Araştırma Makalesi
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YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ

Yıl 2020, Cilt: 31 Sayı: 3, 218 - 224, 17.12.2020
https://doi.org/10.21653/tjpr.493150

Öz

Amaç: Oral motor problemler ile beslenme ve yutma problemleri serebral palsili çocuklarda en sık rastlanan problemlerden bir tanesidir. Yeme İçme Becerisi Sınıflandırma Sistemi (EDACS) serebral palsili çocuklarda yeme ve içme performansını sınıflandırmak için kullanılır. Bu çalışmanın amaçları, EDACS’ı Türkçe’ye çevirmek, değerlendirici-içi güvenirliği ve diğer fonksiyonel sınıflandırma sistemleri ile ilişkisini araştırmaktı. Yöntem: EDACS İngilizce’den Türkçe’ye çevrildi. EDACS’ın Türkçe versiyonu 125 serebral palsili çocuğa uygulandı. Değerlendirici-içi güvenirliği için Türkçe EDACS iki hafta sonra tekrar puanlandı. Çocukların fonksiyonel durumlarını belirlemek için Kaba Motor Fonksiyon Sınıflandırma Sistemi, El Becerileri Sınıflandırma Sistemi ve İletişim Fonksiyonları Sınıflandırma Sistemi seviyeleri de kaydedildi. Sonuçlar: Yaş ortalaması 7,44±3,95 yıl olan 54 kız ve 71 erkek çalışmaya katıldı. Türkçe EDACS’ın değerlendirmeci içi güvenirliği neredeyse mükemmeldi (ICC=0,972 ve Güven Aralığı=0,959-0,980, p<0,001). Türkçe EDACS ile Kaba Motor Fonksiyon Sınıflandırma Sistemi (r=0,769), El Becerileri Sınıflandırma Sistemi (r=0,786) ve İletişim Fonksiyonları Sınıflandırma Sistemi (r=0,824) arasında anlamlı pozitif korelasyon bulundu (p<0,001). Tartışma: Türkçe EDACS son derece güvenilir bir araç olarak bulundu. Serebral palsili çocukların fonksiyonel yeme ve içme becerileri, motor fonksiyon seviyeleri ve iletişim durumları ile ilişkilidir.

