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EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY

Yıl 2021, Cilt: 32 Sayı: 3, 113 - 120, 21.12.2021
https://doi.org/10.21653/tjpr.950714

Öz

Purpose: This study aimed to evaluate the effectiveness of neurodevelopmental therapy (NDT) for improving lower extremity functions, ankle dorsiflexion range of motion (ROM), popliteal angle, medial gastrocnemius (GCM) muscle thickness (MT), and functionality of lower extremity on children with hemiparetic Cerebral Palsy (CP).
Methods: Eighteen children with hemiparetic CP aged between 6-15 years were included in the study. Structured NDT (s-NDT) was applied 40 minutes per session, three times a week over 12 weeks. Children were evaluated with Gross Motor Function Measurement-88 (GMFM-88) for motor function level; with goniometer for ankle dorsiflexion ROM and popliteal angle; with ultrasound for medial GCM MT, and with ultrasound Lower Extremity Function Test (LEFT) for the functionality of lower extremity. Children were evaluated before and after the intervention.
Results: After the treatment, statistically significant differences were obtained in mean values of GMFM-88, ankle dorsiflexion ROM, medial GCM MT, and LEFT (p<0.05). There was no significant difference in popliteal angle (p>0.05).
Conclusion: In conclusion, it was observed that s-NDT might be effective on motor function level, ankle dorsiflexion, medial GCM MT, and lower extremity functionality in children with hemiparetic CP. These improvements will make significant positive contributions to the mobility of children.

