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POLİOMYELİT SEKELİ OLAN ÇOCUKLARDA ALT EKSTREMİTE VE GÖVDEDE KAS KUVVET DAĞILIMI

Yıl 2007, Sayı: 2, 29 - 42, 01.11.2007

Öz

Poliomyelitli çocuklarda alt ekstremite ve gövdeye ait kaslardaki kuvvet dağılımını incelemek amacı ile Ankara Ortopedik Özürlüler Okulu’nda eğitim gören ve poliomyelit sekeli olan 76 çocukta alt ekstremite ve gövdeye ait 18 kas grubuna manüel kas testi uygulanarak, toplam 2452 kas değerlendirilmiştir. Çalışmanın sonunda poliomyelitte en çok tutulan ve tam paralizi veya pleji tablosu gösteren kasların tibialis anterior (%17. 9), peroneal kaslar (%17. 9), gastrosoleus (%16. 7) ve quadriceps femoris olduğu (%9. 5), daha sonra bunu sırasıyla tibialis posterior (%8. 3), dış hamstringler (%7. 1), iç hamstringler (%6) ve kalça adduktörlerinin (%4. 8) izlediği gözlenmiştir. En az tutulan kasların ise gövde kasları ile kalça fleksör ve ekstansörlerinin olduğu ve quadratus lumborumun genellikle tutulmadığı gözlenmiştir. Sonuç olarak bu kaslardaki zayıflığın bilinmesi ve belirli aralıklarla değerlendirilmesinin poliomyelitin kliniğinde, tedavisinde ve postpolio sendromu gibi ilerideki klinik değişikliklerde önemi vardır

