Fatih ENZİN, Hazel ÇELİK GÜZEL, Sevgi FELEK

Serebral Palsili Olgularda Fiziksel Aktivite Düzeyi ile Uyku Kalitesi Arasındaki İlişkinin Değerlendirilmesi

ÖZET Amaç: Serebral palsili bireylerin motor gelişim ve fonksiyonel kapasiteleri sağlıklı yaşıtlarına göre daha yavaş gelişim göstermektedir. Bu durumun ortaya çıkmasında uykunun ne kadar etkili olduğu bilinmemektedir. Bu çalışma, uyku kalitesinin serebral palsili bireylerin motor gelişim ve fiziksel aktivite kapasiteleri üzerindeki etkisini araştırmayı amaçlamaktadır. Materyal ve Metod: Çocukların fonsiyonel kapasitelerini belirlemek için 6 Dakika Yürüme Testi, Kas Kuvveti Testleri (Sırt Ekstansör Kas Kuvveti ve Abdominal Kas Kuvveti), Kassal Endurans Testleri (Çömelme Testi, Mekik Testi, Ters Mekik Testi), Esneklik Testleri (Otur-Uzan Testi, Sırt Kasları Esneklik Testi) ve 20 Metre Hızlı Yürüme testlerini uyguladık. Uyku alışkanlıkları ve uykuyla ilişkili sorunlar, Çocuk Uyku Alışkanlıkları Anketi kullanılarak değerlendirildi. Bulgular: Çalışmaya 48 serebral palsili birey dahil edildi.( ortalama; yaş 10,5 (6-18), VKİ 17,86 (10.52-30)). Bunların 20’si kız, 28’i erkekti. Uyku alışkanlıkları anketi sonuçları ile yürüme ve esneklik testleri sonuçları arasında negatif yönde orta dereceli ilişki olduğu görülürken (p<0,05), kassal kuvvet ve endurans testleri ile ilişki olmadığı görüldü (p0,05). Yürüme ve endurans testleri puanları ile toplam uyku süresi arasında ilişki olmadığı görülürken; tüm egzersiz testleri puanları ile uyku kalitesi verileri arasında korelasyon olduğu tespit edildi. Sonuç: Serebral palsili bireylerde, uyku kalitesi; yürüme, kuvvet, endurans, esneklik gibi fiziksel aktivite düzeyini gösteren parametrelerle değişen seviyelerde ilişkilidir. Bu nedenle rehabilitasyonda hedeflenen başarının artırılabilmesi için uyku ile ilgili düzenlemeler gerekebilir.

Anahtar Kelimeler:

Serebral Palsi, Uyku, Fiziksel Aktivite

Evaluation of Relationship Between Physical Activity Level and Sleep Quality In Patients With Cerebral Palsy

Background: Individuals with cerebral palsy develop more slowly in their motor development and capaci-ties than their healthy peers. It is not known how effective sleep is in this occurrence. This study aims to investigate the motor development and physical activity capacities of individuals with brain palsy.Materials and Methods: 6 Minute Walk Test for cardiovascular endurance, Back Extensor and Ab-dominal Muscle Tests for muscle strength, Squat, Shuttle and Reverse Shuttle Tests for muscular endur-ance, Sit-Reach and Back Muscle Flexibility Tests for flexibility and 20 Meter Walk test for walking speed, we applied to children. Sleep habits and sleep related problems were evaluated using the Child Sleep Habits Questionnaire.Results: rty-eight individuals with cerebral palsy were included in the study. (Mean; age 10.5 (6-18), BMI 17.86 (10.52-30)). Twenty of them were girls and 28 were boys. There was a moderate negative correla-tion between the sleep habits questionnaire results and the results of walking and flexibility tests (p <0.05), but no correlation was observed with muscle strength and endurance tests (p0,05). While there was no relationship between walking and endurance test scores and total sleep time; there was a corre-lation between all exercise test scores and sleep quality data.Conclusions: Sleep quality in individuals with cerebral palsy; It is related to varying levels with parame-ters showing the level of physical activity such as gait, strength, endurance, and flexibility. Therefore, sleep-related regulations may be required to increase the targeted success in rehabilitation.

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