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SPİNA BİFİDALI ÇOCUKLARDA OTURMA POSTÜRÜ, OTURMA DENGESİ VE ÜST EKSTREMİTE FONKSİYONLARI ARASINDAKİ İLİŞKİ

Year 2021, Volume: 32 Issue: 3, 62 - 69, 21.12.2021

Güler Atalay Gönül Acar

https://doi.org/10.21653/tjpr.820740

Abstract

Amaç: Spina Bifida (SB)’lı çocukların oturma postürü, oturma dengesi ve üst ekstremite fonksiyonları arasındaki ilişkiyi değerlendirmek.
Yöntem: Çalışmaya 5-18 yaş arası 31 SB'li çocuk dahil edildi. Fiziksel ve klinik özellikler kaydedildi. Oturarak Postüral Kontrol Ölçümü (SPCM), Pedalo® Denge Ölçüm Sistemi, Nöromotor Disfonksiyonlu Çocuklarda Oturma Değerlendirme (SACND), Modifiye Fonksiyonel Uzanma Testi (MFRT) ve Jebsen-Taylor El Fonksiyon Testi (JTHFT) kullanıldı.
Sonuçlar: Pedalo (r =-0,478; p=0,007), SACND (r = 0,399; p = 0,026) ve MFRT (r =-0,598; p<0,01) ile JTHFT arasında anlamlı bir korelasyon vardı. JTHFT ile SPCM arasında bir ilişki yoktu (p˃0,05). Pedalo®, MFRT, SACND ve SPCM skorlarında, lumbal ve sakral lezyon seviyeleri arasında anlamlı farklılık gözlendi.
Tartışma: SB'li çocuklarda erken dönemden başlayarak oturma postürleri ve oturma dengesi iyileştirerek üst ekstremite fonksiyonları ve fonksiyonel bağımsızlık arttırılabilir. SB'li çocukların oturma becerilerini ve el fonksiyonlarını geliştirebilecek oturma mekanizmalarını ve egzersizlerini araştıran çalışmalara ihtiyaç olduğu kanaatindeyiz.

