Gamze Polen AKŞİMŞEK, Özge TAHRAN, Begüm OKUDAN, Derya AZİM REZAEİ, İpek YELDAN

SEREBRAL PALSİ’Lİ ÇOCUĞA SAHİP ANNELERE VERİLEN EGZERSİZ VE POSTÜR EĞİTİMİNİN ANNELERİN KAS İSKELET SİSTEMİ AĞRISI ÜZERİNE ETKİSİ

Amaç: Serebral Palsi (SP)’li çocuğa sahip annelere verilen egzersiz ve postür eğitiminin kas iskelet sistemi ağrıları üzerine etkisini araştırmaktı. Yöntem: Tüm tiplerdeki SP’li çocuğa sahip anneler (18-55 yaş) randomize olarak eğitim grubu (n=30) ve kontrol grubu (n=30) olmak üzere iki gruba ayrıldı. Değerlendirmelerde Görsel Analog Skalası ve Genişletilmiş Nordik Kas İskelet Sistemi Anketi kullanıldı. Eğitim grubundaki annelere fizyoterapist tarafından egzersiz ve postür eğitimi yüz yüze 60 dakika süreyle 1 kez verildi ve 6 hafta boyunca uzaktan takip edildi. Sonuçlar: Ağrı şiddeti eğitim öncesinde kontrol grubunda 5,50±1,25; eğitim grubunda 6,26±1,92 idi ve aralarında istatiksel fark yoktu. Eğitim sonrasında kontrol grubunun ağrı şiddeti 5,80±0,88’e yükselirken; eğitim grubunda 3,90±1,29’a azaldı ve gruplar arasında anlamlı fark vardı (p=0,001). Eğitim grubunda eğitim öncesi ve sonrasında yapılan grup içi analizde ağrı şiddetinde (p=0,001) anlamlı fark vardı. Eğitim sonrasında eğitim grubunun son 7 güne ait ağrı dağılımında boyun (%6,7), omuz (%12,3) ve sırt (%16,6) bölgelerinde azalma görüldü. Tartışma: SP’li çocuğa sahip annelere verilen yüz yüze postür ve egzersiz eğitiminin uzaktan takibinin annelerin ağrı şiddetinin ve boyun, omuz ile sırt bölgelerindeki ağrı dağılımlarının azalttığı ortaya konmuştur.

Anahtar Kelimeler:

ağrı, egzersiz, eğitim, postür, serebral palsi

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