Beyin felcinde kas zayıflığı

GİVON, Uri

Beyin felcinde kas zayıflığı

Uri GİVON (Pediatrik Orthopedik Unit. Safra Hosp. for Children, Motion Analysis Lab. Sheba Medical Cent. Tel Hashomer, Israel)

Acta Orthopaedica et Traumatologica Turcica

5 0

Yıl: 2009 Cilt: 43 Sayı: 2 Sayfa Aralığı: 87 - 93 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Beyin felcinde kas zayıflığı

Öz:

Son yirmi yılda, kas zayıflığının beyin felci (BF) patolojisinde ana bileşenlerden biri olduğu gösterilmiştir. Kas lifleri tipindeki değişiklikler, patolojik motor birim fonksiyonu, agonist ve antagonistlerin karşılıklı kontraksiyonu, kas boyutu ve rijiditesi gibi birçok nedenden kaynaklanan zayıflık, fonksiyonu bozarak sınırlı fonksiyon ve katılıma yol açmaktadır. Kas gücünün yürüme kapasitesi ve fonksiyonel ölçeklerle ilişkili olduğu gösterilmiştir. Beyin felçli çocukların, gelişimi normal çocuklardan daha zayıf oldukları görülmüş ve BF’li çocuklarda kas grupları açısından farklılıklar olduğu belirlenmiştir. Tanı ve tedavi kalitesini artırmak için, kas zayıflığı mümkün olduğu kadar objektif değerlendirilmelidir. Manuel kas testi değerlendirme için yeterli değildir; aletle yapılan kas testinin BF’de geçerliliği gösterilmiştir. Kas güçlendirme BF’de tedavinin önemli bir parçasıdır. Güçlendirmeyle ilgili çeşitli yöntemler tanımlanmıştır. Öte yandan, kas uzatma ve spastisiteyi azaltıcı diğer tedavilerin de kas gücü üzerine olumlu etkisi olduğu görülmüştür. Kas güçlendirme programlarına katılan çocuklarda yaşam kalitesi artmakta ve fonksiyonlarında düzelme görülmektedir.

Anahtar Kelime: Egzersiz Kas zayıflığı Beyin felci Çocuk Kas gücü

Konular: Pediatri

Muscle weakness in cerebral palsy

Öz:

Over the last two decades, muscle weakness has been shownto be a major component of cerebral palsy (CP) pathology.Caused by multiple etiologies including variations in themuscle ﬁber type, pathologic motor unit function, co-con- traction of agonists and antagonists, and muscle size andrigidity, weakness interferes with function and leads to lim- ited function and participation. Muscle strength was foundto be associated with walking ability and with functionalscales. Children with CP were found to be weaker than typi- cally developing children, and differences were found withrespect to muscle groups in children with CP. Muscle weak- ness should be evaluated as objectively as possible to im- prove the quality of diagnosis and treatment. Manual mus- cle testing is not sufﬁcient for evaluation, and instrumentedmuscle testing is validated in CP. Muscle strengthening isan important part of treatment of CP. Several methods ofstrengthening have been described. Muscle lengtheningand other spasticity-modifying therapies have been shownto have a positive effect on muscle strength. Children whoparticipated in muscle strengthening programs had a betterquality of life and improved function.

Anahtar Kelime: Child Muscle Strength Exercise Muscle Weakness Cerebral Palsy

Konular: Pediatri

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Bibliyografik

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APA	GİVON U (2009). Beyin felcinde kas zayıflığı. , 87 - 93.
Chicago	GİVON Uri Beyin felcinde kas zayıflığı. (2009): 87 - 93.
MLA	GİVON Uri Beyin felcinde kas zayıflığı. , 2009, ss.87 - 93.
AMA	GİVON U Beyin felcinde kas zayıflığı. . 2009; 87 - 93.
Vancouver	GİVON U Beyin felcinde kas zayıflığı. . 2009; 87 - 93.
IEEE	GİVON U "Beyin felcinde kas zayıflığı." , ss.87 - 93, 2009.
ISNAD	GİVON, Uri. "Beyin felcinde kas zayıflığı". (2009), 87-93.

APA	GİVON U (2009). Beyin felcinde kas zayıflığı. Acta Orthopaedica et Traumatologica Turcica, 43(2), 87 - 93.
Chicago	GİVON Uri Beyin felcinde kas zayıflığı. Acta Orthopaedica et Traumatologica Turcica 43, no.2 (2009): 87 - 93.
MLA	GİVON Uri Beyin felcinde kas zayıflığı. Acta Orthopaedica et Traumatologica Turcica, vol.43, no.2, 2009, ss.87 - 93.
AMA	GİVON U Beyin felcinde kas zayıflığı. Acta Orthopaedica et Traumatologica Turcica. 2009; 43(2): 87 - 93.
Vancouver	GİVON U Beyin felcinde kas zayıflığı. Acta Orthopaedica et Traumatologica Turcica. 2009; 43(2): 87 - 93.
IEEE	GİVON U "Beyin felcinde kas zayıflığı." Acta Orthopaedica et Traumatologica Turcica, 43, ss.87 - 93, 2009.
ISNAD	GİVON, Uri. "Beyin felcinde kas zayıflığı". Acta Orthopaedica et Traumatologica Turcica 43/2 (2009), 87-93.