Serebral palsili hastaların demografik ve klinik özellikleri

Tuba Erdem Sultanoğlu; Ece Ünlü Akyüz; Alev Çevikol; Hasan Sultanoğlu

doi:10.19161/etd.608467

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Serebral palsili hastaların demografik ve klinik özellikleri

Öz

Amaç: Çalışmamızın amacı serebral palsi (SP) polikliniğinde SP tanısı ile takip ve tedavisi yapılan hastalarımızın demografik ve klinik özelliklerini belirlemektir.

Gereç ve Yöntem: Düzenli takibi olan 577 hastanın bilgileri geriye dönük incelendi. Hastaların yaşı, cinsiyeti, etiyolojik faktörleri, problemlerin fark edildiği yaş, SP tipi, kaba motor fonksiyon klasifikasyon sistemiyle (KMFKS) değerlendirmesi, eşlik eden ikincil problemleri, muayene bulguları, rehabilitasyon merkezinde düzenli tedavi hizmeti alımı, ortez ve yardımcı cihazları, medikal tedavileri, uygulanan konservatif ve cerrahi tedavi yaklaşımları kaydedildi.

Bulgular: Hastalarımızın %41,9’u kız, %58,1’i erkek, yaş ortalaması 6,57 (±3,17) yıl idi. Tanı alma yaşı 0-6 ayda %31,4; 6-12 ayda %36,7; 1-2 yaşta %21,9 ve iki yaşından sonra %10,1 idi. Olguların %23,2’sinde spastik unilateral tip, %72,4’ünde spastik bilateral tip, %1,2’sinde diskinetik tip, %0,2’sinde hipotonik tip ve %2,9’unda mikst tip tutulum mevcuttu. Etiyolojik faktörler açısından %5 prenatal, %10,6 perinatal, %6,8 postnatal faktörler etkendi. Hastalarımızın %64’ünde birden çok risk faktörü mevcutken, %13,7’sinde risk faktörü saptanmamıştır. Rehabilitasyon merkezine devam süresi 3,05(±2,8) yıldı. Hastaların %51'inde eşlik eden problem mevcutken %49’unda eşlik eden problem yoktu. Hastalarımızın %9,6’sında antispastik tedavi, %22,6‘sında antikonvülzan tedavi, %3,1’inde antispastik ve antikonvülzan tedavi, %8,4’ünde bunların dışında medikal tedavi mevcutken, %56,3’ünde herhangi bir medikal tedavisi yoktu. Hastaların ilk başvuruda %33,1’i ortez, %23,3'ü yardımcı cihaz kullanmaktaydı. KMFKS’ye göre hastaların %18,5’i evre 1, %25,5’i evre 2, %18,4’ü evre 3, %22,7’si evre 4 ve %14,9’u evre 5 idi. En sık ekin yürüyüşü saptandı. Hastalarımızın %42,3’üne botulinum toksin enjeksiyonu, %0,7’sine selektif dorsal rizotomi, %21’ine ortopedik cerrahi uygulanmıştı.

Sonuç: Serebral palsinin epidemiyolojik karakterinin bilinmesi, hastaların düzenli takibi ve tedavisi çocuğun bağımlılığını en aza indirip topluma uyumunun artmasını sağlayabilir.

Anahtar Kelimeler

Serebral palsi,demografik ve klinik özellikler,fonksiyonel seviye,risk faktörleri.

Demographic and clinical characteristics of cerebral palsy patients

Abstract

Aim: The objective of this study is to identify the demographic and clinical characteristics of our patients who were followed up and treated with cerebral palsy diagnosis.

Materials and Methods: The information of 577 patients was analyzed.

Results: 41.9% of patients were female,58.1% were male, the mean age was 6.57years. Age of diagnosis was 31.4% in 0-6 months; 36.7% at 6-12 months; 21.9% at 1-2 years and 10.1% after two years of age. There was spastic unilateral type in 23.2%, spastic bilateral type in 72.4%, dyskinetic type in 1.2%, hypotonic type in 0.2% and mixed type in 2.9% of the cases. In terms of etiologic factors,5% prenatal,10.6% perinatal,6.8% postnatal factors were affected.64% of our patients had more than one risk factor, 13.7% had no risk factor.

The duration of resumption to the rehabilitation center is 3.05 years. In 51% of the patients there was a concomitant problem, in 49% there was no accompanying problem. Antispastic therapy was used in 9,6% of patients, anticonvulsant therapy in 22,6%, both treatment in 3,1%, others medical treatment in 8,4%. In 56,3% of the patients was no medical treatment.33,1% of patients were using orthosis,23,3% were using assistive devices. According to CMFCS,18.5% of the patients were in stage 1,25.5% in stage 2,18.4% in stage 3, 22.7% in stage 4 and 14.9% in stage 5. Pes equinus was detected most frequently. Botulinum toxin injection was applied in 42,3%, selective dorsal rhizotomy in 0,7% and orthopedic surgery in 21% of our patients.

Conclusion: Knowing the epidemiologic character of cerebral palsy, regular follow-up, treatment of the patients can provide the least dependence on the child, increase the adaptation to the gathering.

Keywords

Cerebral palsy,demographic and clinical characteristics,functional level,risk factors.

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Tuba Erdem Sultanoğlu ^*
0000-0003-0021-5952
Türkiye

Ece Ünlü Akyüz
0000-0003-4718-5981
Türkiye

Alev Çevikol
0000-0002-6128-4209
Türkiye

Hasan Sultanoğlu
Türkiye

Publication Date

September 20, 2019

Submission Date

April 21, 2018

Acceptance Date

July 31, 2018

Published in Issue

Year 1970 Volume: 58 Number: 3

DOI

https://doi.org/10.19161/etd.608467

IZ

https://izlik.org/JA24BH44DJ

Cite

RIS / Bibtex

Vancouver

1.Tuba Erdem Sultanoğlu, Ece Ünlü Akyüz, Alev Çevikol, Hasan Sultanoğlu. Serebral palsili hastaların demografik ve klinik özellikleri. EJM. 2019 Sep. 1;58(3):265-73. doi:10.19161/etd.608467

Evaluation of Marriage Integration and Psychological Resilience of Parents with Children with Down Syndrome and Cerebral Palsy

Journal of Contemporary Medicine

https://doi.org/10.16899/jcm.1658408

Serebral Palsili Çocuklarda Duyusal İşlemleme Becerileri İle Günlük Yaşam Aktiviteleri Arasındaki İlişkisinin İncelenmesi

Hacettepe University Faculty of Health Sciences Journal

https://doi.org/10.21020/husbfd.1533546

Demographic and clinical characteristics of cerebral palsy patients

Serebral palsili hastaların demografik ve klinik özellikleri

Öz

Anahtar Kelimeler

Demographic and clinical characteristics of cerebral palsy patients

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite

Cited By

A Comparison of the General Approach of Surgeons toward Cerebral Palsy Patients and the Current Literature

Serebral Palsili Çocuklarda Beslenme Alışkanlıkları ve Sorunları: Kesitsel Bir Çalışma

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Evaluation of Marriage Integration and Psychological Resilience of Parents with Children with Down Syndrome and Cerebral Palsy

Serebral Palsili Çocuklarda Duyusal İşlemleme Becerileri İle Günlük Yaşam Aktiviteleri Arasındaki İlişkisinin İncelenmesi