Kaynakça

  • Referans1- Rosenbaum P, Paneth N, Leviton A, et al. Report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007,(109) :8–14
  • Referans2- Zanon M, Pacheco R, Latorraca C, Neurodevelo Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy. J Child Neurol .2019;34-11
  • Referans3-Odding, E., Roebroeck, M.E., Stam, H.J. The epidemiology of cerebral palsy: Incidance, impairments and risk factors. Disab Rehabil.2006; (28): 189-191
  • Referans4- Ebtehal A. Abdel R.Comparison Of Different Physical Therapy Interventions For Upper Extremity In Children With Hemiparetic Cerebral Palsy.JCR. 2020;7(11) :1217-1222 Referans5-Brown JK, Rodda J, Walsh EG, Wright GW. Neurophysiology of lower-limb function in hemiplegic children. Dev Med Child Neurol 1991;(33) :1037-47
  • Referans 6- Elder GC, Kirk J, Stewart G, Cook K, Weir D, Marshall A, et al. Contributing factors to muscle weakness in children with cerebral palsy. Dev Med Child Neurol 2003;(45):542-50.
  • Referans7-. Poon DM, Hui-Chan CW. Hyperactive stretch reflexes, co-contraction, and muscle weakness in children with cerebral palsy. Dev Med Child Neurol .2009;(51) :128-35.
  • Referans8- Klimont L. Principles of Bobath neuro-developmental therapy in cerebral palsy. Ortop Traumatol Rehabil. 2001;3(4) :527-30.
  • Referans9- Raine S. The Bobath Concept: Devolepments and Current Theoretical Underpinning. Raine S, editor. Bobath Concept :Theory and Clinical Practice In Neurological Rehabilitation. Singapore: Wiley-Blackwell; 2009.
  • Referans10- Yeşilyaprak S,Çeliker Tosun Ö, Angın S. Kas Ultrasonu ve Fizyoterapi .Turkiye Klinikleri 2015;1(1) :43-53
  • Referans11- Ohata K, Tsuboyama T, Haruta T, Ichihashi N, Kato T, Nakamura T. Relation between muscle thickness, spasticity, and activity limitations in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2008 ; 50(2) :152-6. Referans12- Zanon M, Pacheco R, Latorraca C, Martimbianco A, Pachito,D , Riera R. Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review. J Child Neurol .2019;(34) :679-86
  • Referans13-Rosembaum D. GMFM Users Manual;2002
  • Referans14-Jacks LK., Michels DM., Smith BP., Koman LA., Shilt J.Clinical usefulness of botulinum toxin in the lower extremity. Foot Ankle Clin N Am. 2004; 339 – 48.
  • Referans15-Faul F, Erdfelder E, Lang & Buchner. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences.BRM. 2007 ,39: 175-191
  • Referans 16-Storm F.A , Petrarca M , Beretta E. et all.Minimum Clinically Important Difference of Gross Motor Function and Gait Endurance in Children with Motor Impairment. A Comparison of Distribution-Based Approaches. Biomed. Res. Int. 2020, 2020, 2794036.
  • Referans 17. Fetters, L. ve Kluzik, J. The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy. Phys Ther.1996 ;76: 346-358
  • Referans18.Westcott, S. L. ve Burtner, P. A. Postural control in children: implications for pediatric practice. Phys Occup Ther Pediatr.2004; 24: 5-55
  • Referans19. Campbell, S. K. Efficacy of Physical Therapy in Improving Postural Control in Cerebral Palsy. Pediatr Phys Ther.1990; 2: 135-140.
  • Referans20- Verschuren O, Ada L, Désirée B. Maltais, Gorter JW , Scianni A, Ketelaar M. .Muscle Strengthening in Children and Adolescents With Spastic Cerebral Palsy: Considerations for Future Resistance Training Protocols . Phys Ther. 2011;91 :1130–1139,
  • Referans21-. Nelson AC, Senesac C. Management of clinical problems of children with cerebral palsy. Neural Reh. 2007: 357-385.
  • Referans22-Van den Broeck, C., De Cat, J., Molenaers, G., Franki, I., Himpens, E., Severijns, D., & Desloovere, K. The effect of individually defined physiotherapy in children with cerebral palsy (CP). Eur J Paediatr Neurol.2010; 14(6), 519–525.
  • Referans23-Knox, V., & Evans, A. L. Evaluation of the functional effects of a course of Bobath therapy in children with cerebral palsy: a preliminary study. Dev Med Child Neurol .2002; 44(07).
  • Referans24.Rodda J, Graham HK. Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm. Eur J Neurol. 2001,8:98–108.
  • Referans25- McDowell, B. C., Salazar-Torres, J. J., Kerr, C., & Cosgrove, A. P. Passive Range of Motion in a Population-Based Sample of Children with Spastic Cerebral Palsy Who Walk. Phys Occup Ther Pediatr .2012;32(2): 139–150.
  • Referans26-Manikowska, F., Chen, B. P.-J., Jóźwiak, M., & Lebiedowska, M. K. The popliteal angle tests in patients with cerebral palsy. J Pediatr Orthop B.2019;28(4):332-336
  • Referans27.Rose, J.,McGill, K.C. Neuromuscular activation and motor-unit firing characteristics in cerebral palsy. Dev Med Child Neurol .2005; (47) : 329-336.
  • Referans28. Barrett R, A G.Lichtwark. Gross muscle morphology and structure in spastic cerebral palsy: a systematic review.Dev Med Child Neurol .2010;(52) :794-804.
  • Referans29-Lee, M., Ko, Y., Shin, M. M. S., & Lee, W. The effects of progressive functional training on lower limb muscle architecture and motor function in children with spastic cerebral palsy. Journal of Physical Therapy Science. 2015; 27(5):1581–1584.
  • Referans30- Stott NS, Walt SE, Lobb GA, Reynolds N, Nicol RO. Treatment for idiopathic toe-walking: results at skeletal maturity. Journal of pediatric orthopedics. 2004; 24(1):63-9.

NÖROGELİŞİMSEL TEDAVİNİN SEREBRAL PALSİ’Lİ ÇOCUKLARDA FONKSİYONELLİK VE KAS ULTRASON PARAMETRELERİNE ETKİSİ

Yıl 2021, Cilt: 32 Sayı: 3, 113 - 120, 21.12.2021
https://doi.org/10.21653/tjpr.950714

Öz

Amaç: Bu çalışmanın amacı; hemiparetik serebral palsi (SP)’li çocuklarda nörogelişimsel tedavinin (NGT) alt ekstremite fonksiyonları, ayak bileği dorsifleksiyon eklem hareket açıklığı (EHA), popliteal açı, medial gastroknemius (GCM) kas kalınlığı (MT) ve alt ekstremiye fonksiyonelliğini iyileştirmedeki etkinliğini değerlendirmekti.
Yöntem: Çalışmaya yaşları 6-15 yıl aralığında on sekiz hemiparetik SP’li çocuk dahil edildi. Yapılandırılmış NGT haftada 3 seans, her seans 40 dakika olacak şekilde 12 hafta boyunca uygulandı. Çocukların motor fonksiyon seviyelerini değerlendirmek için Kaba Motor Fonksiyon Ölçütü-88 (KMFÖ-88), ayak bileği dorsifleksiyon açısı ve popliteal açının değerlendirmesi için universal gonyometre, medial gastroknemius kasının kalınlığı ölçmek için ultrasanografik ölçüm ve alt ekstremite fonksiyonlarını değerlendirmek için Alt Ekstremite Fonksiyon Testi (AEFT) kullanıldı.
Sonuçlar: Tedavi sonrasında GMFM-88, ayak bileği dorsifleksiyon EHA, medial GCM MT ve AEFT değerlerinde istatistiksel olarak anlamlı gelişme olduğu belirlendi (p<0,05). Popliteal açı değerlerinde ise anlamlı değişiklik yoktu (p>0,05).
Tartışma: Sonuç olarak, hemiparetik SP'li çocuklarda yapılandırılmış NGT'nin motor fonksiyon düzeyi, ayak bileği dorsifleksiyonu, medial GCM- MT değerleri ve alt ekstremite fonksiyonelliği üzerine olumlu etkileri olabileceği gözlendi. Elde edilen bu gelişmeler çocukların mobilitesine önemli pozitif katkılar sağlayacaktır.

