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Serebral Palsili Olgularda Fiziksel Aktivite Düzeyi ile Uyku Kalitesi Arasındaki İlişkinin Değerlendirilmesi

Yıl 2022, Cilt: 19 Sayı: 2, 354 - 360, 28.08.2022

Fatih Enzin Hazel Çelik Güzel Sevgi Felek

https://doi.org/10.35440/hutfd.1074911

Öz

ÖZET
Amaç: Serebral palsili bireylerin motor gelişim ve fonksiyonel kapasiteleri sağlıklı yaşıtlarına göre daha yavaş gelişim göstermektedir. Bu durumun ortaya çıkmasında uykunun ne kadar etkili olduğu bilinmemektedir. Bu çalışma, uyku kalitesinin serebral palsili bireylerin motor gelişim ve fiziksel aktivite kapasiteleri üzerindeki etkisini araştırmayı amaçlamaktadır.
Materyal ve Metod: Çocukların fonsiyonel kapasitelerini belirlemek için 6 Dakika Yürüme Testi, Kas Kuvveti Testleri (Sırt Ekstansör Kas Kuvveti ve Abdominal Kas Kuvveti), Kassal Endurans Testleri (Çömelme Testi, Mekik Testi, Ters Mekik Testi), Esneklik Testleri (Otur-Uzan Testi, Sırt Kasları Esneklik Testi) ve 20 Metre Hızlı Yürüme testlerini uyguladık. Uyku alışkanlıkları ve uykuyla ilişkili sorunlar, Çocuk Uyku Alışkanlıkları Anketi kullanılarak değerlendirildi.
Bulgular: Çalışmaya 48 serebral palsili birey dahil edildi.( ortalama; yaş 10,5 (6-18), VKİ 17,86 (10.52-30)). Bunların 20’si kız, 28’i erkekti. Uyku alışkanlıkları anketi sonuçları ile yürüme ve esneklik testleri sonuçları arasında negatif yönde orta dereceli ilişki olduğu görülürken (p<0,05), kassal kuvvet ve endurans testleri ile ilişki olmadığı görüldü (p0,05). Yürüme ve endurans testleri puanları ile toplam uyku süresi arasında ilişki olmadığı görülürken; tüm egzersiz testleri puanları ile uyku kalitesi verileri arasında korelasyon olduğu tespit edildi.
Sonuç: Serebral palsili bireylerde, uyku kalitesi; yürüme, kuvvet, endurans, esneklik gibi fiziksel aktivite düzeyini gösteren parametrelerle değişen seviyelerde ilişkilidir. Bu nedenle rehabilitasyonda hedeflenen başarının artırılabilmesi için uyku ile ilgili düzenlemeler gerekebilir.

Anahtar Kelimeler

Serebral Palsi Uyku Fiziksel Aktivite

Destekleyen Kurum

Bulunmamaktadır.

