COMPARISON OF FUNCTIONAL WALKING, BALANCE, AND FUNCTIONAL INDEPENDENCE IN CHILDREN WITH DIPLEGIC AND HEMIPLEGIC CEREBRAL PALSY

Kamal Alaayedi; Anıl Özdoğru

Makale detayları

COMPARISON OF FUNCTIONAL WALKING, BALANCE, AND FUNCTIONAL INDEPENDENCE IN CHILDREN WITH DIPLEGIC AND HEMIPLEGIC CEREBRAL PALSY

Yazarlar:

Kamal Alaayedi | Anıl Özdoğru

Yayıncı:

Selcuk University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.5 Issue 3, pp.314-325

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334282

pISSN:

2717-8250

Anahtar kelimeler:

Özet:

 Purpose: Cerebral palsy results in brain damage to specific regions responsible for regulating muscle tone, gross and fine motor skills, balance control, and posture. This condition directly impacts patients ability to walk, maintain balance, and perform everyday tasks effectively. The objective of this study was to assess and compare the functional walking ability, balance, and functional independence of children with hemiplegic and diplegic cerebral palsy. Methods: A study employing a quasi-experimental design was done in three hospitals in Wasit province, Iraq, with a sample of 60 children diagnosed with cerebral palsy. The demographic information of 30 patients diagnosed with diplegia and 30 patients diagnosed with hemiplegia, aged between 0 and 18 years, and classed as GMFCS level I-III, was documented. The patients underwent assessment using the Gillette Functional Gait Assessment Questionnaire FAQ, the Pediatric Balance Scale PBS, and the Independence Measure for Children WeeFIM. Results: The statistical analysis revealed a significant difference between the groups in FAQ and PBS p0.05, however, no significant difference was observed in WeeFIM p0.05. In this study, there was a significant difference p  0.05 observed in the self-care and social cognition subgroups of WeeFIM between the groups. However, no statistically significant difference p  0.05 was found in the other subgroups. Conclusion: Children with hemiplegia exhibit significantly better walking, balance, and lower extremity function compared to children with diplegia. However, they have worse upper extremity performance.

 Purpose: Cerebral palsy results in brain damage to specific regions responsible for regulating muscle tone, gross and fine motor skills, balance control, and posture. This condition directly impacts patients ability to walk, maintain balance, and perform everyday tasks effectively. The objective of this study was to assess and compare the functional walking ability, balance, and functional independence of children with hemiplegic and diplegic cerebral palsy. Methods: A study employing a quasi-experimental design was done in three hospitals in Wasit province, Iraq, with a sample of 60 children diagnosed with cerebral palsy. The demographic information of 30 patients diagnosed with diplegia and 30 patients diagnosed with hemiplegia, aged between 0 and 18 years, and classed as GMFCS level I-III, was documented. The patients underwent assessment using the Gillette Functional Gait Assessment Questionnaire FAQ, the Pediatric Balance Scale PBS, and the Independence Measure for Children WeeFIM. Results: The statistical analysis revealed a significant difference between the groups in FAQ and PBS p0.05, however, no significant difference was observed in WeeFIM p0.05. In this study, there was a significant difference p  0.05 observed in the self-care and social cognition subgroups of WeeFIM between the groups. However, no statistically significant difference p  0.05 was found in the other subgroups. Conclusion: Children with hemiplegia exhibit significantly better walking, balance, and lower extremity function compared to children with diplegia. However, they have worse upper extremity performance.

 Purpose: Cerebral palsy results in brain damage to specific regions responsible for regulating muscle tone, gross and fine motor skills, balance control, and posture. This condition directly impacts patients ability to walk, maintain balance, and perform everyday tasks effectively. The objective of this study was to assess and compare the functional walking ability, balance, and functional independence of children with hemiplegic and diplegic cerebral palsy. Methods: A study employing a quasi-experimental design was done in three hospitals in Wasit province, Iraq, with a sample of 60 children diagnosed with cerebral palsy. The demographic information of 30 patients diagnosed with diplegia and 30 patients diagnosed with hemiplegia, aged between 0 and 18 years, and classed as GMFCS level I-III, was documented. The patients underwent assessment using the Gillette Functional Gait Assessment Questionnaire FAQ, the Pediatric Balance Scale PBS, and the Independence Measure for Children WeeFIM. Results: The statistical analysis revealed a significant difference between the groups in FAQ and PBS p0.05, however, no significant difference was observed in WeeFIM p0.05. In this study, there was a significant difference p  0.05 observed in the self-care and social cognition subgroups of WeeFIM between the groups. However, no statistically significant difference p  0.05 was found in the other subgroups. Conclusion: Children with hemiplegia exhibit significantly better walking, balance, and lower extremity function compared to children with diplegia. However, they have worse upper extremity performance.

 Amaç: Serebral palsi, beynin kas tonusunu, kaba ve ince motor yeteneklerini, denge kontrolünü ve duruşunu kontrol eden bölümlerinde beyin hasarına neden olarak hastaların yürüme yeteneklerini, dengesini ve fonksiyonel aktivitelerdeki başarısını etkiler. Bu çalışma hemiplejili ve diplejili serebral palsili çocuklarda fonksiyonel yürüme, denge ve fonksiyonel bağımsızlığı karşılaştırmayı amaçladı. Yöntem: Irakın Wasit eyaletindeki üç hastanede serebral palsili 60 çocuğu içeren yarı deneysel bir tasarım çalışması yapıldı. GMFCS düzey I-III olarak sınıflandırılan, 0-18 yaş arası 30 diplejili ve 30 hemiplejili hastanın demografik bilgileri kaydedildi. Hastalar Gillette Fonksiyonel Yürüyüş Değerlendirme Anketi FYDA, Pediatrik Denge Ölçeği PDÖ ve Çocuklar için Bağımsızlık Ölçütü WeeFIM ile değerlendirildi. Sonuçlar: İstatistiksel analiz, WeeFIMde anlamlı bir fark olmamasına rağmen p0.05, FYDA ve PDÖde gruplar arasında anlamlı bir fark gösterdi p0.05. WeeFIMin öz bakım ve sosyal biliş alt grupları, sonuçlarımızda gruplar arasında anlamlı farklılık gösterirken p0.05, diğer alt gruplar istatistiksel olarak farklı değildi p  0.05. Tartışma: Hemipleji çocuklar, dipleji çocuklara göre yürüme, denge ve alt ekstremite fonksiyonlarında önemli ölçüde daha iyi ancak üst ekstremite fonksiyonlarında daha kötüdür.

Makale detayları

COMPARISON OF FUNCTIONAL WALKING, BALANCE, AND FUNCTIONAL INDEPENDENCE IN CHILDREN WITH DIPLEGIC AND HEMIPLEGIC CEREBRAL PALSY

Yazarlar:

Kamal Alaayedi | Anıl Özdoğru

Yayıncı:

Selcuk University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.5 Issue 3, pp.314-325

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334282

pISSN:

2717-8250

Cerebral palsy

Balance

Functional gait

Functional independence.Serebral palsi

Denge

Fonksiyonel yürüyüş

Fonksiyonel bağımsızlık.

Sayı

Makale detayları

Yazarlar: Kamal Alaayedi | Anıl Özdoğru

Yayıncı: Selcuk University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Selçuk Sağlık Dergisi Vol.5 Issue 3, pp.314-325

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001334282

pISSN: 2717-8250

Sayı

Yazarlar:

Kamal Alaayedi | Anıl Özdoğru

Yayıncı:

Selcuk University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Selçuk Sağlık Dergisi Vol.5 Issue 3, pp.314-325

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334282

pISSN:

2717-8250