Evaluation of the Relationship Between Birth Type, Gross Motor Function, Trunk Control and Level of Functional Independence in Children with Cerebral Palsy

Özden Baskan; Cansu Demir

Makale detayları

Evaluation of the Relationship Between Birth Type, Gross Motor Function, Trunk Control and Level of Functional Independence in Children with Cerebral Palsy

Yazarlar:

Özden Baskan | Cansu Demir

Yayıncı:

Pamukkale University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Laodikya Rehabilitasyon Bilimleri Vol.2 Issue 1, pp.41-47

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334029

pISSN:

3023-834X

Anahtar kelimeler:

Özet:

 Abstract Objective: This study aimed to evaluate the relationship between gross motor function, trunk control and functional independence in children with hemiplegic and diplegic cerebral palsy CP. Methods: Twenty-two children with CP were included in the study. Gross motor function levels of the children participating in the study were determined according to the Gross Motor Function Classification System GMFCS. The Trunk Impairment Scale TIS was used to assess trunk control and the Paediatric Functional Independence Scale WeeFIM was used to determine functional independence. Results: Of the 22 children with CP included in the study, 10 hemiplegic 45.5 and 12 diplegics 54.5 CP, 82.8 were girls n18, 18.2 were male n4, mean age was 10.40  4.38 years. 54.5 of the participants had a cesarean section type and 45.5 had a vaginal delivery type. A moderate, negative correlation was found between TIS and gender r -0.44, p 0.05. A moderate, negative correlation was found between diagnosis and WeeFIM. WeeFIM results in favor of children with hemiplegic CP were significantly higher. A moderate, positive correlation was found between birth type and gross motor function classification GMFCS r -0.45, p 0.05. GMFCS is higher in those who have had a vaginal delivery. A moderate, negative correlation was found between TIS and GMFCS. No correlation was found between the TIS and WeeFIM. Conclusion: In our study, it was observed that trunk involvement increased as the gross motor function classification of the children increased.

 Abstract Objective: This study aimed to evaluate the relationship between gross motor function, trunk control and functional independence in children with hemiplegic and diplegic cerebral palsy CP. Methods: Twenty-two children with CP were included in the study. Gross motor function levels of the children participating in the study were determined according to the Gross Motor Function Classification System GMFCS. The Trunk Impairment Scale TIS was used to assess trunk control and the Paediatric Functional Independence Scale WeeFIM was used to determine functional independence. Results: Of the 22 children with CP included in the study, 10 hemiplegic 45.5 and 12 diplegics 54.5 CP, 82.8 were girls n18, 18.2 were male n4, mean age was 10.40  4.38 years. 54.5 of the participants had a cesarean section type and 45.5 had a vaginal delivery type. A moderate, negative correlation was found between TIS and gender r -0.44, p 0.05. A moderate, negative correlation was found between diagnosis and WeeFIM. WeeFIM results in favor of children with hemiplegic CP were significantly higher. A moderate, positive correlation was found between birth type and gross motor function classification GMFCS r -0.45, p 0.05. GMFCS is higher in those who have had a vaginal delivery. A moderate, negative correlation was found between TIS and GMFCS. No correlation was found between the TIS and WeeFIM. Conclusion: In our study, it was observed that trunk involvement increased as the gross motor function classification of the children increased.

 Abstract Objective: This study aimed to evaluate the relationship between gross motor function, trunk control and functional independence in children with hemiplegic and diplegic cerebral palsy CP. Methods: Twenty-two children with CP were included in the study. Gross motor function levels of the children participating in the study were determined according to the Gross Motor Function Classification System GMFCS. The Trunk Impairment Scale TIS was used to assess trunk control and the Paediatric Functional Independence Scale WeeFIM was used to determine functional independence. Results: Of the 22 children with CP included in the study, 10 hemiplegic 45.5 and 12 diplegics 54.5 CP, 82.8 were girls n18, 18.2 were male n4, mean age was 10.40  4.38 years. 54.5 of the participants had a cesarean section type and 45.5 had a vaginal delivery type. A moderate, negative correlation was found between TIS and gender r -0.44, p 0.05. A moderate, negative correlation was found between diagnosis and WeeFIM. WeeFIM results in favor of children with hemiplegic CP were significantly higher. A moderate, positive correlation was found between birth type and gross motor function classification GMFCS r -0.45, p 0.05. GMFCS is higher in those who have had a vaginal delivery. A moderate, negative correlation was found between TIS and GMFCS. No correlation was found between the TIS and WeeFIM. Conclusion: In our study, it was observed that trunk involvement increased as the gross motor function classification of the children increased.

