Investigation of Motor Abilities According to Gender in Children with Diplegic Cerebral Palsy

Objective: The aim of this study was to compare the fine and gross motor skills of children with diplegic cerebral palsy (CP) according to gender. Methods: This study included 73 children with diplegic CP (39 males, mean age: 8.76±1.4; 34 females mean age: 8.29±1.31 years) aged between 6 to 12 years. Bruininks-Oseretsky Test 2-Short Form (BOT2-SF), consisting of 8 subtests and 12 items, was used to evaluate the gross and fine motor skills of children. Fine and gross motor skills of children with CP were compared with Student’s t-test. Results: According to gender, the BOT2-SF total score and fine motor precision, bilateral coordination and upper-limb coordination scores of sub-tests were statistically significant higher in girls than in boys (p

Diplejik Serebral Palsili Çocuklarda Cinsiyete Göre Motor Becerilerin İncelenmesi

Amaç: Bu çalışmanın amacı, diplejik serebral palsili (SP) çocuklarda cinsiyete göre ince ve kaba motor becerileri karşılaştırmaktır. Yöntemler: Çalışmaya yaşları 6 ile 12 yaşları arasında değişen, 73 diplejik (39 erkek, ortalama yaş: 8,76±1,4; 34 kız ortalama yaş: 8,29±1,31) SP’li çocuk dahil edildi. Çocukların kaba ve ince motor becerilerini değerlendirmek için 8 alt test ve 12 maddeden oluşan Bruininks-Oseretsky Test 2- Kısa Form (BOT2-KF) kullanıldı. Kız ve erkek SP’li çocukların ince ve kaba motor becerileri Student t-testi kullanılarak karşılaştırıldı. Bulgular: Cinsiyete göre BOT2-KF toplam skoru ve alt testlerinden ince motor doğruluk, bilateral koordinasyon ve üst ekstremite koordinasyon skorları kızlarda erkeklere göre istatistiksel olarak anlamlı derecede yüksekti (p

Kaynakça

1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007;109:8-14.

2. Arneson CL, Durkin MS, Benedict RE, Kirby RS, Yeargin-Allsopp M, Van Naarden Braun K, et al. Prevalence of cerebral palsy: Autism and Developmental Disabilities Monitoring Network, three sites, United States, 2004. Disabil Health J 2009;2:45-8.

3. Rose J, Wolff DR, Jones VK, Bloch DA, Oehlert JW, Gamble JG. Postural balance in children with cerebral palsy. Dev Med Child Neurol 2002;44:58-63.

4. Al-Nemr A, Abdelazeim F. Relationship of cognitive functions and gross motor abilities in children with spastic diplegic cerebral palsy. Appl Neuropsychol Child 2018;7:268-76.

5. Yokochi K. Gait patterns in children with spastic diplegia and periventricular leukomalacia. Brain Dev 2001;23:34-7.

6. Johari S, Rassafiani M, Dalvand H, Kahjoogh MA, Daemi M. Effects of maternal handling training at home, on development of fine motor skills in the children with cerebral palsy: A randomized clinical trial. J Occup Ther School Early Interv 2016;9:321-31.

7. Rogers S. Common conditions that influence children’s participation. In: Case-Smith J, O’Brein JC, editors. Occupational Therapy for Children and Adolescents. St Louis: Elsevier; 2010.p.146-92.

8. Lieber RL, Steinman S, Barash IA, Chambers H. Structural and functional changes in spastic skeletal muscle. Muscle Nerve 2004;29:615-27.

9. Himmelmann K, Beckung E, Hagberg G, Uvebrant P. Gross and fine motor function and accompanying impairments in cerebral palsy. Dev Med Child Neurol 2006;48:417-23.

10. Mülazimoğlu Ballı Ö, Gürsoy F. The Study of Validity and Reliability of BruininksOseretsky Motor Proficiency Test for Five-Six– Years– Old Turkish Children. Hacettepe J Sport Sci 2012;23:104-18.

