Meningomyeloselde Ayakta Durma ve Ağırlık Aktarma Eğitiminin Fiziksel Fonksiyonel Kapasite Üzerine Etkisinin Incelenmesi

Abstract

Severe motor paralsy and physically restrictions affect ambulation and mobilization children with meningomyelocele (MMC). In early period, the use of standing, weight bearing and mobilization training at physiotherapy and rehabilitation programme is important to avoid negative problems. The purpose of our study was investigating the effectiveness of the standing and weight bearing training for physically functional capacity in children with MMC. 25 children with MMC whose age between 12 months-18 years and live in Ankara were joined the study. 14 children became intervention grup and 11 children became control group. At the beginning of the study, children's demographic dates were written, and children were evaluated with Gross Motor Function Measurement (GMFM), Pediatric Functional Independent Measurement (WeeFIM), Trunk Impairment Scale (TIS) and manual muscle tests. Children' families were evaluated with Beck Depression Inventory (BDI) and Nottingham Health Profile (NHP). Children in intervention group, 2 hours daily standing and weight bearing training as home programme were added physiotherapy and rehabilitation programme for 8 weeks. After 8 weeks all measurements did again. After the treatment GMFM and TIS changes were found statistically significant (p<0,05) in inventory group. There was no significant change in WeeFIM. BDI and NHP changes were found statistically significant (p<0,05) in inventory group's mothers (p<0,05). When hypotheses identified for this study, standing and weight bearing training affect physical and functional capacity positively children with MMC and we can say that standing and weight bearing training should add physiotherapy and rehabilitation programme.