SEREBRAL PALSİLİ ÇOCUKLARDA ÇİĞNEME BOZUKLUĞUNA YÖNELİK FİZYOTERAPİ VE REHABİLİTASYON YAKLAŞIMLARI

Çiğneme bozukluğu, Serebral Palsi (SP)’li çocuklarda beslenme ve nörogelişimsel durum ile hem çocuk hem de ailenin yaşam kalitesini olumsuz yönde etkilemektedir. Bu nedenle SP’li çocuklar çiğneme bozukluğu açısından erken dönemde değerlendirilmeli ve uygun müdahale yaklaşımları uygulanmalıdır. Müdahale multidisipliner ekip yaklaşımı gerektirir ve fizyoterapistler bu ekibin önemli bir parçasıdır. Bu derleme sonucunda çiğneme bozukluğu olan SP’li çocuklarda çiğneme fonksiyonunun değerlendirilmesinde kullanılan sonuç ölçütlerinin büyük farklılıklar içerdiği, rehabilitasyon yaklaşımlarının çok bileşenli müdahaleler olduğu görülmüştür. Çiğneme bozukluğu olan SP’li çocuğu İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası Sınıflandırması çerçevesindeki kavramlara dayalı olarak değerlendiren ve bütüncül olarak yaklaşan çalışmaların arttırılmasına ihtiyaç bulunmaktadır.

Anahtar Kelimeler:

çiğneme, çiğneme bozukluğu, çiğneme eğitimi, fizyoterapi, serebral palsi

PHYSIOTHERAPY AND REHABILITATION APPROACHES TO CHEWING DISORDERS IN CHILDREN WITH CEREBRAL PALSY

Chewing disorders negatively affect the nutritional and neurodevelopmental status of children with Cerebral Palsy (CP), as well as the quality of life of both the child and the family. Therefore, chewing function in children with CP should be evaluated early, and appropriate interventions should be applied. Chewing disorders management requires a multidisciplinary team and physiotherapists are an essential part of this team. As a result of this review, it has been found that the outcome measures used in the evaluation of chewing function in CP children with chewing disorders included great differences, and rehabilitation included multi-component interventions. There is a need for holistic studies based on concepts within the framework of the International Classification of Functioning, Disability, and Health for the management of chewing disorders in children with CP.

Keywords:

cerebral palsy, chewing disorders, chewing training, physiotherapy, mastication,

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