Kaynakça

  • 1) Serdaroğlu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006; 48: 413-6.
  • 2) Pekesen Kurtca M, Angin S. The relationship between spasticity, mobility and activity level in adults with cerebral palsy. Pam Med J. 2020; 13: 635-644.
  • 3) Akınoğlu B, Köse N. Hemiparetik ve diparetik serebral paralizili çocuklarda fiziksel uygunluk düzeyinin belirlenmesi. Turk J Physiother Rehabil. 2018; 29(1): 11-18.
  • 4) Vila-Nova F, Cardoso de Sá CDS, Oliveira R, Cordovil R. Differences in leisure physical activity participation in children with typical development and cerebral palsy. Dev. Neurorehabilit.. 2020; 24: 180-186.
  • 5) Alp E: Serebral Palsi Tanılı Hastalarımızın Demografik, Klinik Ve Laboratuvar Özelliklerinin Değerlendirilmesi. Uzmanlık Tezi, Konya: Selçuk Üniversitesi Meram Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, 2010.
  • 6) Özyamaç C: Serebral Palsili Çocuklarda Uyku Bozukluklarının Saptanması Ve Aileye Etkisinin Değerlendirilmesi. Uzmanlık Tezi, Edirne: Trakya Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, 2014.
  • 7) Koyuncu E, Türkkani MH, Sarikaya FG, Özgirgin N. Sleep disordered breathing in children with cerebral palsy. Sleep Med. 2017; 30: 146-50.
  • 8) Tolaymat A , Liu Z. Sleep disorders in children with neurologic diseases. Children. 2017; 4(10): 84.
  • 9) Zuculo GM, Knap CCF, Pinato L. Correlation between sleep and quality of life in cerebral palsy. CoDas. 2014; 26(6): 447-56.
  • 10) Mesci E, İçağasıoğlu A, Yumuşakhuylu Y, Mesci N, Murat S. Sleep in children with cerebral palsy. Med Med J. 2015; 30(3): 114-120.
  • 11) Halma E, Bussmann JBJ, Berg-Emons HJG, Sneekes EM, Pangalila R, Schasfoort FC. Relationship between changes in motor capacity and objectively measured motor performance in ambulatory children with spastic cerebral palsy. Child: Care, Health Dev. 2019; 46: 66-73.
  • 12) Leunkeu AN, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Phys Med Rehabil. 2012; 93(12): 2333-9.
  • 13) Otman AS, Köse N. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Ankara: Yücel Ofset, 2008:155-65.
  • 14) Eken MM, Dallmeijer AJ, Houdijk H, Doorenbosch CA. Muscle fatigue during repetitive voluntary contractions: a comparison between children with cerebral palsy, typically developing children and young healthy adults. Gait Posture. 2013; 38(4): 962-7.
  • 15) Moty JM, Driban JB, McAdams E, Price LL, McAlindon TE. Test-re-test reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis. BMC Musculoskelet Disord. 2013; 14(1): 166.
  • 16) Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychomet- ric properties of a survey instrument for school- aged children. Sleep. 2000; 15: 1043-1051.
  • 17) Harvey RA. The Gross Motor Function Measure (GMFM). J Physiother. 2017; 63(3):187.
  • 18) Newman CJ, O’Regan M, Hensey O. Sleep disorders in children with cerebral palsy. Dev Med Child Neurol. 2006; 48(7): 564-8.
  • 19) Adiga D, Gupta A, Khanna M, Taly A, Thennaraasu K. Sleep disorders in children with cerebral palsy and its correlation with sleep disturbance in primary caregivers and other associated factors. Ann Indian Acad Neurol. 2014; 17(4): 473-76.
  • 20) McCabe SM, Blackmore AM, Abbiss CR, Langdon K, Elliott C. Sleep concerns in children and young people with cerebral palsy in their home setting. J Paediatr Child Health. 2015; 51(12): 1188-94.
  • 21) Karabulut D, Avcı Ş. Relationship between sleep problems and gross motor function in children with cerebral palsy and investigation of their parents' quality of life. Physiother Rehabil. 2020; 31(2): 180-187.
  • 22) Angriman M, Caravale B, Novelli L, Ferri R, Bruni O. Sleep in children with neurodevelopmental disabilities. Neuropediatrics. 2015; 46(03): 199-210.
  • 23) Romeo DM, Brogna C, Quintiliani M, Baranello G, Pagliano E, Casalino T et al. Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates. Sleep Med. 2014; 15: 213-218.
  • 24) Sandella DE, O’Brien LM, Shank LK, Warschausky SA. Sleep and quality of life in children with cerebral palsy. Sleep Med. 2012; 12(3): 252-256.
  • 25) Elsayed RM, Hasanein BM, Sayyah HE, El-Auoty MM, Thatwat N, Belal TM. Sleep assessment of children with cerebral palsy:Using validated sleep questionnaire. Ann Indian Acad Neurol. 2013; 16(1): 62-5.
  • 26) Horwood L, Mok E, Li P, Oskoui M. Prevalence of sleep problems and sleep-related characteristics in preschool- and school-aged children with cerebral palsy. Sleep Med. 2018; 50: 1-6.
  • 27) Smit DJM, Zwinkels M, Takken T, Hulst RY, Groot JF, Lankhorst et al. Sleep quantity and its relation with physical activity in children with cerebral palsy; insights using actigraphy. J Pediatr Child Health. 2020;56(109: 1618-1622.
  • 28) Yazıcı M, Türkmen MC. Investigating the association between using night braces and sleep habits of children with cerebral palsy and parental quality of life. Journal of Developmental & Physical Disabilities. 2021; 33: 413-427.
  • 29) Atmawidjaja RW, Wong SW, Yang WW, Ong LC. Sleep disturbances in Malaysian children with cerebral palsy. Dev. Med. Child Neurol. 2014; 56(7): 681-685.
  • 30) McPhee PG, Verschuren O, Peterson MD, Tang A, Gorter JW. The formula for health and well-being in ındividuals with cerebral palsy: cross-sectional data on physical activity, sleep, and nutrition. Ann Rehabil Med. 2020; 44(4): 301-310.
  • 31) Hemmingsson H, Stenhammer AM, Paulsson K. Sleep problems and the need for parental night-time attention in children with physical disabilities. Child Care Health Dev. 2009; 35(19): 89-95.
  • 32) Dalvand H, Dehghan L, Shamsoddin A, Fatehi F, Rirahi A. Sleep disorders in children with cerebral palsy based on grossmotor function levels. Journal of Mazandaran University of Medical Sciences. 2017; 26: 91-98.
  • 33) Nooijen C, Slaman J, Van der Slot W, Stam HJ, Roebroeck ME, Van den Berg-Emons, R. Health-related physical fitness of ambulatory adolescents and young adults with spastic cerebral palsy. J Rehabil Med. 2014; 46(7): 642-7.
  • 34) Kerem M, Livanelioğlu A, Aysun S. Serebral paralizide erken tanı ve rehabilitasyonun önemi. Turkiye Klinikleri J Pediatr. 2000; 9(1) :23-7.

