Hasan TOKTAŞ, Nuran EYVAZ, Ümit DÜNDAR, Selma EROĞLU

Serebral Palside Ön Diz Ağrısı Sebebi Olarak Patella Alta: Vaka Sunumu ve Rehabilitasyon Yaklaşımı

Serebral palsi (SP); gelişmekte olan fetal veya infant beyninde oluşan hasar sonucu, hareket ve postür gelişiminin kalıcı bozukluğudur. Motor bozukluğa duysal, bilişsel, algısal, davranışsal bozukluklar ve epilepsi yanında sekonder kas iskelet sistemi problemleri de eşlik edebilir. Kas iskelet sistemi problemleri içinde diz fleksiyon deformitesi önemli yer tutar. Diz fleksiyon deformitesi, bükük diz yürüyüşüne ve dizin ekstansör mekanizmasını etkileyerek patella altaya neden olmaktadır. Bunun sonucunda ön diz ağrısı (ÖDA) gelişebilmektedir. Kuadriseps, özellikle de vastus medialis oblikus güçlendirme egzersizleri ile patella altanın neden olduğu ÖDA azaltılabilir, yürüyüş daha iyi hale getirilebilir.

Anahtar Kelimeler:

Serebral palsi, Patella alta, Rehabilitasyon

Patella alta as a cause of anterior knee pain in cerebral palcy: case report and rehabilitation approach

Cerebral palsy is a permanent disorder of the development in movement and posture which is a result of damage in the fetal or infant brain. Sensorial, cognitive, perceptive, behavioral disorders and epilepsy, as well as the secondary musculoskeletal problems may accompany motor disorders. Knee flexion deformity constitutes an essential part of the musculoskeletal problems. Knee flexion deformity may cause crouch gait and patella alta by affecting the extensor mechanism of the knee. As a result, these conditions may cause anterior knee pain. Quadriceps exercises, especially involving the vastus medialis obliquus, may decrease anterior knee pain and improve gait pattern induced by patella alta.

Keywords:

Cerebral palsy, Patella alta, Rehabilitation,

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