Kaynakça

  • 1. Adkins HV ve diğerleri, ‘‘Selective stretching for the paralytic patient, ’’ Phys Ther Rev 1960; 40: 644-648.
  • Agre JC, Rodriquez AA. ‘‘Muscular function in late polio and role of exercise in post- polio patients, ’’ Neuro Rehab 1997; 8(2): 107-118.
  • Agre JC ve diğerleri, ‘‘Strength, endurance and work capacity after muscle strengthening exercise in post polio subjects, ’’ Arch Phys Med Reh 1997; 78(7): 681- 686.
  • Arora SS, Tandon H. ‘‘Prediction of walking possibility in crawling children in poliomyelitis, ’’ J Pediatr Orthop 1999; 19(6): 715-719.
  • Bajoghli M ve diğerleri, ‘‘Paralytic poliomyelitis in Isfahan, ’’ Environmental Child Health 1977; 10: 35-37.
  • Baker PCH. ‘‘Neuromuscular symptoms in patients with previous poliomyelitis: A New Zealand Study, ’’ New Zealand Med J 1989; 3: 132-134.
  • Beelen A ve diğerleri, ‘‘Quadriceps muscle strength and voluntary activation after polio, ’’ Muscle Nerve, 2003; 28: 218-226.
  • Chandra Kenta JJ, Varma SK. ‘‘Comparison of muscle recovery in poliomyelitis in patients receiving regular physiotherapy at home or in the hospital, ’’ Indian J Pediatr 1979; 46: 266-274.
  • Conner AN. ‘‘the treatment of flexion contractures of the knee, ’’ J Bone Joint Surg 1970; 52 B: 138-144.
  • Daniels L, Worthingham C. Muscle testing techniques of Manuel examination. 3rd ed. Philadelphia: W. B: Saunders Company, 1972.
  • Frustace SJ. ‘‘Poliomyelitis: late and unusual sequelae, ’’ Am J Phys Med 1988; 66: 328-337.
  • Gelland WI. The post-paralytic treatment of poliomyelitis from the orthopediz standpoint. Arch Phys Med Rehabil 1969; 49: 525-530.
  • Grimby G. Ve diğerleri, ‘‘Reduction in thigh muscle cross-sectional area and strength in a 4 year follow-up in late poliomyelitis, ’’ Arch Phys Med Rehabil 1996; 77(10): 1044-1047.
  • Gross MT, Schuch CP. ‘‘Exercise programs for patients with previous poliomyelitis: A New Zealand Study, ’’ New Zealand Med J 1989; 3: 132-134.
  • Gu JN. ‘‘Relation between pathology and strength post-poliomyelitis, ’’ Chung Hua Wai Ko Tsa Chih 1988; 26 (4): 235-6, 256.
  • Hoshino S. ve diğerleri ‘‘A case of post poliomyelitis muscular atrophy with cranial nerve signs and wide spread muscular atrophy of the extremities, ’’ Clin North Am 1997; 37(5): 407-409.
  • Huckstep RL. ‘‘Poliomyelitis in Uganda, ’’ Physiotherapy 1970; 56: 347-353.
  • Krol J. Rehabilitation surgery for deformities due to poliomyelitis. Eastern WHO library: 1993: 13-36.
  • Lister MJ. ‘‘Bracing the unstable knee flaccid paralysis, principles, of lower extremity bracing, ’’ In: Perry J, Hislop H, eds. Principles of Lower Extremity Bracing. 8 th. ed New York: American Physical Therapy Assoc Publishing, 1982: 38-48.
  • Mabogunje EO. ‘‘Paralytic poliomyelitis and physiotherapy, ’’ Tropical Doctor 1986; 16: 34-37.
  • Meineri P. ve diğerleri, ‘‘Post-poliomyelitic motor neuron disease, ’’ Eur Neurol. 1988; 28: 177-180.
  • Natarajan K, Ramaratnom K, Verme SK. ‘‘Recovery in lower limb muscles in poliomyelitis of 6 months duration, ’’ Indian J Pediatr 1969; 36: 459-465.
  • Perry J. Poliomylitis. In: Nickel VL, Botte MJ eds, Orthopedic Rehabilitation. 2 nd ed. New York: Churchill Livingstone, 1992; 493-521.
  • Serratrice G, Milandre I. ‘‘Late post-polioyelitic muscular atrophy, ’’ Sem Hop 1984; 60(3): 149-53.
  • Sharma JC. ve diğerleri, ‘‘Residual poliomyelitis of lower limb-pattern and deformity, ’’ Indian J Pediatr 1991; 58(2): 233-238.
  • Shahcheraghi GH, Javid M. ‘‘Abductor paralysis and external oblique transfer, ’’ J Pediatr Orthop 2000; 20(3): 380-382.
  • Sharrad WJW. ‘‘Muscle recovery in poliomyelitis, ’’ J Bone Joint Surg 1955; 37 B. 63- 79.
  • Sharrad WJW. ‘‘The distribution of the permanent paralysis in the lower limb in poliomyelitis of 6 months duration, ’’ Indian J Pediatr 1969; 36: 459-465.
  • Sharrad WJW. ‘‘Poliomyelitis, ’’ Physiotherapy 1964; 50: 17-23.
  • Singhi PD. ‘‘Problems in the rehabilitation of paralytic poliomyelitis, ’’ Indian J Pediatr 1987; 24: 203-206.
  • Snyder JD ve diğerleri, ‘‘Prevalence of residual paralysis from paralytic poliomyelitis in Rural population of Bangladesh, ’’ Am J Trop Med Hyg 1981; 30: 426-430.
  • Uygur F, Günaydın T. ‘‘Postpolio Sendromu, ’’ BEGV, 1991; 2(13): 31-34.
  • Vallbona C ve diğerleri, ‘‘Recovery of strength in acute polyneuritis and poliomyelitis, ’’ Arch Phys Med Rehabil 1989; 70: 371-375.
  • Waring P ve diğerleri, ‘‘Influence of appropriate lower extremity orthotic management on ambulation, pain and fatique in a postpolio population, ’’ Arch Phys Med Rehabil 1989; 70: 371-375.
  • Tachdjian MO. Pediatric Orthopedic. 2 nd ed. Philadelphia WB Saunders Company, 1990; (3): 1910-1957.