Evaluation of Relationship Between Physical Activity Level and Sleep Quality In Patients With Cerebral Palsy

Yıl 2022, Cilt: 19 Sayı: 2, 354 - 360, 28.08.2022

Fatih Enzin Hazel Çelik Güzel Sevgi Felek

https://doi.org/10.35440/hutfd.1074911

Öz

Background: Individuals with cerebral palsy develop more slowly in their motor development and capaci-ties than their healthy peers. It is not known how effective sleep is in this occurrence. This study aims to investigate the motor development and physical activity capacities of individuals with brain palsy.
Materials and Methods: 6 Minute Walk Test for cardiovascular endurance, Back Extensor and Ab-dominal Muscle Tests for muscle strength, Squat, Shuttle and Reverse Shuttle Tests for muscular endur-ance, Sit-Reach and Back Muscle Flexibility Tests for flexibility and 20 Meter Walk test for walking speed, we applied to children. Sleep habits and sleep related problems were evaluated using the Child Sleep Habits Questionnaire.
Results: rty-eight individuals with cerebral palsy were included in the study. (Mean; age 10.5 (6-18), BMI 17.86 (10.52-30)). Twenty of them were girls and 28 were boys. There was a moderate negative correla-tion between the sleep habits questionnaire results and the results of walking and flexibility tests (p <0.05), but no correlation was observed with muscle strength and endurance tests (p0,05). While there was no relationship between walking and endurance test scores and total sleep time; there was a corre-lation between all exercise test scores and sleep quality data.
Conclusions: Sleep quality in individuals with cerebral palsy; It is related to varying levels with parame-ters showing the level of physical activity such as gait, strength, endurance, and flexibility. Therefore, sleep-related regulations may be required to increase the targeted success in rehabilitation.