Kaynakça

  • Referans1- Rosenbaum P, Paneth N, Leviton A, et al. Report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007,(109) :8–14
  • Referans2- Zanon M, Pacheco R, Latorraca C, Neurodevelo Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy. J Child Neurol .2019;34-11
  • Referans3-Odding, E., Roebroeck, M.E., Stam, H.J. The epidemiology of cerebral palsy: Incidance, impairments and risk factors. Disab Rehabil.2006; (28): 189-191
  • Referans4- Ebtehal A. Abdel R.Comparison Of Different Physical Therapy Interventions For Upper Extremity In Children With Hemiparetic Cerebral Palsy.JCR. 2020;7(11) :1217-1222 Referans5-Brown JK, Rodda J, Walsh EG, Wright GW. Neurophysiology of lower-limb function in hemiplegic children. Dev Med Child Neurol 1991;(33) :1037-47
  • Referans 6- Elder GC, Kirk J, Stewart G, Cook K, Weir D, Marshall A, et al. Contributing factors to muscle weakness in children with cerebral palsy. Dev Med Child Neurol 2003;(45):542-50.
  • Referans7-. Poon DM, Hui-Chan CW. Hyperactive stretch reflexes, co-contraction, and muscle weakness in children with cerebral palsy. Dev Med Child Neurol .2009;(51) :128-35.
  • Referans8- Klimont L. Principles of Bobath neuro-developmental therapy in cerebral palsy. Ortop Traumatol Rehabil. 2001;3(4) :527-30.
  • Referans9- Raine S. The Bobath Concept: Devolepments and Current Theoretical Underpinning. Raine S, editor. Bobath Concept :Theory and Clinical Practice In Neurological Rehabilitation. Singapore: Wiley-Blackwell; 2009.
  • Referans10- Yeşilyaprak S,Çeliker Tosun Ö, Angın S. Kas Ultrasonu ve Fizyoterapi .Turkiye Klinikleri 2015;1(1) :43-53
  • Referans11- Ohata K, Tsuboyama T, Haruta T, Ichihashi N, Kato T, Nakamura T. Relation between muscle thickness, spasticity, and activity limitations in children and adolescents with cerebral palsy. Dev Med Child Neurol. 2008 ; 50(2) :152-6. Referans12- Zanon M, Pacheco R, Latorraca C, Martimbianco A, Pachito,D , Riera R. Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review. J Child Neurol .2019;(34) :679-86
  • Referans13-Rosembaum D. GMFM Users Manual;2002
  • Referans14-Jacks LK., Michels DM., Smith BP., Koman LA., Shilt J.Clinical usefulness of botulinum toxin in the lower extremity. Foot Ankle Clin N Am. 2004; 339 – 48.
  • Referans15-Faul F, Erdfelder E, Lang & Buchner. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences.BRM. 2007 ,39: 175-191
  • Referans 16-Storm F.A , Petrarca M , Beretta E. et all.Minimum Clinically Important Difference of Gross Motor Function and Gait Endurance in Children with Motor Impairment. A Comparison of Distribution-Based Approaches. Biomed. Res. Int. 2020, 2020, 2794036.
  • Referans 17. Fetters, L. ve Kluzik, J. The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy. Phys Ther.1996 ;76: 346-358
  • Referans18.Westcott, S. L. ve Burtner, P. A. Postural control in children: implications for pediatric practice. Phys Occup Ther Pediatr.2004; 24: 5-55
  • Referans19. Campbell, S. K. Efficacy of Physical Therapy in Improving Postural Control in Cerebral Palsy. Pediatr Phys Ther.1990; 2: 135-140.
  • Referans20- Verschuren O, Ada L, Désirée B. Maltais, Gorter JW , Scianni A, Ketelaar M. .Muscle Strengthening in Children and Adolescents With Spastic Cerebral Palsy: Considerations for Future Resistance Training Protocols . Phys Ther. 2011;91 :1130–1139,
  • Referans21-. Nelson AC, Senesac C. Management of clinical problems of children with cerebral palsy. Neural Reh. 2007: 357-385.
  • Referans22-Van den Broeck, C., De Cat, J., Molenaers, G., Franki, I., Himpens, E., Severijns, D., & Desloovere, K. The effect of individually defined physiotherapy in children with cerebral palsy (CP). Eur J Paediatr Neurol.2010; 14(6), 519–525.
  • Referans23-Knox, V., & Evans, A. L. Evaluation of the functional effects of a course of Bobath therapy in children with cerebral palsy: a preliminary study. Dev Med Child Neurol .2002; 44(07).
  • Referans24.Rodda J, Graham HK. Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm. Eur J Neurol. 2001,8:98–108.
  • Referans25- McDowell, B. C., Salazar-Torres, J. J., Kerr, C., & Cosgrove, A. P. Passive Range of Motion in a Population-Based Sample of Children with Spastic Cerebral Palsy Who Walk. Phys Occup Ther Pediatr .2012;32(2): 139–150.
  • Referans26-Manikowska, F., Chen, B. P.-J., Jóźwiak, M., & Lebiedowska, M. K. The popliteal angle tests in patients with cerebral palsy. J Pediatr Orthop B.2019;28(4):332-336
  • Referans27.Rose, J.,McGill, K.C. Neuromuscular activation and motor-unit firing characteristics in cerebral palsy. Dev Med Child Neurol .2005; (47) : 329-336.
  • Referans28. Barrett R, A G.Lichtwark. Gross muscle morphology and structure in spastic cerebral palsy: a systematic review.Dev Med Child Neurol .2010;(52) :794-804.
  • Referans29-Lee, M., Ko, Y., Shin, M. M. S., & Lee, W. The effects of progressive functional training on lower limb muscle architecture and motor function in children with spastic cerebral palsy. Journal of Physical Therapy Science. 2015; 27(5):1581–1584.
  • Referans30- Stott NS, Walt SE, Lobb GA, Reynolds N, Nicol RO. Treatment for idiopathic toe-walking: results at skeletal maturity. Journal of pediatric orthopedics. 2004; 24(1):63-9.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Rehabilitasyon
Bölüm Araştırma Makaleleri
Yazarlar

