Serebral Parezide Gözlemsel Yürüme Analizinin Yeri ve Kullanılabilirliği

Yürüme karmaşık hareketler sinsilesi olduğundan klinikte anliz edilmesi güçtür. Serebral Palsili (SP) çocuklarda pek çok çeşit yürüme problemi görülür. Neyazık ki klinikte SP’li çocukların değişik yürüme problemlerini inceleyecek tatmin edici güvenilirliğe sahip bir yürüme değerlendirme aracı bulunmamaktadır. Bu derlemenin amacı, spastik hemiparezi ve diparezili çocuklarda video bazlı gözlemsel yürüme analiz’nın (VBGYA) güvenilirliğinin nasıl değerlendirilmesi gerektiği ve bu değerlendime aracının günümüzdeki durumuyla klinikte kullanılamaya uygun olup olmadığını tartışmak, limitasyonlarını incelemektir. Karşılaştırma ve detaylı derleme sonuçlarına göre günümüzde video bazlı gözlemsel yürüme analizi metotları orta seviyede gözlemciler arası güvenilirliğe ve orta-ileri düzeyde gözlemci içi güvenilirliğe sahip olduğunu ortaya koymuştur. Sonuç olarak gözlemci içi güvenilirlik VBGYA’nin klinikte kullanılabileceğini, ancak gözlemciler arası güvnilirliğin yükseltilmesi için çalışılması gerektiği ortaya konmuştur.

Anahtar Kelimeler:

Yürüme analizi, klinik değerlendirme, Serebral palsi, Güvenilirlik, Fizyoterapi

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Gait is a complex sequence of movements so that it is very hard to analyze in clinic. Children with cerebral palsy have lots of different type of gait abnormalities. There is no clinically satisfied and reliable gait assessment tool for analyzing gait problem in cerebral palsy. The purpose of the review was to determine the reliability of clinically available video based observational gait analysis on children with spastic hemiplegics and diplegics and to investigate how they can be used in clinical practice as a standard examination tool. The review results showed that clinically available methods have moderate level reliability for between rater reliability and moderate to advance level reliability for within rater reliability. This review suggested that between rater reliability is high enough to use it in clinical practice but within rater reliability needs to be improved by the feature studies

Keywords:

Physiotherapy, reliability, clinical practice, cerebral palsy, gait analysis,

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