Clinical and sociodemographic characteristics of patients with cerebral palsy and assessment of the factors effecting the gait analysis
Abstract
Abstract
Objective: To determine the clinical and sociodemographic characteristics of
patients with cerebral palsy and to assess the factors effecting the gait
analysis.
One hundred twenty patients with cerebral palsy aged between 4-18 years
followed-up at the Mersin University Medical Faculty Pediatric Neurology
outpatient clinic were included in the study. Cerebral Palsy Patient
Information forms and rough motor function scales were filled by the patients. Results: The mean age of the cerebral
palsy patients was 104.8±42.9 months, and the male to female ratio was 1.7/1.
Education levels were primary or below in 65.8% of patients’ mothers, and in
58.3% of fathers. Sixty percent of our patients were delivered by the normal
vaginal route, 45% were premature, and 50.9% had a birth weight less than 2500
g. Spastic diplegia was the most frequently detected subtype of cerebral palsy.
Mental retardation was found in 95% of the cohort. Eye and vision problems,
absence of social communication, unability of sitting without support until 2
years of age, growth retardation and mental retardation were the factors
effecting gait potentials. Conclusion:
In the light of our results, the prevalence of SP in Turkey can be reduced by
improving the sociocultural status of parents and informing regarding the
consequences of consanguineous marriage and improvement of health conditions
for mother and neonate both during pregnancy and postnatal period. Moreover,
better prognosis can be achieved by early detection and management of the
factors effecting gait potential.
References
- Sankar C, Mundkur N. Cerebral Palsy- Definition, Classification, Etiology and Early Diagnosis. Indian Journal of Pediatrics 2005; 72: 865-868.
- Serdaroğlu A, Cansu A. Prevalance of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol 2006; 48: 413-416.
- Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and validation of a gross motor function classification system for children with cerebral palsy. Dev Med Child Neurol 1997; 39: 214–23.
- Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D.Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification ofcerebral palsy. Dev Med Child Neurol 2005; 47(8): 571-576.
- Menkes JH, Sarnat HB. Child Neurology. 6th eds. Chapter 5. Perinatal asphyxıa and trauma. Philadelphia: Lippincott Williams and Wilkins, 2000; p:427-49.
- İpek B, Ecevit Ç, İpek I, Kocabaş Ö, Kavaklı T, Öztürk A. The evaluation of 371 cases with cerebral palsy between January 1984 and December 2004. J Neurol Sci 2007;24(4):270-9
- Nacitarhan S. Merkezimize başvuran Güneydoğu Anadolu Bölgeli serebral palsili çocukların sosyo-ekonomik ve demografik özellikleri. Dicle Tıp Dergisi 2005;32.139.
- Altındağ I, Soran N, Akcan S. Şanlıurfa ve ilçelerinde serebral palsili çocukların demografik özellikleri. Gaziantep Tıp Dergisi 2009;15(1):24-7.
- A. Tosun, S. Gökben, G. Serdaroğlu, M. Polat, H. Tekgül Changing views of cerebral palsy over 35 years: the experience of a center, The Turkish Journal of Pediatrics 2013; 55: 8-15
- Stevenson RD, Hayes RP, Cater LV, Blackman JA. Clinical correlates of linear growth in children with cerebral palsy. Dev Med Chil Neurol1994;36:35-42
- Kabakuş N, Açık Y, Kurt A, Özdiller D, Kurt AN, Aygün AD. Serebral palsili hastalarımızın demografik, etiyolojik ve klinik özellikleri. Çocuk Sağ. ve Hast. Dergisi 2005;48:125-9
- Orawan K, MPH, Nuanlaor T, PhD. Prognostic Predictors for Ambulation in Thai Children With Cerebral Palsy Aged 2 to 18 Years. Journal of Child Neurology 2015, Vol. 30(13) 1812-1818.
- Wu YW, Day SM, Strauss DJ, et al. Prognosis for ambulation in cerebral palsy: a population-based study. Pediatrics. 2004;114: 1264-1271.
- Goh Y, Choi Y.J, Kim A S., Park J, Park S E. Comparisons of severity classification systems for oropharyngeal dysfunction in children with cerebral palsy: Relations with other functional profiles. Res Dev Disabil. 2018 Jan;72:248-256.
- Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RN. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics. 2013 May;131(5):e1553-62.
- Kim JS, Han ZA, Song DH, Oh HM, Chung ME. Characteristics of dysphagia in children with cerebral palsy, related to gross motor function. Am J Phy Med Rehabil. 92(10):912–919, OCT 2013.