 Amaç: Bu çalışmada hemiplejik ve diplejik serebral palsili SP çocuklarda kaba motor fonksiyon, gövde kontrolü ve fonksiyonel bağımsızlık düzeyi arasındaki ilişkiyi değerlendirmek amaçlandı. Gereç ve Yöntem: Çalışmaya 22 SPli çocuk dahil edildi. Çalışmaya katılan çocukların kaba motor fonksiyon seviyeleri, Kaba Motor Fonksiyon Sınıflama Sistemi KMFSSne göre belirlendi. Gövde kontrolünün değerlendirilmesi için Gövde Etkilenim Ölçeği, fonksiyonel bağımsızlık düzeyinin belirlenmesinde ise Pediatrik Fonksiyonel Bağımsızlık Ölçeği WeeFIM kullanıldı. Bulgular: Çalışmaya dahil edilen 10 hemiplejik 45,5 ve 12 diplejik 54,5 SPli olmak üzere toplam 22 SPli çocuğun 82,8si kız n18, 18,2ü erkek n4, yaş ortalaması 10,40  4,38 yıl idi. Katılımcıların 54,5inde sezaryen doğum, 45,5inde ise vajinal doğum ile dünyaya geldi. GEÖ ile cinsiyet arasında orta düzeyde, negatif yönde bir ilişki bulundu r -0,44, p0,05. Tanı ve WeeFIM arasında orta seviyede, negatif yönde ilişki bulundu. Hemiplejik SPli çocukların lehine yönde WeeFIM sonuçları anlamlı düzeyde yüksek bulundu. Doğum şekli ve KMFSS arasında orta düzeyde, pozitif ilişki bulundu r -0,45, p0,05. Vajinal doğum yapanlarda KMFSSye göre evresi daha yüksek seviyedeydi. GEÖ ile KMFSS arasında orta seviyede, negatif yönde ilişki bulundu r -0,46, p0,05. GEÖ ile WeeFIM arasında ilişki bulunmadı. Sonuç: Çalışmamızda, çocukların kaba motor fonksiyon sınıflaması yükseldikçe gövde etkileniminin arttığı görüldü.

Makale detayları

Evaluation of the Relationship Between Birth Type, Gross Motor Function, Trunk Control and Level of Functional Independence in Children with Cerebral Palsy

Yazarlar:

Özden Baskan | Cansu Demir

Yayıncı:

Pamukkale University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Laodikya Rehabilitasyon Bilimleri Vol.2 Issue 1, pp.41-47

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334029

pISSN:

3023-834X

Cerebral Palsy

Gross Motor Function

Functional Independence

Trunk ControlSerebral Palsi

Kaba Motor Fonksiyon

Fonksiyonel Bağımsızlık

Gövde Kontrolü

Sayı

Makale detayları

Yazarlar: Özden Baskan | Cansu Demir

Yayıncı: Pamukkale University

Ana Başlıklar: Fizyoterapi | Rehabilitasyon | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Laodikya Rehabilitasyon Bilimleri Vol.2 Issue 1, pp.41-47

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001334029

pISSN: 3023-834X

Sayı

Yazarlar:

Özden Baskan | Cansu Demir

Yayıncı:

Pamukkale University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon | Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Laodikya Rehabilitasyon Bilimleri Vol.2 Issue 1, pp.41-47

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001334029

pISSN:

3023-834X