Keywords

Denge El Postür Denge El Postür Oturma Pozisyonu Spinal Disrafizm

Supporting Institution

Destekleyen kurum yoktur

References

  • 1. Abresch RT, McDonald DA, Widman LM, McGinnis K, Hickey KJ. Impact of spinal cord dysfunction and obesity on the healthrelated quality of life of children and adolescents. The Journal of Spinal Cord Medicine 2007;30:112–118.
  • 2. Hinderer KA, Hinderer SR, Shurtleff DB. Myelodysplasia. in: Physical therapy for children. 3th ed. St. Louis, MO: Saunders Elsevier, 2006; 735-789
  • 3. Ryan KD, Ploski C, Emans JB. Myelodysplasia-the musculoskeletal problem: habilitation from infancy to adulthood. Phys Ther 1991; 71: 935-945
  • 4. Dennis M, Salman MS. Upper limb motor functions in young adults with spina bifida and hydrocephalus. Child’s Nervous System, 2009; doi 10.1007/ s00381-009-0948-x.
  • 5. Karol LA, King E. The orthopedic management of myelomeningocele. Operative Techniques in Plastic and Reconstructive Surgery, 2000; 7:53-59
  • 6. Piggot H. Natural hystory of scoliosis in myelodysplasia. The Journal of Bone and Joint Surgery, 1980;62:61-66
  • 7. Muen WJ, Bannister CM. Hand function in subjects with spina bifida. Eur J Pediatr Surg 7(Supp I) 1997; 18–22
  • 8. Furderer S, Hopf C, Schwarz M, Voth D. Orthopedic and neurosurgical treatment of severe kyphosis in myelomeningocele. Neurosurg Rev 1999; 22: 45-49
  • 9. Hoglund A, Norrlin S. Influence of dual tasks on sitting postural sway in children and adolescents withmyelomeningocele. Gait Posture 2009; 30: 424-430
  • 10. Ahmad I., Noohu MM., Verma S. Validity and Responsiveness of Balance Measures using Pedalo®-Sensomove Balance Device in Patients with Diabetic Peripheral Neuropathy. Journal of Clinical & Diagnostic Research . Jun2019, Vol. 13 Issue 6, p1-4. 4p.
  • 11. Fife S, Roxborough LA, Story M, Field D, Harris SR, Armstrong RW. Reliability of a measure to assess outcomes of adaptive seating in children with neuromotor disabilities. Can J Rehabil 1993;7:11–13
  • 12. McDonald R, Surtees R. Longitudinal study evaluating a seating system using a sacral pad and kneeblock for children with cerebral palsy. Disabil Rehabil 2007;29:1041–1047
  • 13. Gagnon B, Noreau L, Vincent C. Reliability of the seated postural control measure for adult wheelchair users. Disabil Rehabil 2005;27:1479–1491
  • 14. Barlow I. Reliability and clinical utility of selected outcome measures with adult clients of seating clinics [Masters thesis]. London (ON): University of Western Ontario; 1998. 158 p
  • 15. Reid, D. Development and preliminary validation of an instrument to assess quality of sitting in children with neuromotor dysfunction. Physical and Occupational Therapy in Pediatrics, 1995: 15, 53-81
  • 16. Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a Modified Functional Reach Test in subjects with spinal cord injury. PHYS THER, 1998; 78:128-133.
  • 17. Jebsen R, Taylor N, Trieschman R. An objective and standardized test of hand function. Arch Phys Med Rehabil, 1969; 50. 311 -319
  • 18. Hackel ME, Wolfe GA, Sharon MB, Confield JS. Changes in hand function in the aging adult as determined by the jebsen test of hand function. Phys Ther. 1992; 72: 373-377
  • 19. Hoffer MM, Feiwell E, Perry R, Perry J, Bonnett C. Functional ambulation in patients with myelomeningocele. Journal of Bone and Joint Surgery 1973; 55: 137–148.
  • 20. Norrlin S, Strinnholm M, Carlsson M, Dahl M. Factors of significance for mobility in children with myelomeningocele. Acta Pediatr 2003; 92: 204-210.
  • 21. Konx V. Evaluation of the sitting assessment test for children with neuromotor dysfunction as a measurement tool in cerebral palsy-Case study. Physiotherapy.September 2002/vol 88/no 9
  • 22. Thomson JD, Segal LS. Orthopedic management of spina bifida. Dev Disabil Res Rev. 2010; 16: 96 – 103 (2010)
  • 23. Glard Y, Launay F, Viehweger E, et al. Neurological classification in myelomeningocele as a spine deformity predictor. J Pediatr Orthop B 2007: 16:287–292.
  • 24. Müller EB, Nordwall A, Odén A. Progression of scoliosis in children with myelomeningocele. Spine (Phila Pa 1976) 1994;19:147–150.
  • 25. Wai EK, Owen J, Fehlings D, Wright FG. Assessing physical disability in children with spina bifida and scoliosis. J Pediatr Orthop 2000;20:765–770.
  • 26. Trivedi J, Thomson JD, Slakey JB, et al. Clinical and radiographic predictors of scoliosis in patients with myelomeningocele. J Bone Joint Surg Am 2002: 84:1389–1394.
  • 27. Sibinski M, Synder M, Higgs ZCJ, Kujawa J, Grzegorzewski A. Quality of life and functional disability in skeletally mature patients with myelomeningocele-related spinal deformity. J Pediatr Orthop B 2013; 22:106–109.
  • 28. Brauer S, Burns Y, Galley P. Lateral reach: A clinical measure of medio-lateral postural stability. Physiother Res Int. 1999;4:81–88.
  • 29. Donahoe B, Turner D, Worrell T. The use of functional reach as a measurement of balance in boys and girls without disabilities ages 5 to 15 years. Pediatr Phys Ther. 1994;6:189–193.
  • 30. Niznik TM, Turner D, Worrell TW. Functional Reach as a measurement of balance for children with lower extremity spasticity. Phys Occup Ther Pediatr. 1995;15(Suppl 3):1–15.
  • 31. Bartnicki B, Synder M, Kujuawa J. Sitting stability in skeletally mature patients with scoliosis and myelomeningocele. Ort Trau Rehab 2012; 4(6) Vol 14, 363-369
  • 32. Köse KÇ, İnanmaz ME, Uslu M. Kyphectomy for congenital kyphosis due to meningomyelocele: a case treated with a modified approach to skin healing. Int Wound J. 2012 Jun;9(3):311-315
  • 33. Garg S, Matthew O, Rathjen K. Kyphectomy improves sitting and skin problems in patients with myelomeningocele. Clin Orthop Relat Res , 2011: 469:1279–1285
  • 34. Swank M, Dias L. Walking ability in spina bifida patients: a model for predicting future ambulatory status based on sitting balance and motor level. Journal of Pediatric Orthopedics 1994: 14: 715-718

RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA

Year 2021, Volume: 32 Issue: 3, 62 - 69, 21.12.2021

Güler Atalay Gönül Acar

https://doi.org/10.21653/tjpr.820740

Abstract

Purpose: To evaluate the relationship between the sitting posture, sitting balance and upper extremity functions of children with Spina Bifida (SB).
Methods: Thirty-one children with SB, and aged 5-18 years, were included the study. Their physical and clinical characteristics were recorded. Seated Postural Control Measure (SPCM), Pedalo® Balance Measurement System, Sitting Assessment for Children with Neuromotor Dysfunction (SACND), Modified Functional Reach Test (MFRT) and Jebsen-Taylor Hand Function Test (JTHFT) were used.
Results: There was a significant correlation between JTHFT results and the other test results, i.e. Pedalo® (r = -0.478, p=0.007), SACND (r=0.399, p=0.026) and MFRT (r = -0.598, p<0.01). There was no correlation between JTHFT and SPCM (p˃0.05). In Pedalo®, MFRT, SACND, SPCM scores, significant differences were observed between the levels of lumbar and sacral lesions.
Conclusion: In children with SB, upper extremity functions and functional independence can be increased by improving sitting postures and sitting balance starting from the early period. We believe that studies searching for sitting mechanisms and exercises that may improve the sitting abilities and hand functions of children with SB are needed.

Keywords

Balance Hand Posture Sitting Position Spinal Dysraphism

References

  • 1. Abresch RT, McDonald DA, Widman LM, McGinnis K, Hickey KJ. Impact of spinal cord dysfunction and obesity on the healthrelated quality of life of children and adolescents. The Journal of Spinal Cord Medicine 2007;30:112–118.
  • 2. Hinderer KA, Hinderer SR, Shurtleff DB. Myelodysplasia. in: Physical therapy for children. 3th ed. St. Louis, MO: Saunders Elsevier, 2006; 735-789
  • 3. Ryan KD, Ploski C, Emans JB. Myelodysplasia-the musculoskeletal problem: habilitation from infancy to adulthood. Phys Ther 1991; 71: 935-945
  • 4. Dennis M, Salman MS. Upper limb motor functions in young adults with spina bifida and hydrocephalus. Child’s Nervous System, 2009; doi 10.1007/ s00381-009-0948-x.
  • 5. Karol LA, King E. The orthopedic management of myelomeningocele. Operative Techniques in Plastic and Reconstructive Surgery, 2000; 7:53-59
  • 6. Piggot H. Natural hystory of scoliosis in myelodysplasia. The Journal of Bone and Joint Surgery, 1980;62:61-66
  • 7. Muen WJ, Bannister CM. Hand function in subjects with spina bifida. Eur J Pediatr Surg 7(Supp I) 1997; 18–22
  • 8. Furderer S, Hopf C, Schwarz M, Voth D. Orthopedic and neurosurgical treatment of severe kyphosis in myelomeningocele. Neurosurg Rev 1999; 22: 45-49
  • 9. Hoglund A, Norrlin S. Influence of dual tasks on sitting postural sway in children and adolescents withmyelomeningocele. Gait Posture 2009; 30: 424-430
  • 10. Ahmad I., Noohu MM., Verma S. Validity and Responsiveness of Balance Measures using Pedalo®-Sensomove Balance Device in Patients with Diabetic Peripheral Neuropathy. Journal of Clinical & Diagnostic Research . Jun2019, Vol. 13 Issue 6, p1-4. 4p.
  • 11. Fife S, Roxborough LA, Story M, Field D, Harris SR, Armstrong RW. Reliability of a measure to assess outcomes of adaptive seating in children with neuromotor disabilities. Can J Rehabil 1993;7:11–13
  • 12. McDonald R, Surtees R. Longitudinal study evaluating a seating system using a sacral pad and kneeblock for children with cerebral palsy. Disabil Rehabil 2007;29:1041–1047
  • 13. Gagnon B, Noreau L, Vincent C. Reliability of the seated postural control measure for adult wheelchair users. Disabil Rehabil 2005;27:1479–1491
  • 14. Barlow I. Reliability and clinical utility of selected outcome measures with adult clients of seating clinics [Masters thesis]. London (ON): University of Western Ontario; 1998. 158 p
  • 15. Reid, D. Development and preliminary validation of an instrument to assess quality of sitting in children with neuromotor dysfunction. Physical and Occupational Therapy in Pediatrics, 1995: 15, 53-81
  • 16. Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a Modified Functional Reach Test in subjects with spinal cord injury. PHYS THER, 1998; 78:128-133.
  • 17. Jebsen R, Taylor N, Trieschman R. An objective and standardized test of hand function. Arch Phys Med Rehabil, 1969; 50. 311 -319
  • 18. Hackel ME, Wolfe GA, Sharon MB, Confield JS. Changes in hand function in the aging adult as determined by the jebsen test of hand function. Phys Ther. 1992; 72: 373-377
  • 19. Hoffer MM, Feiwell E, Perry R, Perry J, Bonnett C. Functional ambulation in patients with myelomeningocele. Journal of Bone and Joint Surgery 1973; 55: 137–148.
  • 20. Norrlin S, Strinnholm M, Carlsson M, Dahl M. Factors of significance for mobility in children with myelomeningocele. Acta Pediatr 2003; 92: 204-210.
  • 21. Konx V. Evaluation of the sitting assessment test for children with neuromotor dysfunction as a measurement tool in cerebral palsy-Case study. Physiotherapy.September 2002/vol 88/no 9
  • 22. Thomson JD, Segal LS. Orthopedic management of spina bifida. Dev Disabil Res Rev. 2010; 16: 96 – 103 (2010)
  • 23. Glard Y, Launay F, Viehweger E, et al. Neurological classification in myelomeningocele as a spine deformity predictor. J Pediatr Orthop B 2007: 16:287–292.
  • 24. Müller EB, Nordwall A, Odén A. Progression of scoliosis in children with myelomeningocele. Spine (Phila Pa 1976) 1994;19:147–150.
  • 25. Wai EK, Owen J, Fehlings D, Wright FG. Assessing physical disability in children with spina bifida and scoliosis. J Pediatr Orthop 2000;20:765–770.
  • 26. Trivedi J, Thomson JD, Slakey JB, et al. Clinical and radiographic predictors of scoliosis in patients with myelomeningocele. J Bone Joint Surg Am 2002: 84:1389–1394.
  • 27. Sibinski M, Synder M, Higgs ZCJ, Kujawa J, Grzegorzewski A. Quality of life and functional disability in skeletally mature patients with myelomeningocele-related spinal deformity. J Pediatr Orthop B 2013; 22:106–109.
  • 28. Brauer S, Burns Y, Galley P. Lateral reach: A clinical measure of medio-lateral postural stability. Physiother Res Int. 1999;4:81–88.
  • 29. Donahoe B, Turner D, Worrell T. The use of functional reach as a measurement of balance in boys and girls without disabilities ages 5 to 15 years. Pediatr Phys Ther. 1994;6:189–193.
  • 30. Niznik TM, Turner D, Worrell TW. Functional Reach as a measurement of balance for children with lower extremity spasticity. Phys Occup Ther Pediatr. 1995;15(Suppl 3):1–15.
  • 31. Bartnicki B, Synder M, Kujuawa J. Sitting stability in skeletally mature patients with scoliosis and myelomeningocele. Ort Trau Rehab 2012; 4(6) Vol 14, 363-369
  • 32. Köse KÇ, İnanmaz ME, Uslu M. Kyphectomy for congenital kyphosis due to meningomyelocele: a case treated with a modified approach to skin healing. Int Wound J. 2012 Jun;9(3):311-315
  • 33. Garg S, Matthew O, Rathjen K. Kyphectomy improves sitting and skin problems in patients with myelomeningocele. Clin Orthop Relat Res , 2011: 469:1279–1285
  • 34. Swank M, Dias L. Walking ability in spina bifida patients: a model for predicting future ambulatory status based on sitting balance and motor level. Journal of Pediatric Orthopedics 1994: 14: 715-718
There are 34 citations in total.

