y, Günay O, eds. Halk Sağlığı Genel Bilgiler. Kayseri. Erciyes Üniversitesi Yayınları, Önder Ofset, 2011:711-746.
  • 12. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Developmental Medicine & Child Neurology. 2008;50(10):744-50.
  • 13. Tanir H. The effect of physical activity level and certain anthropometric characteristics on academic achievement among the pupils at grade eight in primary schools. Unpublished doctoral thesis. Kırıkkale University, Institute of Health Sciences, Kırıkkale.2013.
  • 14. Erikoğlu Ö, Atalay Güzel N, Pense M, Erikoğlu Örer G. Comparison of physical fitness parameters with EUROFIT Test Battery of male adolescent soccer players and sedentary counterparts. International Journal of Science Culture and Sport. 2015;3(3):43-52.
  • 15. Leunkeu AN, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Phys Med Rehabil. 2012;93(12):2333-2339.
  • 16. Kucukdeveci AA, Yavuzer G, Elhan AH, Sonel B, Tennant A. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
  • 17. Verschuren O, Ketelaar M, Takken T, Van Brussel M, Helders PJ, Gorter JW. Reliability of hand-held dynamometry and functional strength tests for the lower extremity in children with cerebral palsy. Disability and Rehabilitation. 2008;30(18):1358-1366.
  • 18. Morris C, Newdick H, Johnson A. Variations in the orthotic management of cerebral palsy. Child: Care, Health and Development. 2002;28(2):139-147.
  • 19. Sahoo R, Rege S, RaoSocial S. Participation in Children with Cerebral Palsy. Online J Health Allied Sci. 2017;16(4):1-4.
  • 20. Claassen AA, Gorter JW, Stewart D, Verschuren O, Galuppi BE, Shimmell LJ. Becoming and staying physically active in adolescents with cerebral palsy: protocol of a qualitative study of facilitators and barriers to physical activity. BMC Pediatrics. 2011;11(1):1-11.
  • 21. Carlon SL, Taylor NF, Dodd KJ, Shields N. Differences in habitual physical activity levels of young people with cerebral palsy and their typically developing peers: a systematic review. Disability and Rehabilitation. 2013;35(8):647-55.
  • 22. Maher CA, Williams MT, Olds T, Lane AE. Physical and sedentary activity in adolescents with cerebral palsy. Dev Med Child Neurol. 2007;49(6):450-457.
  • 23. Telford DM, Signal DM, Hofman PL, Gusso S. Physical activity in adolescents with and without type 1 diabetes during the New Zealand COVID-19 pandemic lockdown of 2020. Int J Environ Res Public Health. 2021;18(9):4475.
  • 24. El C, Huzmeli I, Dogru Huzmeli E, Duman F. Evaluation of cardiorespiratory state in patients with cerebral palsy. Ann Med Res. 2019;26(3):447-451.
  • 25. Akınoğlu B, Nezire K. Hemiparetik ve diparetik serebral paralizili çocuklarda fiziksel uygunluk düzeyinin belirlenmesi. Fizyoterapi Rehabilitasyon. 2018;29(1):11-18.
  • 26. Ulrich S, Hildenbrand FF, Treder U, Fischler M, Keusch S, Speich R et al. Reference values for the 6-minute walk test in healthy children and adolescents in Switzerland. BMC Pulmonary Medicine. 2013;13(1):49.
  • 27. García CC, Alcocer-Gamboa A, Ruiz MP, Caballero IM, Faigenbaum AD, Esteve-Lanao J et al. Metabolic, cardiorespiratory, and neuromuscular fitness performance in children with cerebral palsy: a comparison with healthy youth. J Exerc Rehabil. 2016;12(2):124-131.
  • 28. Panibatla S, Kumar V, Narayan A. Relationship between trunk control and balance in children with spastic cerebral palsy: a cross-sectional study. J Clin Diagn Res. 2017;11(9):05-8.
  • 29. Özal C, Günel MK. Spastik serebral palsili çocuklarda gövde kontrolü ile fonksiyonel mobilite ve denge arasındaki ilişkinin incelenmesi. Journal of Exercise Therapy and Rehabilitation. 2014;1(1):01-8.
  • 30. Gillett JG, Lichtwark GA, Boyd RN, Barber LA. Functional capacity in adults with cerebral palsy: lower limb muscle strength matters. Arch Phys Med Rehabil. 2018;99(5):900-906.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Hanifi Erol 0000-0002-8017-6000

Meral Sertel 0000-0002-7575-9762

Ayşegül Alpcan 0000-0001-9447-4263

Mutluay Arslan 0000-0002-6520-1810

Yayımlanma Tarihi 30 Nisan 2022
Gönderilme Tarihi 14 Ekim 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 24 Sayı: 1

Kaynak Göster

APA Erol, H., Sertel, M., Alpcan, A., Arslan, M. (2022). THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 24(1), 73-82. https://doi.org/10.24938/kutfd.1009538
AMA Erol H, Sertel M, Alpcan A, Arslan M. THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY. Kırıkkale Üni Tıp Derg. Nisan 2022;24(1):73-82. doi:10.24938/kutfd.1009538
Chicago Erol, Hanifi, Meral Sertel, Ayşegül Alpcan, ve Mutluay Arslan. “THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24, sy. 1 (Nisan 2022): 73-82. https://doi.org/10.24938/kutfd.1009538.
EndNote Erol H, Sertel M, Alpcan A, Arslan M (01 Nisan 2022) THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24 1 73–82.
IEEE H. Erol, M. Sertel, A. Alpcan, ve M. Arslan, “THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY”, Kırıkkale Üni Tıp Derg, c. 24, sy. 1, ss. 73–82, 2022, doi: 10.24938/kutfd.1009538.
ISNAD Erol, Hanifi vd. “THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi 24/1 (Nisan 2022), 73-82. https://doi.org/10.24938/kutfd.1009538.
JAMA Erol H, Sertel M, Alpcan A, Arslan M. THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY. Kırıkkale Üni Tıp Derg. 2022;24:73–82.
MLA Erol, Hanifi vd. “THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY”. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, c. 24, sy. 1, 2022, ss. 73-82, doi:10.24938/kutfd.1009538.
Vancouver Erol H, Sertel M, Alpcan A, Arslan M. THE EVALUATION OF PHYSICAL ACTIVITY AND PHYSICAL FITNESS LEVELS IN ADOLESCENT INDIVIDUALS WITH CEREBRAL PALSY. Kırıkkale Üni Tıp Derg. 2022;24(1):73-82.

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