Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Participation and its Correlation with Upper Extremity Strength in Individuals with Spina Bifida: Correlation Study
Spina Bifidalı Bireylerde Katılım ve Üst Ekstremite Kuvveti ile İlişkisi: Korelasyon Çalışması
Hatice EKİNALAN KAYHANa , Bahar KÜLÜNKOĞLUb
aProgram of Radiotherapy, Ankara University Vocational School of Health Services, Ankara Türkiye
bDepartment of Physiotherapy and Rehabilitation, Yıldırım Beyazıt University Faculty of Health Sciences, Ankara, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(1):92-9
doi: 10.5336/healthsci.2023-97564
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of this study was to compare participation and upper extremity muscle strength in individuals with spina bifida (SB) and their normally developing peers, and to investigate the correlation between participation and upper extremity muscle strength in individuals with SB. Material and Methods: Twenty three individuals with SB (SB group) and twenty three normally developing individuals (control group) aged 6-12 years were included in the study. Participation was evaluated with ''Child and Adolescent Participation Scale'', muscle strength with ''Hand Held Dynamometer'', grip strength with ''Hand Dynamometer'', pinch strength with ''Pinchmeter''. Results: Participation, shoulder flexion, shoulder abduction, elbow flexion and elbow extension muscle strength, dominant side grip strength and lateral, palmar and finger tip pinch strength were significantly lower in individuals with SB compared to their normally developing peers (p<0.05). In addition, there was a positive correlation between participation and upper extremity muscle strength, grip strength and pinch strength in individuals with SB (p<0.05). Conclusion: Upper extremity muscle strength, grip strength and pinch strength are related to participation in individuals with SB. Increasing upper extremity muscle strength may contribute to increased participation. Upper extremity muscle strength should be evaluated in individuals with SB and included in the rehabilitation program.

Keywords: Spinal dysraphism; participation; upper extremity; muscle strength; grip strength; pinch strength
ÖZET
 Amaç: Bu çalışmanın amacı, spina bifidalı (SB) bireylerde ve normal gelişim gösteren akranlarında katılım ve üst ekstremite kuvvetinin karşılaştırılması ve SB'li bireylerde katılım ve üst ekstremite kas kuvveti ile ilişkisinin incelenmesidir. Gereç ve Yöntemler: Çalışmaya 6-12 yaş arası 23 SB'li birey (SB grubu) ve 23 normal gelişim gösteren birey (kontrol grubu) dâhil edildi. Katılım ''Çocuk ve Ergen Katılım Ölçeği'', kas kuvveti ''İzometrik Dinamometre'', kavrama kuvveti ''El Dinamometresi'', parmak kavrama kuvveti ''Pinçmetre'' ile değerlendirildi. Bulgular: SB'li bireylerde katılım, omuz fleksiyon, omuz abdüksiyon, dirsek fleksiyon ve dirsek ekstansiyon kas kuvveti, dominant taraf kavrama kuvveti ve lateral, palmar ve parmak ucu kavrama kuvveti normal gelişim gösteren akranlarına göre anlamlı derecede düşüktü (p<0,05). Ayrıca SB'li bireylerde katılım ile üst ekstremite kas kuvveti, kavrama kuvveti ve parmak kavrama kuvveti arasında pozitif korelasyon vardı (p<0,05). Sonuç: SB'li bireylerde üst ekstremite kas kuvveti, kavrama kuvveti ve parmak kavrama kuvveti katılım ile ilişkilidir. SB'li bireylerde üst ekstremite kas kuvvetinin artırılması katılımın artmasına katkı sağlayabilir. SB'li bireylerde üst ekstremite kas kuvveti değerlendirilmeli ve rehabilitasyon programına dâhil edilmelidir.

Anahtar Kelimeler: Omurga disrafisi; katılım; üst ekstremite; kas kuvveti; kavrama kuvveti; sıkma kuvveti
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