Okul Öncesi Dönem Serebral Palsili Çocuklarda Aktivite ve Katılım Etkileyen Faktörlerin İncelenmesi
Özet
The aim of this study is, to compare the activity and participation levels children
with Cerebral Palsy (CP) and typically developing children in preschool period and
investigate the factors which affects the level of activity and participation children with
CP in preschool period. In our study 60 children with CP between 2-6 ages and 30
children between 2-6 ages typically developing without chronic illness and their
families were included. Functional status has been determined in children with CP with
gross motor function level (Gross Motor Function Classification System – GMFCS),
fine motor function level (Manual Ability Classification System-MACS),
communication function level (Communication Function Classification System CFCS) and eating drinking ability level (Eating Drinking Ability Classification
System-EDACS).The factors were examined (functional level, problems which
accompany to CP, CP type and extremity involvement, number of siblings, parents
education level and age) which affecting the activity and participation evaluation
results in children with CP. Activities and participation of children with CP in
preschool period have been evaluated with; Pediatric Disability Assesment
Inventory(PÖDE), Pediatric Functional Independence Measurement(WeeFIM), Child
and Adolescent Participation Survey(CASP)and activities and participation of
typically developing children have been evaluated with applying CASP and WeeFIM
surveys. Surveys have been answered by the mothers of the children. Consequently;
the activity and participation levels of children with CP was found lower than the
activity and participation levels of typically developing children. Preschool period is
one the most important factors that affecting functional case activity and participation
level children with CP. According to extremity involvement in preschool children with
CP there are differences between CP types in terms of activity and participation. It was
found that the participation levels of children with hemiplegic CP better than the
children with diplegic and quadiplegic CP, and that qudriplegic children experienced
the most activity and participation restriction. In preschool period children with CP,
vision problems that accompany to CP, hearing problems and epilepsy causes activity
and participation restriction in child. We can say that it is important to determine the
personal and familial factors that can affect the activity and participation in preschool
children with CP, in structuring the rehabilitation program to increase the activity and
participation in clinical practices and to increase the school and community
participation in later ages.
