Obstetrik Brakiyal Pleksus Paralizili Çocuklarda Oturma Dengesinin Değerlendirilmesi ve Üst Ekstremite Fonksiyonları İle İlişkisinin Araştırılması

Abstract

Çelik G., Assesment of Sitting Balance in Children with Obstetric Brachial Plexus Palsy and Investigation of the Relationship between Sitting Balance and Upper Extremity Functions, Hacettepe University, Graduate School of Health Sciences, Orthopedic Physiotheraphy and Rehabilitation Program, Master Thesis, Ankara, 2019. The aim of this study was to assesment of sitting balance in children with Obstetric Brachial Plexus Palsy and to investigate relationship between sitting balance and upper extremity functions and quality of upper extremity function.106 children (10-18 mounts) with OBPP who were admitted to the Hand Surgery Unit of Hacettepe University Faculty of Health Sciences were included into the study. Demographic data of the baby and mother were recorded for each individual, prenatal, natal and postnatal stories were taken and risk factor evaluations were made. Upper ekstremity functions of the children who identified involvement type according to the Narakas Classification System were evaluated with Active Movement Scale (AMS) and Modified Mallet Scale (MMS). Gross Motor Function Measurement (GMFM) sitting subscale that consist of 20 items and Sitting Assesment Scale (ODD) were used to assesment sitting balance. Quality of upper ekstremity functions was evaluated using Quality of Upper Ekstremity Skills Test (QUEST). As a result it was found high correlation in positive direction between sitting balance and upper extremity functions and quality of upper extremity functions in children (10-18 months) with OBPP (p=0,0001). Moreover, there was a difference in sitting balance scores in children with different involvement in OBPP (p=0,0001). As sitting balance increases, upper extremity function and quality increase as well. The approaches involve trunk control should be added to follow-ups for upper extremity functional development in OBPP.