THE DISTRIBUTION OF MUSCLE STRENGTH OF THE LOWER EXTREMITY AND TRUNK MUSCLES IN POLIOMYELITIS SEQUELLED CHILDREN

Yıl 2007, Sayı: 2, 29 - 42, 01.11.2007

Öz

With the aim of assessing the distribution of muscle strength in the lower extremity and trunk muscles of 76 children with poliomyelitis in the ‘School for Orthopedically Handicapped Children’ were evaluated. Manual muscle testing techniques were used to test 18 muscle groups, as a total 2452 muscles in which lower extremity and trunk. The results of the study showed that the most frequently affected muscles which are flaccid or completely paralyzed were tibialis anterior (17. 9%), peroneal muscles (17. 9%), gastrosoleus (16. 7%) and quadriceps femoris (9. 5 %) followed by tibialis posterior (8. 3%), lateral (7. 1%) and medial (6%) hamstrings and hip adductors (4. 8%), respectively. It was found that the lowest incidence of affection of muscles was trunk muscles, hip flexors and extensors and, quadratus lumborum remained in normal strength. In conclusion, determining of the weakness in muscles and examining of the muscle strength with regular intervals in poliomyelitis squalled children are very important for clinical features and treatment of the poliomyelitis which may leads to post-polio syndrome