Kaynakça

  • 1. Green SE. “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability. Soc Sci Med. 2007;64(1):150-163.
  • 2. Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(6):509-519.
  • 3. Serdaroglu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006;48(6):413-416.
  • 4. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Peds. 2012;130(5):e1285-1312.
  • 5. Edvinsson SE, Lundqvist LO. Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability. Dev Med Child Neurol. 2016;58(4):385-394.
  • 6. Waterman ET, Koltai PJ, Downey JC, Cacace AT. Swallowing disorders in a population of children with cerebral palsy. Int J Pediatr Otorhinolaryngol. 1992;24(1):63-71.
  • 7. Remijn L, van den Engel-Hoek L, Satink T, de Swart BJM, Nijhuis-van der Sanden MWG. "Everyone sees you sitting there struggling with your food": experiences of adolescents and young adults with cerebral palsy. Disabil Rehabil. 2018:1-8.
  • 8. Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RN. Validity and reproducibility of measures of oropharyngeal dysphagia in preschool children with cerebral palsy. Dev Med Child Neurol. 2015;57(4):358-365.
  • 9. 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 Phys Med Rehabil. 2013;92(10):912-919.
  • 10. Benfer KA, Weir KA, Bell KL, Ware RS, Davies PSW, Boyd RN. Oropharyngeal Dysphagia and Cerebral Palsy. Peds. 2017;140(6).
  • 11. Compagnone E, Maniglio J, Camposeo S, et al. Functional classifications for cerebral palsy: correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS). Res Dev Disabil. 2014;35(11):2651-2657.
  • 12. Paulson A, Vargus-Adams J. Overview of Four Functional Classification Systems Commonly Used in Cerebral Palsy. Children (Basel, Switzerland). 2017;4(4).
  • 13. Sellers D, Mandy A, Pennington L, Hankins M, Morris C. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Dev Med Child Neurol. 2014;56(3):245-251.
  • 14. Tschirren L, Bauer S, Hanser C, Marsico P, Sellers D, van Hedel HJA. The Eating and Drinking Ability Classification System: concurrent validity and reliability in children with cerebral palsy. Dev Med Child Neurol. 2018;60(6):611-617.
  • 15. Akpinar P, Tezel CG, Eliasson AC, Icagasioglu A. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil Rehabil. 2010;32(23):1910-1916.
  • 16. El O, Baydar M, Berk H, Peker O, Kosay C, Demiral Y. Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil Rehabil. 2012;34(12):1030-1033.
  • 17. Mutlu A, Kara OK, Livanelioglu A, et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018;11(2):281-286.
  • 18. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50(10):744-750.
  • 19. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-554.
  • 20. Hidecker MJC, Slaughter J, Abeysekara P, et al. Early Predictors and Correlates of Communication Function in Children With Cerebral Palsy. J Child Neurol. 2018;33(4):275-285.
  • 21. Frost MH, Reeve BB, Liepa AM, Stauffer JW, Hays RD. What is sufficient evidence for the reliability and validity of patient-reported outcome measures? Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2007;10 Suppl 2:S94-s105.
  • 22. McHugh ML. Interrater reliability: the kappa statistic. Biochemia medica. 2012;22(3):276-282.
  • 23. de Winter JC, Gosling SD, Potter J. Comparing the Pearson and Spearman correlation coefficients across distributions and sample sizes: A tutorial using simulations and empirical data. Psychol Methods. 2016;21(3):273-290.
  • 24. Reilly S, Skuse D. Characteristics and management of feeding problems of young children with cerebral palsy. Dev Med Child Neurol. 1992;34(5):379-388.
  • 25. Sellers D, Pennington L, Mandy A, Morris C. A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy. Dev Med Child Neurol. 2014;56(4):313-322.
  • 26. Harty M, Griesel M, van der Merwe A. The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities. Health Qual Life Outcomes. 2011;9:87.
  • 27. Jeglinsky I, Salminen AL, Carlberg EB, Autti-Ramo I. Rehabilitation planning for children and adolescents with cerebral palsy. J Pediatr Rehabil Med. 2012;5(3):203-215.
  • 28. Monbaliu E, De La Pena MG, Ortibus E, Molenaers G, Deklerck J, Feys H. Functional outcomes in children and young people with dyskinetic cerebral palsy. Dev Med Child Neurol. 2017;59(6):634-640.
  • 29. Goh YR, Choi JY, Kim SA, Park J, Park ES. Comparisons of severity classification systems for oropharyngeal dysfunction in children with cerebral palsy: Relations with other functional profiles. Res Dev Disab. 2018;72:248-256.

THE TURKISH VERSION OF THE EATING AND DRINKING ABILITY CLASSIFICATION SYSTEM: INTRARATER RELIABILITY AND THE RELATIONSHIPS WITH THE OTHER FUNCTIONAL CLASSIFICATION SYSTEMS IN CHILDREN WITH CEREBRAL PALSY

Yıl 2020, Cilt: 31 Sayı: 3, 218 - 224, 17.12.2020
https://doi.org/10.21653/tjpr.493150

Öz

Purpose: Oral motor problems, feeding and swallowing problems are one of the most common problems in children with cerebral palsy. The Eating and Drinking Ability Classification System (EDACS) is used to classify eating and drinking performance in children with cerebral palsy. The aims of this study were to translate the EDACS into the Turkish and to investigate its intra-rater reliability and the relationship with other functional classification systems. Methods: The EDACS was translated from English into Turkish. The Turkish version of the EDACS was applied to 125 children with cerebral palsy. For intra-rater reliability, the Turkish EDACS was re-scored after two weeks. Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System were also recorded to determine the functional status of children. Results: Fifty-four females and 71 males with a mean age of 7.44±3.95 years were included. The intra-rater reliability of the Turkish EDACS was almost perfect (ICC=0.972, Confidence Interval=0.959-0.980, p<0.001). Significant correlations were found between the Turkish EDACS and Gross Motor Function Classification System, Manual Ability Classification System, and Communication Function Classification System (r=0.769, r=0.786, and r=0.824, respectively, p<0.001). Conclusion: The Turkish EDACS was found as a highly reliable instrument. The level of functional eating and drinking abilities is related to motor functional levels and communication status of children with cerebral palsy.