Details

Primary Language English
Subjects Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Güler Atalay 0000-0003-1376-4379

Gönül Acar 0000-0002-6964-6614

Publication Date December 21, 2021
Published in Issue Year 2021 Volume: 32 Issue: 3

Cite

APA Atalay, G., & Acar, G. (2021). RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 32(3), 62-69. https://doi.org/10.21653/tjpr.820740
AMA Atalay G, Acar G. RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA. Turk J Physiother Rehabil. December 2021;32(3):62-69. doi:10.21653/tjpr.820740
Chicago Atalay, Güler, and Gönül Acar. “RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 32, no. 3 (December 2021): 62-69. https://doi.org/10.21653/tjpr.820740.
EndNote Atalay G, Acar G (December 1, 2021) RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32 3 62–69.
IEEE G. Atalay and G. Acar, “RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA”, Turk J Physiother Rehabil, vol. 32, no. 3, pp. 62–69, 2021, doi: 10.21653/tjpr.820740.
ISNAD Atalay, Güler - Acar, Gönül. “RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 32/3 (December 2021), 62-69. https://doi.org/10.21653/tjpr.820740.
JAMA Atalay G, Acar G. RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA. Turk J Physiother Rehabil. 2021;32:62–69.
MLA Atalay, Güler and Gönül Acar. “RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 32, no. 3, 2021, pp. 62-69, doi:10.21653/tjpr.820740.
Vancouver Atalay G, Acar G. RELATIONSHIP BETWEEN SITTING POSTURE, SITTING BALANCE AND UPPER EXTREMITY FUNCTIONS IN CHILDREN WITH SPINA BIFIDA. Turk J Physiother Rehabil. 2021;32(3):62-9.