Görüntüleme
17
İndirme
3
Amaç: Polikliniğimize Serebral Palsi tanısı ile başvuran hastaların kullanmakta olduğu ortez çeşitlerini belirlemek, SP tipinin ve Kaba Motor Fonksiyonel Sınıflama Sisteminin (KMFSS) ortezleme ile ilişkisini değerlendirmek. Gereç ve Yöntem: SP tanısı olan 2-16 yaş arası hastalar retrospektif olarak incelendi ve ortez kullanımı saptanan 60 hasta çalışmaya dahil edildi. Hastaların yaş, cinsiyet, akraba evliliği öyküsü, konuşma bozukluğu, mental bozukluk, görme bozukluğu, işitme bozukluğu, epilepsi, yutma bozukluğu ve kullandığı ortez kaydedildi. Klinik sınıflama Swedish klasifikasyonuna göre yapıldı. Hastaların kaba motor fonksiyonlarındaki bozukluğun ciddiyetini sınıflandırmak için Kaba Motor Fonksiyon Sınıflandırma Sistemi (KMFSS) kullanıldı. Bulgular: Hastaların ortalama yaşı 88.05±50.44 ay idi. Olguların’33 ü erkek 27’si kızdı. Hastaların %96.7’si (n=58) spastik tip, %3.3’ü (n=2) diskinetik tip SP idi. Spastik tip SP’lerin %36.7’si diplejik, %36.7’si tetraplejik, %20’si hemiplejik, %3.3’ü monoplejik idi. KMFSS’ye göre yapılan sınıflamada %35 (n=21) ile en fazla KMFSS 3 düzeyinde hasta olduğu belirlendi. KMFSS 1 olan 7 hasta solid AFO, KMFSS 2 olan 10 hastanın 3’ü GRAFO, 7’si solid AFO kullanıyordu. KMFSS 3 olan 21 hastanın 3 tanesi KAFO, 2’si GRAFO, biri eklemli AFO, 17’si solid AFO kullanıyordu. KMFSS 4 olan 15 hastanın 6’sı KAFO, biri GRAFO, 8’i solid AFO kullanıyordu. KMFSS 5 olan 7 hastanın 3’ü KAFO, 4’ü solid AFO kullanıyordu. Sonuç: KMFSS 1,2 ve 3 olan hastalar daha çok AFO ve GRAFO kullanırken KMFSS 4 ve 5 olan hastaların yaklaşık yarısında KAFO kullanımı vardı. KMFSS 4 ve 5 olan çocuklar kendi kendilerine hareketleri sınırlı ve sıklıkla taşındıkları için yürüme amaçlı AFO yerine pozisyonlamaya ve eklem hareket açıklığını korumaya yönelik KAFO kullanımı daha fazladır.
Purpose: To determine the types of orthoses used by patients with cerebral palsy and to evaluate the relationship between cerebral palsy (CP) type and the Gross Motor Function Classification System (GMFCS) with the orthoses. Material-Methods: Patients aged between 2 and 16 years who were diagnosed with CP were retrospectively evaluated and sixty patients with orthotic use were included in the study. Age, sex, and orthosis were assessed. Clinical classification was based on Swedish classification. The GMFCS was used to classify the severity of impairment in gross motor functions of patients. Results: The average age of the patients was 88.05±50.44 months. 55% of the patients were female, 45% were male. 96.7% of the patients were spastic CP, 3.3% were discinetic type CP. According to GMFCS, 35% was the most common patient with GMFCS 3. Seven patients with GMFCS 1 had solid AFO. Three patients with GMFCS 2 had GRAFO and seven patients had solid AFO. Of the twenty-one patients with GMFCS 3, 3 had KAFO, 2 had GRAFO, one had hinged AFO and seven-teen had solid AFO. Of the fifteen patients with GMFCS 4, 6 had KAFO, one had GRAFO and 8 had solid AFO. Three patients with GMFCS 5 had KAFO and 4 patients had solid AFO. Conclusion: The patients with GMFCS 1-2-3 had mostly use AFO and GRAFO, approximately half of patients with GMFCS 4-5 had KAFO. Since the children in GMFCS 4-5 have limited self-movements and are often transported, it is expected that the use of KAFO for positioning rather than walking AFO.
Purpose: To determine the types of orthoses used by patients with cerebral palsy and to evaluate the relationship between Cerebral Palsy (CP) type and the Gross Motor Function Classification System (GMFCS) with the orthoses. Material-Methods: Patients aged between 2 and 16 years who were diagnosed with CP were retrospectively evaluated and sixty patients with orthotic use were included in the study. Age, sex, and orthosis were assessed. Clinical classification was based on Swedish classification. The GMFCS was used to classify the severity of impairment in gross motor functions of patients. Results: The mean age of the patients was 88.05±50.44 months. 55% of the patients were female, 45% were male. 96.7% of the patients were spastic CP, 3.3% were dyskinetic type CP. According to GMFCS, 35% was the most common patient with GMFCS 3. Seven patients with GMFCS 1 had solid AFO. Three patients with GMFCS 2 had GRAFO and seven patients had solid AFO. Of the twenty-one patients with GMFCS 3, 3 had KAFO, 2 had GRAFO, one had hinged AFO and seven-teen had solid AFO. Of the fifteen patients with GMFCS 4, 6 had KAFO, one had GRAFO and 8 had solid AFO. Three patients with GMFCS 5 had KAFO and 4 patients had solid AFO. Conclusion: The patients with GMFCS 1-2-3 had mostly use AFO and GRAFO, approximately half of patients with GMFCS 4-5 had KAFO. Since the children in GMFCS 4-5 have limited self-movements and are often transported, it is expected that the use of KAFO for positioning rather than walking AFO.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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