11. Bruininks VL, Bruininks RH. Motor proficiency of learning disabled and nondisabled students. Percept Mot Skills 1977;44:1131-7.

12. Gregory V, Payne L, Isaacs D. Human motor development: A lifespan approach. Boston: McGraw-Hill; 2005.

13. Deitz JC, Kartin D, Kopp K. Review of the Bruininks-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). Phys Occup Ther Pediatr 2007;27:87-102.

14. Köse B. Bruininks-Oseretsky motor yeterlik testi 2 kısa formunun Türkçe uyarlaması ve özgül öğrenme güçlüğü olan çocuklarda geçerlilik ve güvenilirliği. Ankara: Hacettepe Üniversitesi; 2018.

15. Bruininks RH, Oseretsky BD. Bruininks-Oseretsky test of motor proficiency second edition, brief form. Second ed. Bloomington: PsychCorp; 2010.

16. Romeo DM, Cioni M, Battaglia LR, Palermo F, Mazzone D. Spectrum of gross motor and cognitive functions in children with cerebral palsy: gender differences. Eur J Paediatr Neurol 2011;15:53- 8.

17. Lee YC, Wu CY, Liaw MY, Lin KC, Tu YW, Chen CL, et al. Developmental profiles of preschool children with spastic diplegic and quadriplegic cerebral palsy. Kaohsiung J Med Sci 2010;26:341-9.

18. Arnould C, Bleyenheuft Y, Thonnard JL. Hand functioning in children with cerebral palsy. Front Neurol 2014;5:48.

19. Hintz SR, Kendrick DE, Vohr BR, Kenneth Poole W, Higgins RD; Nichd Neonatal Research Network. Gender differences in neurodevelopmental outcomes among extremely preterm, extremelylow- birthweight infants. Acta paediatr 2006;95:1239-48.

20. Tonak HA, Kılıç MC, Karadeniz Yenilmez Ö, Kitiş A. The Examination of Upper Extremity Functionality in Children with Cerebral Palsy. Aydın J Health Sci 2016;2:37-50.

21. Park MO. Effects of gross motor function and manual function levels on performance-based ADL motor skills of children with spastic cerebral palsy. J Phys Ther Sci 2017;29:345-8.

22. Franki I, Desloovere K, De Cat J, Feys H, Molenaers G, Calders P, et al. The evidence-base for conceptual approaches and additional therapies targeting lower limb function in children with cerebral palsy: a systematic review using the ICF as a framework. J Rehabil Med 2012;44:396-405.

23. Rabinowicz T, Petetot JMC, Gartside PS, Sheyn D, Sheyn T, de MyersGabrielleM C. Structure of the cerebral cortex in men and women. J Neuropathol Exp Neurol 2002;61:46-57.

24. Soyuer F, Türkmen MC, Cankurtaran F, Şırayder U, Öztürk A. Adölesan diparetik ve hemiparetik serebral palsililerde dinamik denge ve vücut kütle indeksi ile ilişkisi. J Exerc Ther Rehabil 2018;5:53-8.

25. Romeo DM, Sini F, Brogna C, Albamonte E, Ricci D, Mercuri E. Sex differences in cerebral palsy on neuromotor outcome: a critical review. Dev Med Child Neurol 2016;58:809-13.

26. Bisagno V, Bowman R, Luine V. Functional aspects of estrogen neuroprotection. Endocrine 2003;21:33-41.

27. Bax M, Tydeman C, Flodmark O. Clinical and MRI correlates of cerebral palsy: the European Cerebral Palsy Study. JAMA 2006;296:1602-8.

28. Ko JY, Woo JH, Her JG. The reliability and concurrent validity of the GMFCS for children with cerebral palsy. J Phys Ther Sci 2011;23:255-8.

29. Bumin G, Kavak ST. An investigation of the factors affecting handwriting performance in children with hemiplegic cerebral palsy. Disabil Rehabil 2008;30:1374-85.

Kaynak Göster