AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY

Atasavun Uysal, Songül; TONGA, EDA

doi:10.21653/tjpr.990896

AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY

Songül ATASAVUN UYSAL, (Hacettepe Üniversitesi, Fizik Tedavi ve Rehabilitasyon Fakültesi, Ankara, Türkiye)

Eda TONGA (Marmara Üniversitesi, Sağlık Bilimleri Fakültesi, Fizik Tedavi ve Rehabilitasyon Bölümü, İstanbul, Türkiye)

Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online)

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Yıl: 2021 Cilt: 32 Sayı: 2 Sayfa Aralığı: 141 - 147 Metin Dili: İngilizce DOI: 10.21653/tjpr.990896 İndeks Tarihi: 27-10-2022

AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY

Öz:

Purpose: Children with obstetric brachial plexus palsy (OBPP) have problems with activity andparticipation, even if they are operated. The study aimed to investigate the intervention's effectsto increase the occupational performance (OP) of children with OBPP.Methods: Twenty-nine children with OBPP, aged 4-7 years, participated in this study. Theintervention group consisted of six girls and 12 boys, and a control group was composed of eightgirls and three boys. The Canadian Occupational Performance Measure (COPM) determinedchildren's OP. The Pediatric Evaluation of Disability Inventory (PEDI) was used to evaluate functionalcapability. All subjects continued their traditional physiotherapy program of 45 minutes every twodays. The intervention group participated in an intervention program, consisting of the children andtheir families' needs, expectations, and therapists' assessment, about OP 40 minutes per day threedays per week for three months.Results: The PEDI self-care, mobility, social function, and total scores and COPM-performance andCOPM-satisfaction scores significantly increased in the intervention group (p<0.05). PEDI mobility,social function, and total scores significantly improved in the control group (p<0.05). There wasa significant difference in PEDI self-care (p=0.020) and total scores (p=0.009) between the twogroups. There was no significant difference in COPM-performance and COPM-satisfaction scoresin the control group (p>0.05).Conclusions: The present study is the first study on OP intervention in children with OBPP. Thepresent study suggests intervening to enhance OP and via assessing using COPM in the childrenwith OBPP.

Anahtar Kelime: Brachial Plexus Neuropathies Activities of Daily Living Occupational Performance

OBSTETRİK BRAKİYAL PLEKSUS PALSİLİ ÇOCUKLARIN AKTİVİTE PERFORMANSININ GELİŞTİRİLMESİNE YÖNELİK MÜDAHALE

Öz:

Amaç: Obstetrik brakiyal pleksus paralizisi (OBPP) doğum sırasında meydana gelen, ameliyat edilse bile çocukların aktivite ve katılım sorunlarının görüldüğü bir sendromdur. Bu çalışmanın amacı OBPP olan çocukların aktivite performanslarını (AP) arttırmak için yapılan müdahalenin etkilerini araştırmaktı. Yöntemler: Bu çalışmaya OBPP tanısı olan, 4-7 yaşları arasında 29 çocuk katıldı. Müdahale grubu altı kız ve 12 erkekten, kontrol grubu ise sekiz kız, üç erkekten oluştu. Çocuklarının AP sorunları Kanada Aktivite Performans Ölçeği (COPM) ile belirlendi. Çocukların fonksiyonel kapasiteleri ise, Pediatrik Özürlülük Değerlendirme Envanteri (PEDI) ile değerlendirildi. Müdahale grubundaki çocuklar, kendileri, ailelerinin belirttiği istek ve beklentileri ile terapistin değerlendirmesine yönelik hazırlanan AP içeren programa üç ay boyunca haftada üç gün, günde 40 dakika katıldı. Sonuçlar: Müdahale grubunda, kendine bakım, mobilite, sosyal fonksiyon ve toplam PEDI puanları ile COPM performans ve memnuniyet puanları anlamlı olarak arttı (p<0.05). Kontrol grubunda PEDI mobilite, sosyal fonksiyon ve toplam puanları anlamlı olarak düzeldi (p<0.05). PEDI kendine bakım (p=0,020) ve toplam (p=0,009) puanları açısından iki grup arasında anlamlı fark vardı. Kontrol grubunda COPM performans ve memnuniyet puanları açısından anlamlı farklılık saptanmadı (p>0.05). Tartışma: Bu çalışma, OBPP'li çocuklarda AP müdahalesi ile ilgili ilk çalışmadır. Bu çalışma, OBPP'li çocuklarda AP artırılmasına yönelik müdahaleyi ve bu müdahalede COPM kullanılarak değerlendirmeyi önermektedir.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Atasavun Uysal S, TONGA E (2021). AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. , 141 - 147. 10.21653/tjpr.990896
Chicago	Atasavun Uysal Songül,TONGA EDA AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. (2021): 141 - 147. 10.21653/tjpr.990896
MLA	Atasavun Uysal Songül,TONGA EDA AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. , 2021, ss.141 - 147. 10.21653/tjpr.990896
AMA	Atasavun Uysal S,TONGA E AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. . 2021; 141 - 147. 10.21653/tjpr.990896
Vancouver	Atasavun Uysal S,TONGA E AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. . 2021; 141 - 147. 10.21653/tjpr.990896
IEEE	Atasavun Uysal S,TONGA E "AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY." , ss.141 - 147, 2021. 10.21653/tjpr.990896
ISNAD	Atasavun Uysal, Songül - TONGA, EDA. "AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY". (2021), 141-147. https://doi.org/10.21653/tjpr.990896

APA	Atasavun Uysal S, TONGA E (2021). AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32(2), 141 - 147. 10.21653/tjpr.990896
Chicago	Atasavun Uysal Songül,TONGA EDA AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32, no.2 (2021): 141 - 147. 10.21653/tjpr.990896
MLA	Atasavun Uysal Songül,TONGA EDA AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.32, no.2, 2021, ss.141 - 147. 10.21653/tjpr.990896
AMA	Atasavun Uysal S,TONGA E AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 141 - 147. 10.21653/tjpr.990896
Vancouver	Atasavun Uysal S,TONGA E AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2021; 32(2): 141 - 147. 10.21653/tjpr.990896
IEEE	Atasavun Uysal S,TONGA E "AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 32, ss.141 - 147, 2021. 10.21653/tjpr.990896
ISNAD	Atasavun Uysal, Songül - TONGA, EDA. "AN INTERVENTION TO ENHANCE OCCUPATIONAL PERFORMANCE OF CHILDREN WITH OBSTETRICAL BRACHIAL PLEXUS PALSY". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 32/2 (2021), 141-147. https://doi.org/10.21653/tjpr.990896