Kaynakça

  • 1. Adkins HV ve diğerleri, ‘‘Selective stretching for the paralytic patient, ’’ Phys Ther Rev 1960; 40: 644-648.
  • Agre JC, Rodriquez AA. ‘‘Muscular function in late polio and role of exercise in post- polio patients, ’’ Neuro Rehab 1997; 8(2): 107-118.
  • Agre JC ve diğerleri, ‘‘Strength, endurance and work capacity after muscle strengthening exercise in post polio subjects, ’’ Arch Phys Med Reh 1997; 78(7): 681- 686.
  • Arora SS, Tandon H. ‘‘Prediction of walking possibility in crawling children in poliomyelitis, ’’ J Pediatr Orthop 1999; 19(6): 715-719.
  • Bajoghli M ve diğerleri, ‘‘Paralytic poliomyelitis in Isfahan, ’’ Environmental Child Health 1977; 10: 35-37.
  • Baker PCH. ‘‘Neuromuscular symptoms in patients with previous poliomyelitis: A New Zealand Study, ’’ New Zealand Med J 1989; 3: 132-134.
  • Beelen A ve diğerleri, ‘‘Quadriceps muscle strength and voluntary activation after polio, ’’ Muscle Nerve, 2003; 28: 218-226.
  • Chandra Kenta JJ, Varma SK. ‘‘Comparison of muscle recovery in poliomyelitis in patients receiving regular physiotherapy at home or in the hospital, ’’ Indian J Pediatr 1979; 46: 266-274.
  • Conner AN. ‘‘the treatment of flexion contractures of the knee, ’’ J Bone Joint Surg 1970; 52 B: 138-144.
  • Daniels L, Worthingham C. Muscle testing techniques of Manuel examination. 3rd ed. Philadelphia: W. B: Saunders Company, 1972.
  • Frustace SJ. ‘‘Poliomyelitis: late and unusual sequelae, ’’ Am J Phys Med 1988; 66: 328-337.
  • Gelland WI. The post-paralytic treatment of poliomyelitis from the orthopediz standpoint. Arch Phys Med Rehabil 1969; 49: 525-530.
  • Grimby G. Ve diğerleri, ‘‘Reduction in thigh muscle cross-sectional area and strength in a 4 year follow-up in late poliomyelitis, ’’ Arch Phys Med Rehabil 1996; 77(10): 1044-1047.
  • Gross MT, Schuch CP. ‘‘Exercise programs for patients with previous poliomyelitis: A New Zealand Study, ’’ New Zealand Med J 1989; 3: 132-134.
  • Gu JN. ‘‘Relation between pathology and strength post-poliomyelitis, ’’ Chung Hua Wai Ko Tsa Chih 1988; 26 (4): 235-6, 256.
  • Hoshino S. ve diğerleri ‘‘A case of post poliomyelitis muscular atrophy with cranial nerve signs and wide spread muscular atrophy of the extremities, ’’ Clin North Am 1997; 37(5): 407-409.
  • Huckstep RL. ‘‘Poliomyelitis in Uganda, ’’ Physiotherapy 1970; 56: 347-353.
  • Krol J. Rehabilitation surgery for deformities due to poliomyelitis. Eastern WHO library: 1993: 13-36.
  • Lister MJ. ‘‘Bracing the unstable knee flaccid paralysis, principles, of lower extremity bracing, ’’ In: Perry J, Hislop H, eds. Principles of Lower Extremity Bracing. 8 th. ed New York: American Physical Therapy Assoc Publishing, 1982: 38-48.
  • Mabogunje EO. ‘‘Paralytic poliomyelitis and physiotherapy, ’’ Tropical Doctor 1986; 16: 34-37.
  • Meineri P. ve diğerleri, ‘‘Post-poliomyelitic motor neuron disease, ’’ Eur Neurol. 1988; 28: 177-180.
  • Natarajan K, Ramaratnom K, Verme SK. ‘‘Recovery in lower limb muscles in poliomyelitis of 6 months duration, ’’ Indian J Pediatr 1969; 36: 459-465.
  • Perry J. Poliomylitis. In: Nickel VL, Botte MJ eds, Orthopedic Rehabilitation. 2 nd ed. New York: Churchill Livingstone, 1992; 493-521.
  • Serratrice G, Milandre I. ‘‘Late post-polioyelitic muscular atrophy, ’’ Sem Hop 1984; 60(3): 149-53.
  • Sharma JC. ve diğerleri, ‘‘Residual poliomyelitis of lower limb-pattern and deformity, ’’ Indian J Pediatr 1991; 58(2): 233-238.
  • Shahcheraghi GH, Javid M. ‘‘Abductor paralysis and external oblique transfer, ’’ J Pediatr Orthop 2000; 20(3): 380-382.
  • Sharrad WJW. ‘‘Muscle recovery in poliomyelitis, ’’ J Bone Joint Surg 1955; 37 B. 63- 79.
  • Sharrad WJW. ‘‘The distribution of the permanent paralysis in the lower limb in poliomyelitis of 6 months duration, ’’ Indian J Pediatr 1969; 36: 459-465.
  • Sharrad WJW. ‘‘Poliomyelitis, ’’ Physiotherapy 1964; 50: 17-23.
  • Singhi PD. ‘‘Problems in the rehabilitation of paralytic poliomyelitis, ’’ Indian J Pediatr 1987; 24: 203-206.
  • Snyder JD ve diğerleri, ‘‘Prevalence of residual paralysis from paralytic poliomyelitis in Rural population of Bangladesh, ’’ Am J Trop Med Hyg 1981; 30: 426-430.
  • Uygur F, Günaydın T. ‘‘Postpolio Sendromu, ’’ BEGV, 1991; 2(13): 31-34.
  • Vallbona C ve diğerleri, ‘‘Recovery of strength in acute polyneuritis and poliomyelitis, ’’ Arch Phys Med Rehabil 1989; 70: 371-375.
  • Waring P ve diğerleri, ‘‘Influence of appropriate lower extremity orthotic management on ambulation, pain and fatique in a postpolio population, ’’ Arch Phys Med Rehabil 1989; 70: 371-375.
  • Tachdjian MO. Pediatric Orthopedic. 2 nd ed. Philadelphia WB Saunders Company, 1990; (3): 1910-1957.
Toplam 35 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Araştırma Makalesi
Yazarlar

Türkan Akbayrak Bu kişi benim

Filiz Can Bu kişi benim

Fatma Uygur Bu kişi benim

Serap Kaya Bu kişi benim

Yayımlanma Tarihi 1 Kasım 2007
Yayımlandığı Sayı Yıl 2007 Sayı: 2

Kaynak Göster

APA Akbayrak, T., Can, F., Uygur, F., Kaya, S. (2007). POLİOMYELİT SEKELİ OLAN ÇOCUKLARDA ALT EKSTREMİTE VE GÖVDEDE KAS KUVVET DAĞILIMI. Ufkun Ötesi Bilim Dergisi(2), 29-42.