Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma

Fatih Özden; İsmail Uysal; İsmet Tümtürk; Mehmet Özkeskin; Ahmet Imerci

doi:10.19161/etd.1283439

EN TR

The Efficacy of Derotation Taping in Femoral Internal Rotation Deformity of Children with Cerebral Palsy: A Randomized Controlled Trial

Abstract

Aim: The present study aimed to investigate the effect of the derotation method of Kinesio Taping in addition to conventional rehabilitation in children with hemiplegic cerebral palsy with femoral internal rotation deformity. Materials and Methods: A total of 30 children with unilateral hemiplegic spastic cerebral palsy were randomized into the Kinesio Taping and control group (Conventional Rehabilitation). All included participants have spasticity-related rotation deformity and in-toeing gait. Kinesio Taping group was treated with derotation-tape in addition to conventional rehabilitation. Data was collected before and immediately after the intervention, and also 3 days after the first assessment. The 6-Meter Walk Test, Pediatric Berg Balance Test, Modified Ashworth Scale, Edinburgh Visual Gait Score and Generic Quality-of-Life Instrument for Children were used to assess the children. Results: There was no significant difference between the groups regarding spasticity scores (p>0.05). Spasticity was decreased in hip internal rotators and knee flexors in immediate and acute periods after the intervention in the Kinesio Taping group (p<0.05). There was no difference between the two groups regarding balance, walking, and quality-of-life (p>0.05). Post-intervention improvement in 6-Meter Walk Test, Pediatric Berg Balance Test and Edinburgh Visual Gait Score scores was significant only in the Kinesio Taping group (p<0.05). Quality-of-life increased significantly after treatment in both groups. Conclusion: The results revealed that derotation Kinesio Taping reduces spasticity in the hip internal rotator and knee flexor muscles in the immediate and acute period in children with spastic hemiplegic cerebral palsy. Besides, Kinesio Taping improved balance and walking in the acute period.

Keywords

Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma

Öz

Amaç: Bu çalışmanın amacı femoral internal rotasyon deformitesi olan hemiplejik serebral palsili çocuklarda konvansiyonel rehabilitasyona ek olarak Kinesio Bantlama ile derotasyon yönteminin etkisini araştırmaktı. Gereç ve Yöntem: Tek taraflı hemiplejik spastik serebral palsili toplam 30 çocuk Kinesio Bantlama ve kontrol grubuna (Konvansiyonel Rehabilitasyon) randomize edildi. Tüm katılımcılar spastisiteye bağlı rotasyon deformitesine ve “in-toeing” yürüyüşe sahipti. Kinesio Bantlama grubu konvansiyonel rehabilitasyona ek olarak derotasyon bandı ile tedavi edildi. Veriler müdahaleden önce ve hemen sonra ve ayrıca ilk değerlendirmeden 3 gün sonra toplanmıştır. Çocukları değerlendirmek için 6 Metre Yürüme Testi, Pediatrik Berg Denge Testi, Modifiye Ashworth Ölçeği, Edinburgh Görsel Yürüme Skoru ve Çocuklar için Genel Yaşam Kalitesi Ölçeği kullanılmıştır. Bulgular: Spastisite skorları açısından gruplar arasında anlamlı fark yoktu (p>0.05). Kinesio Bantlama grubunda müdahaleden hemen sonra ve akut dönemde kalça iç rotator kaslarında ve diz fleksörlerinde spastisite azaldı (p<0.05). Denge, yürüme ve yaşam kalitesi açısından iki grup arasında fark yoktu (p>0.05). Müdahale sonrası 6 Metre Yürüme Testi, Pediatrik Berg Denge Testi ve Edinburgh Görsel Yürüme Skoru skorlarındaki iyileşme sadece Kinesio Bantlama grubunda anlamlıydı (p<0.05). Yaşam kalitesi her iki grupta da tedavi sonrasında anlamlı olarak artmıştı. Sonuç: Sonuçlar derotasyon yöntemi ile Kinesio Bantlamanın spastik hemiplejik serebral palsili çocuklarda acil ve akut dönemde kalça iç rotator ve diz fleksör kaslarındaki spastisiteyi azalttığını ortaya koymuştur. Ayrıca, Kinesio Bantlama akut dönemde denge ve yürümeyi geliştirmiştir.

Anahtar Kelimeler

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Fatih Özden
0000-0001-6593-3758
Türkiye

İsmail Uysal
0000-0001-9821-2180
Türkiye

İsmet Tümtürk
0000-0003-0455-5110
Türkiye

Mehmet Özkeskin ^*
0000-0002-6892-0108
Türkiye

Ahmet Imerci
0000-0002-6474-8259
Türkiye

Yayımlanma Tarihi

18 Aralık 2023

Gönderilme Tarihi

14 Nisan 2023

Kabul Tarihi

16 Mayıs 2023

Yayımlandığı Sayı

Yıl 2023 Cilt: 62 Sayı: 4

DOI

https://doi.org/10.19161/etd.1283439

IZ

https://izlik.org/JA26EL58WN

Kaynak Göster

RIS / Bibtex

Vancouver

1.Fatih Özden, İsmail Uysal, İsmet Tümtürk, Mehmet Özkeskin, Ahmet Imerci. Serebral Palsili Çocuklarda Femoral İç Rotasyon Deformitesinde Derotasyon Bantlamasının Etkinliği: Randomize Kontrollü Çalışma. ETD. 01 Aralık 2023;62(4):522-30. doi:10.19161/etd.1283439