Erdoğan Kavlak, Ayşe Ünal, Fatih Tekin, Filiz Altuğ

Bobath terapisinin serebral palside denge üzerindeki etkisi

Amaç: Serebral palsili çocuklarda en sık karşılaşılan sorunlardan biri, denge kontrolündeki zayıflıktır. Bu çalışmada, diparetik veya hemiparetik serebral palsili çocuklarda 8 haftalık Bobath terapisinin denge üzerine etkisini araştırmayı amaçladık.Gereç ve Yöntem: Çalışmaya 5-14 yaşlarında toplam 15 serebral palsi tanılı (8 diparezi, 7 hemiparezi) çocuk dahil edildi. Çocuklar bağımsız olarak veya yürüme yardımcısıyla yürümektedir. Demografik veriler kaydedildi. Motor fonksiyon seviyesini belirlemek için Kaba Motor Fonksiyon Sınıflandırma Sistemi ve Kaba Motor Fonksiyon Ölçümü kullanıldı. Denge yeteneği için 1 Dakika Yürüme Testi, 10 metre yürüme testi ve Pediatrik Denge Ölçeği ve günlük yaşam aktitivitelerindeki bağımsızlığı değerlendirmek için Çocuklar için Fonksiyonel Bağımsızlık Ölçeği (WeeFIM) kullanıldı. Bobath therapisi toplam 8 hafta boyunca, haftada 2 gün ve bir seansı 60 dakika olacak şekilde uygulandı. Tüm değerlendirmeler tedavi öncesi ve tedaviden sonra yapıldı.Bulgular: 8 haftalık Bobath terapisinden sonra, motor fonksiyonlarda, fonksiyonel bağımsızlık düzeyi ve denge skorlarında istatistiksel olarak anlamlı iyileşmeler olduğu gösterildi.Sonuç: Serebral palsili çocuklarda Bobath terapisi fonksiyonel motor yeteneği, günlük yaşam aktivitelerinde bağımsızlık düzeyi ve denge yeteneğini geliştirir.

Anahtar Kelimeler:

Bobath terapisi, denge, serebral palsi

Effectiveness of Bobath therapy on balance in cerebral palsy

Purpose: Weakness on balance control is one of the most common problems for children with cerebral palsy. Present study aimed to investigate the effectiveness of 8 week-Bobath therapy on balance in children with diparetic or hemiparetic cerebral palsy.Materials and Methods: A total of 15 cerebral palsy diagnosed children (8 diparesis, 7 hemiparesis) aged 5-14 years, were included in this study. Children could walk independently or by using a walking aid. The demographic data were saved for each case. Gross Motor Function Classification System and Gross Motor Function Measure were used to determine level of motor function. 1 Minute Walking Test, 10-meter Walking Test, Pediatric Balance Scale for balance ability and Functional Independence Measure for children (WeeFIM) for assessing of independence in activities of daily living were used. Bobath therapy were applied to children one 60-minute session, 2 days a week and 8 weeks in total. All evaluations were performed before treatment and repeated after treatment program.Results: After 8-week Bobath therapy, the results showed that improvement in motor function, level of functional independence and balance scores were statistically significant. Conclusion: Bobath therapy improves functional motor ability, independence level on daily living activities, and also balance ability in children with cerebral palsy.

Keywords:

balance, Bobath therapy, cerebral palsy,

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