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Okul çağı serebral palsili çocuklarda kişisel faktörler, günlük aktivite performansı ve aileye olan etkinin karşılaştırılması

Yıl 2020, Cilt: 7 Sayı: 3, 213 - 220, 06.01.2021

Öz

Amaç: İşlevsellik, Yeti Yitimi ve Sağlığın Uluslararası Sınıflandırılması ile değerlendirme yapılmaya başlanmasından sonra kişisel ve çevresel faktörlerin aktivite ile ilişkisi önemli hale gelmiştir. Bu çalışmada; okul çağı serebral palsili (SP) çocukların kaba motor etkilenim seviyelerine göre kişisel faktörleri, aileye olan etki ve günlük aktivite performansının karşılaştırılması amaçlandı.

Yöntem: Kişisel faktörler; yaş, cinsiyet, doğum ağırlığı (DA), doğum haftası (DH), anne doğum yaşı bilgileri ile belirlendi. Çocuğun aile üzerindeki etkisi Aileye Etki Ölçeği (AEÖ) ile günlük aktivite performansı; Pediatrik Özürlülük Değerlendirme Envanteri (PÖDE) ile değerlendirildi Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS), El Becerisi Sınıflandırma Sistemi (EBSS), İletişim Fonksiyonu Sınıflandırma Sistemi (İFSS) ve Yeme İçme Fonksiyonu Sınıflandırma Sistemi (YİFSS) ile klinik seviyeler belirlendi.

Bulgular: Çalışmaya yaş ortalaması 10,31±2,07 yıl olan 75 SP’li çocuk katıldı. DA (p=0,005), DH (p=0,006), AEÖ’nin genel etki (p=0,001)) ve sosyal ilişkilerde bozulma (p=0,001) alt başlıklarında ve total etkide (p=0,011), PÖDE’nin kendine bakım (p=0,001), mobilite (p=0,001) ve sosyal fonksiyon (p=0,001) alt başlıklarında KMFSS seviyeleri arasında anlamlı fark bulundu.

Tartışma: SP’li çocuklarda KMFSS seviyesine göre kişisel faktörler, günlük aktivite performansı ve aileye olan etki, değişmektedir. Daha düşük motor fonksiyona sahip çocuklar (KMFSS 4-5) daha çok risk altındadır. Rehabilitasyon uygulamalarında aktivite performansının artırılması ve aileye olan etkinin azaltılmasını sağlayacak, çocuk ve aile odaklı yaklaşımların tercih edilmesi önerilir.

