Çocukların aktivite ve katılım düzeylerinin belirlenmesi ev, okul ve toplumsal alanlardaki faaliyetlerinin planlanması ve geliştirilmesinde önemli bir yer tutmaktadır. Pediatrik popülasyona özgü geliştirilen aktivite ve katılım değerlendirme araçları, tüm dünyada yaygın olarak kullanılmakla birlikte birçoğu Türkçeye uyarlanmıştır. Aktivite ve katılım; İşlevsellik, Yeti Yitimi ve Sağlığın Uluslararası Sınıflandırması-Çocuk ve Genç Versiyonu'na göre kaba motor fonksiyonlar, üst ekstremite fonksiyonları, günlük yaşam aktivitelerindeki bağımsızlık düzeyi, denge, yürüme, süreli performans ve fonksiyonel bağımsızlık düzeyi alt boyutları ile değerlendirilmektedir. Bu bağlamda çocukların gelişimlerinin izlenmesi ve tedavi hedeflerinin belirlenmesi için geçerli ve güvenilir araçlar kullanmak oldukça önemlidir. İlgili literatürde, kaba motor fonksiyonları, dengeyi, yürümeyi ve yaşam kalitesini değerlendiren araçların Türkçeye uyarlanmış formlarının az sayıda olduğu dikkat çekmektedir. Üst ekstremite fonksiyonlarını değerlendiren Türkçe ölçme araçlarının çoğunlukta olduğu; ancak fiziksel aktivite ile ilgili sınırlı sayıda olduğu ve fiziksel aktivite ölçümlerin daha çok gözlemsel ve deneysel yöntemlerle yapıldığı görülmektedir. Denge ölçeklerinin ise yönergelerinin uzun olması Türkçe adaptasyona ihtiyacı arttırmıştır. Aktivite ve katılım düzeyinin değerlendirilmesine olan ihtiyacın artmasıyla dil adaptasyonu yapılan ölçme araçlarına erişim daha da önem kazanmıştır. Dil adaptasyonu yapılmamış ölçeklerin kullanımı objektif sonuçlar elde etmede yetersiz kalabilecektir. Bu bakımdan, çocuklarda aktivite ve katılım düzeyini ölçen Türkçeye uyarlanmış araçlar hakkında detaylı bilgi sahibi olmak pediatri alanında çalışan klinisyen ve akademisyenlere önemli katkı sağlayacaktır.
Anahtar Kelimeler: Günlük yaşam aktiviteleri; toplumsal katılım; pediatri
Determining the activity and participation level of children has an important place in the planning and development of their activities at home, school and social areas. Activity and participation assessment tools developed for pediatric population are widely used all over the world and many of them have been adapted into Turkish. According to the International Classification of Functioning, Disability and Health, Children and Youth Version, activity and participation are evaluated with sub-di mensions such as gross motor functions, upper extremity functions, level of independence in activities of daily living, balance, walking, timed performance and functional independence level. In this context, it is very important to use valid and reliable tools for monitoring the development of children and determining treatment goals. When the re lated literature is examined, it is noteworthy that there are few Turkish-adapted forms of the tools that evaluate gross motor function, balance, gait, and quality of life. It is seen that Turkish measurement tools evaluating upper extremity functions are in the majority, but there are limited numbers of physical activity and physical activity measurements, mostly made with observational and experimental methods. The fact that the instructions of the balance scales were long increased the need for Turkish adaptation. Access to languageadapted measurement tools has become even more impor tant with the increasing need for evaluating the level of activity and participation. The use of scales without language adaptation may be insufficient to obtain objective results. In this respect, having detailed information about the Turkish-adapted tools that measure the level of activity and participa tion in children will make a significant contribution to clinicians and academics working in the field of pediatrics.
Keywords: Activities of daily living; community participation; pediatrics
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