SEREBRAL PALSİ’Lİ BİREYLERDE GÖRÜLEN KALÇA EKLEMİ PROBLEMLERİ VE PROBLEMLERİN YÖNETİMİ “FİZYOTERAPİST GÖZÜYLE”

Yıl 2011, Sayı: 1, 5 - 18, 01.05.2011

Ayşe Numanoğlu Meltem Yazıcı Mintaze Kerem Günel

Öz

Çocuklarla çalışan fizyoterapistler yaygın olarak kalça problemleriyle karşılaşmaktadır. Bu çalışma Serebral Palsi’yle ilişkili olarak kalçanın gelişimi, kalçada görülebilecek problemler ve bu problemlerin tedavisiyle ilgili literatür bilgisi içermektedir. Yeni doğan döneminde Gelişimsel Kalça Displazisi görülme sıklığı 1/100, tam çıkıklı çocuk görülme sıklığı da 1/1000 olarak bildirilmektedir. Ülkemizde ise kundaklama alışkanlığının olması, yeni doğanın ayaklarından tutularak baş aşağı sarkıtılması, bebeğin bacakları düzgün olsun diye kalça ve dizlerinin uzatılmaya çalışılması ya da bebeğin sıkı giydirilmesi gibi olumsuz uygulamalar nedeniyle kalça çıkığı görülme sıklığının verilen rakamlardan bir hayli yüksek olduğu kabul edilmektedir. Bu oranın 1000 canlı doğumda 10 ila15 arasında olduğu öngörülmektedir (Köse N., Ömeroğlu H., Dağlar B. 2010). Kalça çıkığının oluşma nedenlerini ve nasıl önlenebileceğini iyi anlayabilmemiz için kalça eklemi yapılarını ve gelişimlerini tanımamız gerekmektedir. Bu bilgiler çocuğun normal gelişim sürecindeki beklentilerimizi, yaklaşımlarımızı belirlememiz için yarar sağlayacaktır

Anahtar Kelimeler

Serebral Palsi, Kalça, Displazi, Fizyoterapi, Subluksasyon

Hip Problems Seen in Cerebral Palsy and Management of These Problems “From Physiotherapist’s Perspective”

Öz

Physiotherapist who works with children usually encounter with hip problems. This
study includes literature knowledge of hip development associated with Cerebral
Palsy, problems of hip and the treatments of these problems. In newborn the
frequency of developmental hip dysplasia is reported as 1/100 and complete
displacement reported as 1/1000. The frequency of hip dislocation in our country
accepted higher than the given numbers because of such unfavorable applications
like swaddling, keeping the baby upside-down after birth, stretching of the baby's legships and knees for the sake of shaping baby’s lower limbs or thigh clothing of babies.
The frequency has been prescribed 10-15 in 1000 live births. To understand reasons
of hip dislocation and how to prevent hip dislocation we should know hip joint structure
and hip development. This knowledge will be useful for us to determine our
expectance and approach in baby’s normal motor development.

Anahtar Kelimeler

Cerebral Palsy, Hip, Dysplasia, Physiotherapy, Subluxation

Kaynakça

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