0-12 Ay Yaş Aralığında Olan Yüksek Serebral Palsi Riskli Bebeklerin Çok Yönlü Nörogelişimsel Değerlendirmesi

Abstract

ABSTRACT Sönmez, F. Multidimensional Neurodevelopmental Evaluation of Infants with High Cerebral Palsy Risk Between 0-12 Months of Age Hacettepe University Graduate School of Health Sciences Physical Therapy and Rehabilitation Program Master's Thesis, Ankara, 2022. This study was planed for multidimensional neurodevelopmental evaluations of high risk cerebral palsy infants and direct them to early rehabilitation practices. It was also designed to eveluate rapport of the HINE to be administered by the pediatric neurologist and physiotherapist. Within the scope of our study, within the scope of our inclusion criteria based on the High-Risk Infant Follow-up form of the Turkish Neonatology Society, 32 high-risk babies were included in ICF, HINE, for body structure and functions, and Alberta Infant Motor Scale for activity level. The was assessed for participation and environmental impact with the Family Concerns, Participation and Environmental Impact Questionnaire. Term corrected infants aged 3 months were also evaluated with General Movement Assessment (GMA), and the results of infants with Magnetic Resonance Imaging in their medical records were analyzed based on current reports. In addition to risky infants, families of 32 typically developing infants were invited to complete the Family Concerns, Participation and Environmental Impact questionnaire. For the HINE test, the relationship between the physiotherapist and the pediatric neurologist was examined with the Intraclass Correlation Coefficient (ICC) test, and a significant and excellent agreement was observed (ICC:0,956, p<0,05). It was observed that 18 of the risky babies were suboptimal according to the cut-off point values of the HINE test. It was observed that all 12 babies who were abnormal according to the norm values of AIMS and Absent Fidgety at the age of term corrected 3 monts olds were included in this group. 32 infants with high cerebral palsy risk were evaluated under 5 basic ICF titles and 18 infants were referred to early rehabilitation applications. Key Words: Cerebral palsy, high risk baby,neurodevelopmental assessment, risky baby,