Serebral Palsili Çocularda Ayak-ayak Bileği Ortez Memnuniyeti; Ailesinin Bakış Açısından

Amaç: Çalışmanın amacı, ayak-ayak bileği ortezinin serebral palsili (SP) hastalarda uyumunu ve uyumu etkileyen faktörleri değerlendirmektir.Gereç ve Yöntem: Hastaların demografik verileri ve ebeveynlerin eğitim durumu kaydedildi. Hastaların ortez kullanım alışkanlıklarının olup olmadığı,günde kaç saat kullandığı, ortez uyumu, ortez kullanmama nedenleri ve haftada kaç gün fizyoterapi aldıkları sorgulandı.Bulgular: Çalışmaya dahil edilen hastalardan 72’si (%49,7) verilen ortezi kullanmaktaydı. Ortez kullanmama nedenleri içerisinde sıklıkla ortezi çirkinbulma, kullanılmasının zor olması yer alıyordu. Cihaz kullanım özelliklerine bakıldığında cinsiyetler arasında anlamlı fark saptanmadı (p>0,05).Ebeveynlerin eğitim düzeyi ile ortez memnuniyeti ve fizyoterapi alma süresi arasında pozitif bir korelasyon saptandı. Kaba Motor FonksiyonelKlasifikasyon Sistemi evresi ile ortez kullanma süresi arasında negatif, fizyoterapi alma süresi arasında pozitif korelasyon saptandı.Sonuç: Orteze uyumu arttırmak için ortez kullanan birey ile birlikte hekim, fizyoterapist, ortez teknikeri ve ailenin de iş birliği içerisinde olmasıgerekmektedir. Multidisipliner ekip içerisinde ortak hedef, ortez kullanımına uyumu yüksek SP’li bireyler oluşturmaya çalışmak olmalıdır.

The satisfaction of Foot and Ankle Orthosis in Children with Cerebral Palsy; From the Family’s Perspective

Objectives: The aim of this study was to evaluate the compliance of ankle-foot orthosis in patients with cerebral palsy (CP) and the factors affecting compliance. Materials and Methods: The demographic data of the patients and the educational status of the parents were recorded. It was questioned whether patients had orthosis usage habits, how many hours a day they used, compliance with orthosis, reasons for not using orthoses and how many days they received physiotherapy per week. Results: Seventy-two (49.7%) of the patients included in the study were using the given orthosis. The reasons for not using the orthosis were frequently finding the orthosis ugly and being difficult to use. No significant difference was found between genders in terms of orthotic compliance (p>0.05). A positive correlation was found between the educational level of the parents and the satisfaction of the orthosis and the duration of physiotherapy. There was a negative correlation between Gross Motor Functional Classification System stage and duration of orthotic use and a positive correlation between physiotherapy time. Conclusion: The physician, physiotherapist, orthosis technician and the family should cooperate with the individual using the orthosis to increase the compliance. The common goal within the multidisciplinary team should be to try to create individuals with CP that are highly compliant with the use of orthoses.

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