Kaynakça

  • 1. Organization WH. International classification of functioning, disability and health: ICF: Geneva: World Health Organization; 2001.
  • 2. Organization WH. ICF-CY: International classification of functioning, disability and health: Children & youth version. ICF-CY: International classification of functioning, disability and health: children & youth version, 2007.
  • 3. Adolfsson M. Applying the ICF-CY to identify everyday life situations of children and youth with disabilities: School of Education and Communication; Dissertation in Disability Research , 2011.
  • 4. Rosenbaum P, Stewart D. The world health organization international classification of functioning, disability, and health: a model to guide clinical thinking, practice and research in the field of cerebral palsy. Seminars in Pediatric Neurology. 2004;11:5-10.
  • 5. Shevell MI, Bodensteiner JB, editors. Cerebral palsy: defining the problem. Semin Pediat Neurol. 2004; 11:2-4.
  • 6. Beckung E, Hagberg GJDm, neurology c. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002;44:309-316.
  • 7. Bertule D, Vetra A. The family needs of parents of preschool children with cerebral palsy: The impact of child's gross motor and communications functions. Medicina. 2014;50:323-328.
  • 8. Østensjø S, Carlberg EB, Vøllestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004;46:580-589.
  • 9. Østensjø S, Carlberg EB, Vøllestad NK. Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Dev Med Child Neurol. 2003;45:603-612.
  • 10. El Ö, Baydar M, Berk H, et al. Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil and rehabil. 2012;34:1030-1033.
  • 11. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50: 744-750.
  • 12. Eliasson AC, Krumlinde-Sundholm L, Rösblad B, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48: 549-554.
  • 13. Akpinar P, Tezel CG, Eliasson AC, et al. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil and rehabil. 2010;32:1910-1916.
  • 14. Hidecker MJC, Paneth N, Rosenbaum PL, et al. Developing and validating the Communication Function Classification System for individuals with cerebral palsy. Dev Med Child Neurol. 2011;53:704-710.
  • 15. Mutlu A, Kara ÖK, Livanelioğlu A. et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018;11:281-286.
  • 16. Available from: https://www.cfcs.us/wp-content/uploads/2018/11/CFCS_Turkish.pdf. CFCS [11.07.2019].
  • 17. Tschirren L, Bauer S, Hanser C, et al. The Eating and Drinking Ability Classification System: concurrent validity and reliability in children with cerebral palsy. Dev Med Child Neurol. 2018; 60: 611-617.
  • 18. Available from: https://www.sussexcommunity. nhs.uk/get-involved/research/chailey-research/ edacs-request. EDACS [11.07.2019].
  • 19. Stein RE, Jessop DJ. The impact on family scale revisited: further psychometric data. J Dev Behav Pediatr. 2003; 24: 9-16.
  • 20. Bek N, Simsek IE, Erel S, et al. Turkish version of impact on family scale: a study of reliability and validity. Health Qual Life Outcomes. 2009;7:4-7.
  • 21. Erkin G, Elhan ALH, Aybay C, et al. Validity and reliability of the Turkish translation of the Pediatric Evaluation of Disability Inventory (PEDI). Disabil rehabil. 2007; 29:1271-1279.
  • 22. Nichols DS, Case-Smith J. Reliability and validity of the Pediatric Evaluation of Disability Inventory. Pediatr Phys Ther. 1996; 8: 15-24.
  • 23. McManus V, Michelsen S, Parkinson K, et al. Discussion groups with parents of children with cerebral palsy in Europe designed to assist development of a relevant measure of environment. Child Care Health Dev. 2006;32:185-192.
  • 24. Bhandari A, McGrath-Morrow S, editors. Long-term pulmonary outcomes of patients with bronchopulmonary dysplasia. Semin Perinatol. 2013;37:132-137.
  • 25. Evans AR, P. Hamilton, N. Titchiner, et al. The relationships between neonatal encephalopathy and cerebral palsy: a cohort study. J Obstet Gynaecol. 2001;21:114-120.
  • 26. Rahmati S, Delpishe A, Azami M, et al. Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis. Int J Reprod BioMed. 2017;15: 125-134.
  • 27. Ørskou J, Kesmodel U, Henriksen TB, et al. An increasing proportion of infants weigh more than 4000 grams at birth. Acta obstetricia et gynecologica Scandinavica, 2001;80: 931-936.
  • 28. Horbar JD, Carpenter JH, Badger GJ, et al. Mortality and neonatal morbidity among infants 501 to 1500 grams from 2000 to 2009. Pediatrics. 2012;129:1019-1026.
  • 29. Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gynecol. 1998;179:507-513.
  • 30. Law M, King G, King S, et al. Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol. 2006;48:337-342.
  • 31. Colver AF, Dickinson HO, Parkinson K, et al. Access of children with cerebral palsy to the physical, social and attitudinal environment they need: a cross-sectional European study. Disabil Rehabil. 2011;33:28-35.
  • 32. Voorman JM, Dallmeijer AJ, Van Eck M, et al. Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors. Dev Med Child Neurol. 2010;52:441-447.

Comparison of personal factors, everyday activity performance and impact on family in school aged children with cerebral palsy

Yıl 2020, Cilt: 7 Sayı: 3, 213 - 220, 06.01.2021

Öz

Purpose: The relationship between personal and environmental factors and activity has become important after assessment has started with The International Classification of Functioning, Disability and Health. In this study; it was aimed that to compare personal factors, impact on family and everyday activity performance of school age children with cerebral palsy (CP) according to gross motor impairment levels.

Methods: Personal factors were determined with age, gender, gestational age (GA), gestational weight (GW), maternal birth age information. Everyday activity performance was evaluated with Pediatric Evaluation of Disability Inventory (PEDI), Child’s impact on family was evaluated with the Impact on Family Scale (IPFAM). Clinical levels were determined by Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFSS) and Eating and Drinking Ability Classification System (EDACS).

Results: 75 children with CP mean age of 10.31±2.07 years included the study. GW (p=0.005), GA (p=0.006), IPFAM subdomains familial/social impact (p=0.001) and personal strain (p=0.001) and total impact (p=0.011), PEDI subdomains self-care (p=0.001), mobility (p=0.001) and social function (p=0.001) were significantly different between GMFCS levels.

Conclusion: In children with CP personal factors, everyday activity performance and impact on family change according to the GMFCS levels. Children with lower motor function (GMFCS 4-5) are at greater risk. In rehabilitation practices, it is recommended that child and family-oriented approaches should be preferred to increase activity performance and reduce the impact on the family.

