Tuğçe Nur ERDOĞMUŞ, Aysberg Şamil ÖNLÜ, Erdem ÇAKAN, Dicle ARAS

AEROBİK, ESNEKLİK VE KUVVET EGZERSİZLERİNİN SEREBRAL PALSİLİ ÇOCUKLAR ÜZERİNDEKİ ETKİLERİNE YÖNELİK BİR DERLEME

Serebral palsili (SP) bireylerde aktivite, genellikle kas zayıflığı ya da spastisite ile sınırlanmıştır. Yapılan son çalışmalarda fiziksel aktivitenin spastisite ve hareket paternleri üzerinde olumlu etkilerinin olduğu, fiziksel aktivitenin arttırılmasının, bu popülasyondaki morbidite ve mortalite oranlarını iyileştirdiğini gösterilmektedir. Bu derlemenin amacı, farklı egzersiz türlerinin (aerobik, esneklik, kuvvet) serebral palsili çocuklar üzerindeki etkilerine ilişkin güncel çalışmaları incelemek ve etkilerini özetleyerek konu hakkında güncel ve derleyici bilgi sunmaktır. Doküman analizi kullanılarak gerçekleştirilen bu araştırmada Google Scholar, PubMed ve Web of Science veri tabanlarında sistematik bir tarama gerçekleştirilmiştir. Taramada, “cerebral palsy (serebral palsi)” ve “exercise (egzersiz)” ve “rehabilitation (rehabilitasyon)” ve “children (çocuklar)” ve “aerobic (aerobik)” ve “stretching (esnetme)” ve “strengthening (kuvvetlendirme)” ve “endurance (dayanıklılık)” anahtar sözcükleri ve kombinasyonları kullanılmış, 2002-2022 yılları arasında yayınlanan makaleler incelenmiştir. Araştırma sonucunda serebral palsili çocuklarda egzersizin, spastisite ve hareket paternleri üzerinde olumlu birçok etkisi olduğu görülmüş, çocukların fiziksel, bilişsel ve sosyal durumlarında yararlı sonuçlar doğurduğu bulunmuştur. Araştırmaya dâhil edilen çalışmalardan elde edilen bulgulara göre serebral palsili çocuklarda egzersiz yapılması mutlaka önerilmektedir. Aynı zamanda daha büyük popülasyonlar ile yapılacak ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Serebral palsi, egzersiz, aerobik, kuvvet, esneklik.

A REVIEW ON THE EFFECTS OF AEROBIC, FLEXIBILITY AND STRENGTH EXERCISE ON CHILDREN WITH CEREBRAL PALSY

Activity in individuals with cerebral palsy (CP) is usually limited by muscle weakness or spasticity. Recent studies have shown that physical activity has positive effects on spasticity and movement patterns, and increasing physical activity improves morbidity and mortality rates in this population. The purpose of this review is to examine the current studies on the effects of different types of exercise (aerobics, flexibility, strength) on children with cerebral palsy and to summarize their effects and to provide up-to-date and compiling information on the subject. In this study, which was carried out using document analysis, a systematic review was carried out inGoogle Scholar, PubMed and Web of Science databases. The keywords and combinations of "cerebral palsy" and "exercise" and "rehabilitation" and "rehabilitation" and "children" and "aerobic" and "stretching" and "strengthening" and "endurance" were used in the search and articles published between 2002 and 2022 were analysed. As a result of the research, it was seen that exercise had many positive effects on spasticity and movement patterns in children with cerebral palsy, and it was found to have beneficial results in children's physical, cognitive and social conditions. According to the findings obtained from the studies included in the research, it is strongly recommended to exercise in children with cerebral palsy. Further studies with larger populations are also needed.

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