Kaynakça

  • 1. Green SE. “We’re tired, not sad”: Benefits and burdens of mothering a child with a disability. Soc Sci Med. 2007;64(1):150-163.
  • 2. Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(6):509-519.
  • 3. Serdaroglu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006;48(6):413-416.
  • 4. Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Peds. 2012;130(5):e1285-1312.
  • 5. Edvinsson SE, Lundqvist LO. Prevalence of orofacial dysfunction in cerebral palsy and its association with gross motor function and manual ability. Dev Med Child Neurol. 2016;58(4):385-394.
  • 6. Waterman ET, Koltai PJ, Downey JC, Cacace AT. Swallowing disorders in a population of children with cerebral palsy. Int J Pediatr Otorhinolaryngol. 1992;24(1):63-71.
  • 7. Remijn L, van den Engel-Hoek L, Satink T, de Swart BJM, Nijhuis-van der Sanden MWG. "Everyone sees you sitting there struggling with your food": experiences of adolescents and young adults with cerebral palsy. Disabil Rehabil. 2018:1-8.
  • 8. Benfer KA, Weir KA, Bell KL, Ware RS, Davies PS, Boyd RN. Validity and reproducibility of measures of oropharyngeal dysphagia in preschool children with cerebral palsy. Dev Med Child Neurol. 2015;57(4):358-365.
  • 9. 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 Phys Med Rehabil. 2013;92(10):912-919.
  • 10. Benfer KA, Weir KA, Bell KL, Ware RS, Davies PSW, Boyd RN. Oropharyngeal Dysphagia and Cerebral Palsy. Peds. 2017;140(6).
  • 11. Compagnone E, Maniglio J, Camposeo S, et al. Functional classifications for cerebral palsy: correlations between the gross motor function classification system (GMFCS), the manual ability classification system (MACS) and the communication function classification system (CFCS). Res Dev Disabil. 2014;35(11):2651-2657.
  • 12. Paulson A, Vargus-Adams J. Overview of Four Functional Classification Systems Commonly Used in Cerebral Palsy. Children (Basel, Switzerland). 2017;4(4).
  • 13. Sellers D, Mandy A, Pennington L, Hankins M, Morris C. Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Dev Med Child Neurol. 2014;56(3):245-251.
  • 14. Tschirren L, Bauer S, Hanser C, Marsico P, Sellers D, van Hedel HJA. The Eating and Drinking Ability Classification System: concurrent validity and reliability in children with cerebral palsy. Dev Med Child Neurol. 2018;60(6):611-617.
  • 15. Akpinar P, Tezel CG, Eliasson AC, Icagasioglu A. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil Rehabil. 2010;32(23):1910-1916.
  • 16. El O, Baydar M, Berk H, Peker O, Kosay C, Demiral Y. Interobserver reliability of the Turkish version of the expanded and revised gross motor function classification system. Disabil Rehabil. 2012;34(12):1030-1033.
  • 17. Mutlu A, Kara OK, Livanelioglu A, et al. Agreement between parents and clinicians on the communication function levels and relationship of classification systems of children with cerebral palsy. Disabil Health J. 2018;11(2):281-286.
  • 18. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. 2008;50(10):744-750.
  • 19. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, et al. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-554.
  • 20. Hidecker MJC, Slaughter J, Abeysekara P, et al. Early Predictors and Correlates of Communication Function in Children With Cerebral Palsy. J Child Neurol. 2018;33(4):275-285.
  • 21. Frost MH, Reeve BB, Liepa AM, Stauffer JW, Hays RD. What is sufficient evidence for the reliability and validity of patient-reported outcome measures? Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2007;10 Suppl 2:S94-s105.
  • 22. McHugh ML. Interrater reliability: the kappa statistic. Biochemia medica. 2012;22(3):276-282.
  • 23. de Winter JC, Gosling SD, Potter J. Comparing the Pearson and Spearman correlation coefficients across distributions and sample sizes: A tutorial using simulations and empirical data. Psychol Methods. 2016;21(3):273-290.
  • 24. Reilly S, Skuse D. Characteristics and management of feeding problems of young children with cerebral palsy. Dev Med Child Neurol. 1992;34(5):379-388.
  • 25. Sellers D, Pennington L, Mandy A, Morris C. A systematic review of ordinal scales used to classify the eating and drinking abilities of individuals with cerebral palsy. Dev Med Child Neurol. 2014;56(4):313-322.
  • 26. Harty M, Griesel M, van der Merwe A. The ICF as a common language for rehabilitation goal-setting: comparing client and professional priorities. Health Qual Life Outcomes. 2011;9:87.
  • 27. Jeglinsky I, Salminen AL, Carlberg EB, Autti-Ramo I. Rehabilitation planning for children and adolescents with cerebral palsy. J Pediatr Rehabil Med. 2012;5(3):203-215.
  • 28. Monbaliu E, De La Pena MG, Ortibus E, Molenaers G, Deklerck J, Feys H. Functional outcomes in children and young people with dyskinetic cerebral palsy. Dev Med Child Neurol. 2017;59(6):634-640.
  • 29. Goh YR, Choi JY, Kim SA, Park J, Park ES. Comparisons of severity classification systems for oropharyngeal dysfunction in children with cerebral palsy: Relations with other functional profiles. Res Dev Disab. 2018;72:248-256.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Rehabilitasyon
Bölüm Araştırma Makaleleri
Yazarlar