Kaynakça

  • 1. Organization WH. International classification of functioning, disability and health: ICF: Geneva: World Health Organization; 2001.
  • 2. Organization WH. ICF-CY: International classification of functioning, disability and health: Children & youth version. ICF-CY: International classification of functioning, disability and health: children & youth version, 2007.
  • 3. Adolfsson M. Applying the ICF-CY to identify everyday life situations of children and youth with disabilities: School of Education and Communication; Dissertation in Disability Research , 2011.
  • 4. Rosenbaum P, Stewart D. The world health organization international classification of functioning, disability, and health: a model to guide clinical thinking, practice and research in the field of cerebral palsy. Seminars in Pediatric Neurology. 2004;11:5-10.
  • 5. Shevell MI, Bodensteiner JB, editors. Cerebral palsy: defining the problem. Semin Pediat Neurol. 2004; 11:2-4.
  • 6. Beckung E, Hagberg GJDm, neurology c. Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002;44:309-316.
  • 7. Bertule D, Vetra A. The family needs of parents of preschool children with cerebral palsy: The impact of child's gross motor and communications functions. Medicina. 2014;50:323-328.
  • 8. Østensjø S, Carlberg EB, Vøllestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol. 2004;46:580-589.
  • 9. Østensjø S, Carlberg EB, Vøllestad NK. Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Dev Med Child Neurol. 2003;45:603-612.
  • 10. El Ö, Baydar M, Berk H, et al. Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil and rehabil. 2012;34:1030-1033.
  • 11. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50: 744-750.
  • 12. Eliasson AC, Krumlinde-Sundholm L, Rösblad B, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48: 549-554.
  • 13. Akpinar P, Tezel CG, Eliasson AC, et al. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil and rehabil. 2010;32:1910-1916.
  • 14. Hidecker MJC, Paneth N, Rosenbaum PL, et al. Developing and validating the Communication Function Classification System for individuals with cerebral palsy. Dev Med Child Neurol. 2011;53:704-710.
  • 15. Mutlu A, Kara ÖK, Livanelioğlu A. et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018;11:281-286.
  • 16. Available from: https://www.cfcs.us/wp-content/uploads/2018/11/CFCS_Turkish.pdf. CFCS [11.07.2019].
  • 17. Tschirren L, Bauer S, Hanser C, et al. The Eating and Drinking Ability Classification System: concurrent validity and reliability in children with cerebral palsy. Dev Med Child Neurol. 2018; 60: 611-617.
  • 18. Available from: https://www.sussexcommunity. nhs.uk/get-involved/research/chailey-research/ edacs-request. EDACS [11.07.2019].
  • 19. Stein RE, Jessop DJ. The impact on family scale revisited: further psychometric data. J Dev Behav Pediatr. 2003; 24: 9-16.
  • 20. Bek N, Simsek IE, Erel S, et al. Turkish version of impact on family scale: a study of reliability and validity. Health Qual Life Outcomes. 2009;7:4-7.
  • 21. Erkin G, Elhan ALH, Aybay C, et al. Validity and reliability of the Turkish translation of the Pediatric Evaluation of Disability Inventory (PEDI). Disabil rehabil. 2007; 29:1271-1279.
  • 22. Nichols DS, Case-Smith J. Reliability and validity of the Pediatric Evaluation of Disability Inventory. Pediatr Phys Ther. 1996; 8: 15-24.
  • 23. McManus V, Michelsen S, Parkinson K, et al. Discussion groups with parents of children with cerebral palsy in Europe designed to assist development of a relevant measure of environment. Child Care Health Dev. 2006;32:185-192.
  • 24. Bhandari A, McGrath-Morrow S, editors. Long-term pulmonary outcomes of patients with bronchopulmonary dysplasia. Semin Perinatol. 2013;37:132-137.
  • 25. Evans AR, P. Hamilton, N. Titchiner, et al. The relationships between neonatal encephalopathy and cerebral palsy: a cohort study. J Obstet Gynaecol. 2001;21:114-120.
  • 26. Rahmati S, Delpishe A, Azami M, et al. Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis. Int J Reprod BioMed. 2017;15: 125-134.
  • 27. Ørskou J, Kesmodel U, Henriksen TB, et al. An increasing proportion of infants weigh more than 4000 grams at birth. Acta obstetricia et gynecologica Scandinavica, 2001;80: 931-936.
  • 28. Horbar JD, Carpenter JH, Badger GJ, et al. Mortality and neonatal morbidity among infants 501 to 1500 grams from 2000 to 2009. Pediatrics. 2012;129:1019-1026.
  • 29. Nelson KB, Grether JK. Potentially asphyxiating conditions and spastic cerebral palsy in infants of normal birth weight. Am J Obstet Gynecol. 1998;179:507-513.
  • 30. Law M, King G, King S, et al. Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol. 2006;48:337-342.
  • 31. Colver AF, Dickinson HO, Parkinson K, et al. Access of children with cerebral palsy to the physical, social and attitudinal environment they need: a cross-sectional European study. Disabil Rehabil. 2011;33:28-35.
  • 32. Voorman JM, Dallmeijer AJ, Van Eck M, et al. Social functioning and communication in children with cerebral palsy: association with disease characteristics and personal and environmental factors. Dev Med Child Neurol. 2010;52:441-447.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Özge Çankaya 0000-0002-2116-8924

Mintaze Kerem Günel 0000-0003-4942-5272

Yayımlanma Tarihi 6 Ocak 2021
Gönderilme Tarihi 27 Mart 2019
Yayımlandığı Sayı Yıl 2020 Cilt: 7 Sayı: 3

Kaynak Göster

Vancouver Çankaya Ö, Kerem Günel M. Okul çağı serebral palsili çocuklarda kişisel faktörler, günlük aktivite performansı ve aileye olan etkinin karşılaştırılması. JETR. 2021;7(3):213-20.