Turkiye Klinikleri Journal of Pediatrics

.: ORIGINAL RESEARCH
Serebral Palsili Çocuklarda Gövde Kontrolü ve Gövde Enduransının Üst Ekstremite Enduransı, Denge ve Fonksiyonel Mobilite ile İlişkisinin İncelenmesi: Kesitsel Bir Çalışma
Investigation of the Relationship of Trunk Control and Trunk Endurance with Upper Extremity Endurance, Balance and Functional Mobility in Children with Cerebral Palsy: A Cross-Sectional Study
Ayşe Asena YEKDANEHa, Nilay ARMANb
aİstanbul Üniversitesi-Cerrahpaşa Lisansüstü Eğitim Enstitüsü, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye
bİstanbul Üniversitesi-Cerrahpaşa Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, İstanbul, Türkiye
Turkiye Klinikleri J Pediatr. 2023;32(1):18-25
doi: 10.5336/pediatr.2022-90251
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, serebral palsili (SP) çocuklarda gövde kontrolü ve gövde enduransının değerlendirilmesi ve üst ekstremite enduransı, denge ve fonksiyonel mobilite ile ilişkisinin incelenmesidir.Gereç ve Yöntemler: Çalışma, 6-18 yaş arasındaki Kaba Motor Fonksiyon Sınıflandırma Sistemine göre I ve II seviyelerindeki 32 SP'li çocuk ve adölesan ile yapıldı. SP'li olgular için gövde kontrolü Gövde Kontrol Ölçüm Skalası (GKÖS), gövde enduransı Gövde Fleksör Testi (GFT), üst ekstremite enduransı Modifiye Şınav Testi (MŞT), denge Pediatrik Denge Ölçeği (PDÖ) ve fonksiyonel mobilite Süreli Kalk Yürü Testi (SKYT) ile değerlendirildi. Verilerin analizi için SPSS 21.0 programı kullanıldı. Bulgular: MŞT dışında GKÖS-Statik Oturma Dengesi ile bütün parametreler arasında anlamlı korelasyon bulundu. GKÖS-Dinamik Oturma Dengesi ile GKÖS TOTAL, PDÖ ve GFT arasında anlamlı korelasyon bulundu. Ayrıca PDÖ ile SKYT arasında, SKYT ile GFT arasında ve MŞT ile PDÖ arasında istatistiksel olarak anlamlı korelasyon bulundu (p<0,05). Sonuç: SP'li çocuklarda, gövde kontrolünün ve gövde enduransının fonksiyonel mobilite ve denge, gövde enduransının statik ve dinamik oturmadaki gövde kontrolü, ayrıca üst ekstremite enduransının ise denge ile ilişkisi olduğu bulunmuştur. Her fonksiyonel seviyedeki SP'li çocuk ve adölesanlarda fizyoterapi ve rehabilitasyon programı planlanırken; gövde kontrolü, gövde enduransı ve denge üzerine odaklanan değerlendirme ve egzersizlere yer verilmesinin fonksiyonel açıdan faydalı olacağı düşünülmektedir.

Anahtar Kelimeler: Serebral palsi; postüral denge; fiziksel dayanıklılık; hareket kısıtlılığı; üst ekstremite
ABSTRACT
 Objective: The aim of this study is to evaluate trunk control and trunk endurance in children with cerebral palsy (CP) and to examine its relationship with upper extremity endurance, balance and functional mobility. Material and Methods: Thirty two children and adolescents with CP at I and II levels according to Gross Motor Function Classification System, between the ages of 6 and 18 were included. For participants with CP, trunk control was evaluated with Trunk Control Measurement Scale (TCMS), trunk endurance was evaluated with Trunk Flexor Test (TFT), upper extremity endurance was evaluated with Modified Push-up Test (MPT), balance was evaluated with Pediatric Balance Scale (PBS) and functional mobility was evaluated with Timed Up and Go Test (TUG). SPSS 21.0 program was used for the analysis of the data. Results: Statistically significant correlations were found between TCMS-Static Sitting Balance with all parameters except MPT. A significant correlation was found between TCMS-Dynamic Sitting Balance with TCMS TOTAL, PBL and GFT. And also, significant correlations were found between PBS with TUG, TUG with TFT, and MPT with PBS (p<0,05). Conclusion: In children with CP, trunk control and trunk endurance were found to be associated with functional mobility and balance, trunk endurance with trunk control during dynamic and static sitting and upper extremity endurance with balance. When planning a physiotherapy and rehabilitation program for children and adolescents with CP at all functional levels, it is thought that it would be functionally beneficial to include assessments and exercises focusing on trunk control, trunk endurance and balance.

Keywords: Cerebral palsy; postural balance; physical endurance; mobility limitation; upper extremity
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