Ülkü Atasoy 0000-0002-7356-1074

Miray Budak 0000-0003-0552-8464

Devrim Tarakcı 0000-0001-9804-368X

Yayımlanma Tarihi 21 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 32 Sayı: 3

Kaynak Göster

APA Atasoy, Ü., Budak, M., & Tarakcı, D. (2021). EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 32(3), 113-120. https://doi.org/10.21653/tjpr.950714
AMA Atasoy Ü, Budak M, Tarakcı D. EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. Aralık 2021;32(3):113-120. doi:10.21653/tjpr.950714
Chicago Atasoy, Ülkü, Miray Budak, ve Devrim Tarakcı. “EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 32, sy. 3 (Aralık 2021): 113-20. https://doi.org/10.21653/tjpr.950714.
EndNote Atasoy Ü, Budak M, Tarakcı D (01 Aralık 2021) EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32 3 113–120.
IEEE Ü. Atasoy, M. Budak, ve D. Tarakcı, “EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY”, Turk J Physiother Rehabil, c. 32, sy. 3, ss. 113–120, 2021, doi: 10.21653/tjpr.950714.
ISNAD Atasoy, Ülkü vd. “EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32/3 (Aralık 2021), 113-120. https://doi.org/10.21653/tjpr.950714.
JAMA Atasoy Ü, Budak M, Tarakcı D. EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. 2021;32:113–120.
MLA Atasoy, Ülkü vd. “EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 32, sy. 3, 2021, ss. 113-20, doi:10.21653/tjpr.950714.
Vancouver Atasoy Ü, Budak M, Tarakcı D. EFFECTS OF NEURODEVELOPMENTAL THERAPY ON FUNCTION AND MUSCLE ULTRASOUND PARAMETERS IN CHILDREN WITH CEREBRAL PALSY. Turk J Physiother Rehabil. 2021;32(3):113-20.