Yıl: 2021 Cilt: 32 Sayı: 1 Sayfa Aralığı: 51 - 59 Metin Dili: İngilizce DOI: 10.21653/tjpr.753488 İndeks Tarihi: 27-10-2022

ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS

Öz:
Purpose: Obstetric brachial plexus palsy (OBPP) causes various disorders in the musculoskeletalsystem. Studies investigating activity and participation in different types of injury are limited. Thisstudy aimed to determine the activity and participation levels of preschool children with differentinjury types of OBPP.Methods: The 112 children with OBPP, aged between 44 and 77 months, were included. Thechildren were grouped according to the Narakas Classification System: Type 1 (n=7), Type 2(n=91), Type 3 (n=2), and Type 4 (n=12). Both Type 3 and Type 4 represented a total brachialplexus injury. The Pediatric Outcome Data Collection Instrument (PODCI) was used to evaluateactivity and participation.Results: Narakas Type 1 and Type 2 had similarly high scores in PODCI Global (p<0.001), andPODCI Upper Extremity (p<0.001), Pain/Comfort (p<0.001), and Sport (p<0.001) subscales ascompared with Narakas Type 3/4. In the PODCI Happiness subscale, Narakas Type 1 had thehighest score, followed by lower scores of Narakas Type 2 and Type 3/4 (p<0.001).Conclusion: Preschool children with total OBPP had lower levels of activity and participation, lessuse of their arm in daily living activities, and express a lower level of sport participation comparedto those with upper plexus injuries (Narakas Type 1 and Type 2). As activity and participationproblems persist or even got worse as the children grow, it is essential to evaluate both activityand participation, particularly in those with total plexus injuries, in preschool age and preferablyearlier.
Anahtar Kelime: Birth Injury Activities of Daily Living Brachial Plexus Heath Status Participation

OBSTETRİK BRAKİAL PLEKSUS PARALİZİSİNDE FARKLI YARALANMA TİPLERİNE SAHİP OLAN OKUL ÖNCESİ YAŞTAKİ ÇOCUKLARDA AKTİVİTE VE KATILIM

Öz:
Amaç: Obstetrik brakiyal pleksus palsi (OBPP), kas-iskelet sisteminde çeşitli bozukluklara yol açmaktadır. Aktivite ve katılım alanında çok az sayıda çalışma bulunmaktadır. Bu çalışmada, okul öncesi yaşta OBPP'nin farklı yaralanma tiplerinin aktivite ve katılım düzeylerinin belirlenmesi amaçlandı. Yöntem: Çalışmaya 44-77 aylık OBPP olan 112 çocuk dahil edildi. Çocuklar Narakas Sınıflamasına göre gruplandırıldı: Narakas Tip 1 (n=7), Tip 2 (n=91), total brakial pleksus yaralanmasını içeren Narakas Tip 3 (n=2) ve Tip 4’ü (n=12). Çocukların aktivite ve katılım alanları Pediatrik Sonuç Veri Toplama Aracı (PODCI) kullanılarak değerlendirildi. Sonuçlar: PODCI Global (p<0,001), PODCI Üst Ekstremite Fonksiyonları (p<0.001), Ağrı (p<0,001), Fiziksel Fonksiyon ve Spor (p<0,001) skalalarında Narakas Tip 1 ve Tip 2 içerisinde yer alan çocukların benzer ve yüksek skorlar aldığını görüldü. Bununla birlikte bu iki grubun sonuçları Tip 3/4’ten daha yüksekti (p<0,05). PODCI'nın Mutluluk/Memnuniyet alt ölçeklerinde Tip 1 en yüksek puana sahipken, Tip 2 ve Tip 3/4 daha düşük puanlara sahipti (p<0,001). Tartışma: Okul öncesi yaş grubunda total brakiyal pleksus hasarına sahip olan çocukların aktivite ve katılım seviyelerinin, günlük yaşam aktivitelerinde üst ekstremite kullanımlarının ve spora katılımlarının üst brakiyal pleksus yaralanması olan Narakas Tip 1 ve Tip 2 yaralanması olan çocuklardan düşük olduğu görüldü. Aktivite ve katılım problemlerinin okul öncesi yaştan sonra aynı şekilde devam ettiği veya daha belirgin hale geldiği bildirildiğinden, özellikle total pleksus yaralanmalı çocukların tıbbi takiplerinde okul öncesi yaş ve daha öncesinde aktivite ve katılım değerlendirmeleri yapılarak tedavilerinde bu alanlara önem verilmelidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA DELİOĞLU K, Uzumcugil A, Ozturk E, Kerem Günel M (2021). ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. , 51 - 59. 10.21653/tjpr.753488
Chicago DELİOĞLU KIVANÇ,Uzumcugil Akin,Ozturk Ebru,Kerem Günel Mintaze ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. (2021): 51 - 59. 10.21653/tjpr.753488
MLA DELİOĞLU KIVANÇ,Uzumcugil Akin,Ozturk Ebru,Kerem Günel Mintaze ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. , 2021, ss.51 - 59. 10.21653/tjpr.753488
AMA DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. . 2021; 51 - 59. 10.21653/tjpr.753488
Vancouver DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. . 2021; 51 - 59. 10.21653/tjpr.753488
IEEE DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M "ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS." , ss.51 - 59, 2021. 10.21653/tjpr.753488
ISNAD DELİOĞLU, KIVANÇ vd. "ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS". (2021), 51-59. https://doi.org/10.21653/tjpr.753488
APA DELİOĞLU K, Uzumcugil A, Ozturk E, Kerem Günel M (2021). ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(1), 51 - 59. 10.21653/tjpr.753488
Chicago DELİOĞLU KIVANÇ,Uzumcugil Akin,Ozturk Ebru,Kerem Günel Mintaze ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.1 (2021): 51 - 59. 10.21653/tjpr.753488
MLA DELİOĞLU KIVANÇ,Uzumcugil Akin,Ozturk Ebru,Kerem Günel Mintaze ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.1, 2021, ss.51 - 59. 10.21653/tjpr.753488
AMA DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(1): 51 - 59. 10.21653/tjpr.753488
Vancouver DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(1): 51 - 59. 10.21653/tjpr.753488
IEEE DELİOĞLU K,Uzumcugil A,Ozturk E,Kerem Günel M "ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.51 - 59, 2021. 10.21653/tjpr.753488
ISNAD DELİOĞLU, KIVANÇ vd. "ACTIVITY AND PARTICIPATION IN PRESCHOOL CHILDREN WITH DIFFERENT INJURY TYPES OF OBSTETRIC BRACHIAL PLEXUS PARALYSIS". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/1 (2021), 51-59. https://doi.org/10.21653/tjpr.753488