Mintaze Kerem Günel 0000-0001-7943-4255

Cemil Özal Bu kişi benim

Kübra Seyhan

Selen Serel Arslan Bu kişi benim

Numan Demir Bu kişi benim

Ayşe Karaduman

Yayımlanma Tarihi 17 Aralık 2020
Yayımlandığı Sayı Yıl 2020 Cilt: 31 Sayı: 3

Kaynak Göster

APA Kerem Günel, M., Özal, C., Seyhan, K., Serel Arslan, S., vd. (2020). YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 31(3), 218-224. https://doi.org/10.21653/tjpr.493150
AMA Kerem Günel M, Özal C, Seyhan K, Serel Arslan S, Demir N, Karaduman A. YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ. Turk J Physiother Rehabil. Aralık 2020;31(3):218-224. doi:10.21653/tjpr.493150
Chicago Kerem Günel, Mintaze, Cemil Özal, Kübra Seyhan, Selen Serel Arslan, Numan Demir, ve Ayşe Karaduman. “YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 31, sy. 3 (Aralık 2020): 218-24. https://doi.org/10.21653/tjpr.493150.
EndNote Kerem Günel M, Özal C, Seyhan K, Serel Arslan S, Demir N, Karaduman A (01 Aralık 2020) YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31 3 218–224.
IEEE M. Kerem Günel, C. Özal, K. Seyhan, S. Serel Arslan, N. Demir, ve A. Karaduman, “YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ”, Turk J Physiother Rehabil, c. 31, sy. 3, ss. 218–224, 2020, doi: 10.21653/tjpr.493150.
ISNAD Kerem Günel, Mintaze vd. “YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 31/3 (Aralık 2020), 218-224. https://doi.org/10.21653/tjpr.493150.
JAMA Kerem Günel M, Özal C, Seyhan K, Serel Arslan S, Demir N, Karaduman A. YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ. Turk J Physiother Rehabil. 2020;31:218–224.
MLA Kerem Günel, Mintaze vd. “YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, c. 31, sy. 3, 2020, ss. 218-24, doi:10.21653/tjpr.493150.
Vancouver Kerem Günel M, Özal C, Seyhan K, Serel Arslan S, Demir N, Karaduman A. YEME VE İÇME BECERİLERİ SINIFLANDIRMA SİSTEMİNİN TÜRKÇE VERSİYONU: SEREBRAL PALSİLİ ÇOCUKLARDA DEĞERLENDİRİCİ-İÇİ GÜVENİRLİĞİ VE DİĞER FONKSİYONEL SINIFLANDIRMA SİSTEMLERİ İLE İLİŞKİSİ. Turk J Physiother Rehabil. 2020;31(3):218-24.