- Johnson A. Prevelance and characteristics of children with cerebral palsy in Europe Dev Med ChildNeurol 2002;44:633-40.
- Johnson A. Prevelance and characteristics of children with cerebral palsy in Europe Dev Med ChildNeurol 2002;44:633-40.
- Kwong K, Wong SN, So K. Epilepsy in children with cerebral palsy. Paediatr Neurol 1998;19:313–6.
- Ballester-Plané J, Laporta-Hoyos O, Macaya A, Póo P, Meléndez-Plumed M, Toro-Tamargo E, Gimeno F, Narberhaus A, Segarra D, Pueyo R. Cognitive functioning in dyskinetic cerebral palsy: Its relation to motor function, communication and epilepsy. Eur J Paediatr Neurol. 2017 Oct 24. pii: S1090-3798(17)30160-5.
- K.J. Saunders, J.A. Little, J.F. McClelland, A.J. Jackson. Profile of refractive errors in cerebral palsy: impact of severity of motor impairment (GMFCS) and CP subtype on refractive outcome. Invest Ophthalmol Vis Sci, 51 (2010), pp. 2885-2890.
- Lew H, Lee HS, Lee JY, Song J, Min K, Kim M. Possible linkage between visual and motor development in children with cerebral palsy. Pediatr Neurol. 2015;52(3):338-43
- Begnoche DM, Chiarello A.L, Palisano J.R, Gracely J.E, McCoy W.S ve ark. Predictors of Independent Walking in Young Children With Cerebral Palsy. Phys Ther. 2016 Feb; 96(2): 183–192.
Serebral palsili çocuklarda sosyodemografik veriler ve yürüme potansiyeli üzerine etki eden faktörlerin değerlendirilmesi
Abstract
Amaç: Polikliniğimizde
serebral palsi tanılı hastaların klinik ve sosyodemografik özelliklerini ve
yürüme üzerine etki eden faktörlerin belirlenmesi amaçlanmıştır. Yöntem: Mersin Üniversitesi Tıp
Fakültesi Çocuk Nöroloji Polikliniği’nde izlenen serebral palsi tanısı almış
4-18 yaş arası 120 hasta çalışmaya dahil edildi. Hastalara Serebral Palsi Hasta
Bilgi formu ve kaba motor fonksiyon sınıflama ölçeği dolduruldu. Bulgular: SP’li hastaların ortalama yaş
değerinin 104.8±42.9 ay, erkek kız oranı 1.7/1 olduğu belirlendi. Çalışma
grubuna dahil edilen çocukların annelerinde %65.8, babalarında %58.3 oranında
ilköğretim veya altında eğitim düzeyi saptandı. Hastalarımızın %60’ı normal
vajinal yol ile doğduğu, %45’in prematüre olduğu ve %50.9’unun doğum ağırlığı
2500 gr’ın altında olduğu saptandı. Çalışma grubumuza dahil edilen hastaların
en sık spastik diplejik tip SP tanısı aldığı, %95’inde değişik derecelerde
mental gerilik olduğu saptandı. Yürüme potansiyellerini etkileyen faktörlerin
göz ve görme problemleri, sosyal iletişimin olmaması, 2 yaşına kadar desteksiz oturma
becerisinin kazanılmaması, büyüme gelişme geriliği, mental gerilik düzeyi ve SP
alt tipi olduğu belirlendi. Sonuç:
Sonuçlarımız ışığında anne ve babanın sosyokültürel durumunun geliştirilmesi,
akraba evliliklerinin sakıncaları konusunda bilgilendirme, gebelik öncesi ve
sonrasında anne ve bebeğe yönelik yeterli sağlık koşullarının geliştirilmesi
ile SP sıklığının azaltılabileceği, ayrıca yürüme potansiyeline etki eden
faktörlerin erken tanı ve tedavisi ile serebral palsili çocukların
prognozlarının daha iyi olması sağlanabileceği düşünülmüştür.
References
- Sankar C, Mundkur N. Cerebral Palsy- Definition, Classification, Etiology and Early Diagnosis. Indian Journal of Pediatrics 2005; 72: 865-868.
- Serdaroğlu A, Cansu A. Prevalance of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol 2006; 48: 413-416.
- Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and validation of a gross motor function classification system for children with cerebral palsy. Dev Med Child Neurol 1997; 39: 214–23.
- Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D.Executive Committee for the Definition of Cerebral Palsy. Proposed definition and classification ofcerebral palsy. Dev Med Child Neurol 2005; 47(8): 571-576.
- Menkes JH, Sarnat HB. Child Neurology. 6th eds. Chapter 5. Perinatal asphyxıa and trauma. Philadelphia: Lippincott Williams and Wilkins, 2000; p:427-49.
- İpek B, Ecevit Ç, İpek I, Kocabaş Ö, Kavaklı T, Öztürk A. The evaluation of 371 cases with cerebral palsy between January 1984 and December 2004. J Neurol Sci 2007;24(4):270-9
- Nacitarhan S. Merkezimize başvuran Güneydoğu Anadolu Bölgeli serebral palsili çocukların sosyo-ekonomik ve demografik özellikleri. Dicle Tıp Dergisi 2005;32.139.
- Altındağ I, Soran N, Akcan S. Şanlıurfa ve ilçelerinde serebral palsili çocukların demografik özellikleri. Gaziantep Tıp Dergisi 2009;15(1):24-7.
- A. Tosun, S. Gökben, G. Serdaroğlu, M. Polat, H. Tekgül Changing views of cerebral palsy over 35 years: the experience of a center, The Turkish Journal of Pediatrics 2013; 55: 8-15
- Stevenson RD, Hayes RP, Cater LV, Blackman JA. Clinical correlates of linear growth in children with cerebral palsy. Dev Med Chil Neurol1994;36:35-42
- Kabakuş N, Açık Y, Kurt A, Özdiller D, Kurt AN, Aygün AD. Serebral palsili hastalarımızın demografik, etiyolojik ve klinik özellikleri. Çocuk Sağ. ve Hast. Dergisi 2005;48:125-9
- Orawan K, MPH, Nuanlaor T, PhD. Prognostic Predictors for Ambulation in Thai Children With Cerebral Palsy Aged 2 to 18 Years. Journal of Child Neurology 2015, Vol. 30(13) 1812-1818.
- Wu YW, Day SM, Strauss DJ, et al. Prognosis for ambulation in cerebral palsy: a population-based study. Pediatrics. 2004;114: 1264-1271.
- Goh Y, Choi Y.J, Kim A S., Park J, Park S E. Comparisons of severity classification systems for oropharyngeal dysfunction in children with cerebral palsy: Relations with other functional profiles. Res Dev Disabil. 2018 Jan;72:248-256.
- Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RN. Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics. 2013 May;131(5):e1553-62.
- Kim JS, Han ZA, Song DH, Oh HM, Chung ME. Characteristics of dysphagia in children with cerebral palsy, related to gross motor function. Am J Phy Med Rehabil. 92(10):912–919, OCT 2013.
- Johnson A. Prevelance and characteristics of children with cerebral palsy in Europe Dev Med ChildNeurol 2002;44:633-40.
- Johnson A. Prevelance and characteristics of children with cerebral palsy in Europe Dev Med ChildNeurol 2002;44:633-40.
- Kwong K, Wong SN, So K. Epilepsy in children with cerebral palsy. Paediatr Neurol 1998;19:313–6.
- Ballester-Plané J, Laporta-Hoyos O, Macaya A, Póo P, Meléndez-Plumed M, Toro-Tamargo E, Gimeno F, Narberhaus A, Segarra D, Pueyo R. Cognitive functioning in dyskinetic cerebral palsy: Its relation to motor function, communication and epilepsy. Eur J Paediatr Neurol. 2017 Oct 24. pii: S1090-3798(17)30160-5.
- K.J. Saunders, J.A. Little, J.F. McClelland, A.J. Jackson. Profile of refractive errors in cerebral palsy: impact of severity of motor impairment (GMFCS) and CP subtype on refractive outcome. Invest Ophthalmol Vis Sci, 51 (2010), pp. 2885-2890.
- Lew H, Lee HS, Lee JY, Song J, Min K, Kim M. Possible linkage between visual and motor development in children with cerebral palsy. Pediatr Neurol. 2015;52(3):338-43
- Begnoche DM, Chiarello A.L, Palisano J.R, Gracely J.E, McCoy W.S ve ark. Predictors of Independent Walking in Young Children With Cerebral Palsy. Phys Ther. 2016 Feb; 96(2): 183–192.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Publication Date | August 30, 2019 |
| Submission Date | February 19, 2019 |
| Acceptance Date | July 3, 2019 |
| Published in Issue | Year 2019 Volume: 12 Issue: 2 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
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