Kaynakça

  • 1) Serdaroğlu A, Cansu A, Ozkan S, Tezcan S. Prevalence of cerebral palsy in Turkish children between the ages of 2 and 16 years. Dev Med Child Neurol. 2006; 48: 413-6.
  • 2) Pekesen Kurtca M, Angin S. The relationship between spasticity, mobility and activity level in adults with cerebral palsy. Pam Med J. 2020; 13: 635-644.
  • 3) Akınoğlu B, Köse N. Hemiparetik ve diparetik serebral paralizili çocuklarda fiziksel uygunluk düzeyinin belirlenmesi. Turk J Physiother Rehabil. 2018; 29(1): 11-18.
  • 4) Vila-Nova F, Cardoso de Sá CDS, Oliveira R, Cordovil R. Differences in leisure physical activity participation in children with typical development and cerebral palsy. Dev. Neurorehabilit.. 2020; 24: 180-186.
  • 5) Alp E: Serebral Palsi Tanılı Hastalarımızın Demografik, Klinik Ve Laboratuvar Özelliklerinin Değerlendirilmesi. Uzmanlık Tezi, Konya: Selçuk Üniversitesi Meram Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, 2010.
  • 6) Özyamaç C: Serebral Palsili Çocuklarda Uyku Bozukluklarının Saptanması Ve Aileye Etkisinin Değerlendirilmesi. Uzmanlık Tezi, Edirne: Trakya Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, 2014.
  • 7) Koyuncu E, Türkkani MH, Sarikaya FG, Özgirgin N. Sleep disordered breathing in children with cerebral palsy. Sleep Med. 2017; 30: 146-50.
  • 8) Tolaymat A , Liu Z. Sleep disorders in children with neurologic diseases. Children. 2017; 4(10): 84.
  • 9) Zuculo GM, Knap CCF, Pinato L. Correlation between sleep and quality of life in cerebral palsy. CoDas. 2014; 26(6): 447-56.
  • 10) Mesci E, İçağasıoğlu A, Yumuşakhuylu Y, Mesci N, Murat S. Sleep in children with cerebral palsy. Med Med J. 2015; 30(3): 114-120.
  • 11) Halma E, Bussmann JBJ, Berg-Emons HJG, Sneekes EM, Pangalila R, Schasfoort FC. Relationship between changes in motor capacity and objectively measured motor performance in ambulatory children with spastic cerebral palsy. Child: Care, Health Dev. 2019; 46: 66-73.
  • 12) Leunkeu AN, Shephard RJ, Ahmaidi S. Six-minute walk test in children with cerebral palsy gross motor function classification system levels I and II: reproducibility, validity, and training effects. Arch Phys Med Rehabil. 2012; 93(12): 2333-9.
  • 13) Otman AS, Köse N. Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Ankara: Yücel Ofset, 2008:155-65.
  • 14) Eken MM, Dallmeijer AJ, Houdijk H, Doorenbosch CA. Muscle fatigue during repetitive voluntary contractions: a comparison between children with cerebral palsy, typically developing children and young healthy adults. Gait Posture. 2013; 38(4): 962-7.
  • 15) Moty JM, Driban JB, McAdams E, Price LL, McAlindon TE. Test-re-test reliability and sensitivity of the 20-meter walk test among patients with knee osteoarthritis. BMC Musculoskelet Disord. 2013; 14(1): 166.
  • 16) Owens JA, Spirito A, McGuinn M. The Children’s Sleep Habits Questionnaire (CSHQ): psychomet- ric properties of a survey instrument for school- aged children. Sleep. 2000; 15: 1043-1051.
  • 17) Harvey RA. The Gross Motor Function Measure (GMFM). J Physiother. 2017; 63(3):187.
  • 18) Newman CJ, O’Regan M, Hensey O. Sleep disorders in children with cerebral palsy. Dev Med Child Neurol. 2006; 48(7): 564-8.
  • 19) Adiga D, Gupta A, Khanna M, Taly A, Thennaraasu K. Sleep disorders in children with cerebral palsy and its correlation with sleep disturbance in primary caregivers and other associated factors. Ann Indian Acad Neurol. 2014; 17(4): 473-76.
  • 20) McCabe SM, Blackmore AM, Abbiss CR, Langdon K, Elliott C. Sleep concerns in children and young people with cerebral palsy in their home setting. J Paediatr Child Health. 2015; 51(12): 1188-94.
  • 21) Karabulut D, Avcı Ş. Relationship between sleep problems and gross motor function in children with cerebral palsy and investigation of their parents' quality of life. Physiother Rehabil. 2020; 31(2): 180-187.
  • 22) Angriman M, Caravale B, Novelli L, Ferri R, Bruni O. Sleep in children with neurodevelopmental disabilities. Neuropediatrics. 2015; 46(03): 199-210.
  • 23) Romeo DM, Brogna C, Quintiliani M, Baranello G, Pagliano E, Casalino T et al. Sleep disorders in children with cerebral palsy: neurodevelopmental and behavioral correlates. Sleep Med. 2014; 15: 213-218.
  • 24) Sandella DE, O’Brien LM, Shank LK, Warschausky SA. Sleep and quality of life in children with cerebral palsy. Sleep Med. 2012; 12(3): 252-256.
  • 25) Elsayed RM, Hasanein BM, Sayyah HE, El-Auoty MM, Thatwat N, Belal TM. Sleep assessment of children with cerebral palsy:Using validated sleep questionnaire. Ann Indian Acad Neurol. 2013; 16(1): 62-5.
  • 26) Horwood L, Mok E, Li P, Oskoui M. Prevalence of sleep problems and sleep-related characteristics in preschool- and school-aged children with cerebral palsy. Sleep Med. 2018; 50: 1-6.
  • 27) Smit DJM, Zwinkels M, Takken T, Hulst RY, Groot JF, Lankhorst et al. Sleep quantity and its relation with physical activity in children with cerebral palsy; insights using actigraphy. J Pediatr Child Health. 2020;56(109: 1618-1622.
  • 28) Yazıcı M, Türkmen MC. Investigating the association between using night braces and sleep habits of children with cerebral palsy and parental quality of life. Journal of Developmental & Physical Disabilities. 2021; 33: 413-427.
  • 29) Atmawidjaja RW, Wong SW, Yang WW, Ong LC. Sleep disturbances in Malaysian children with cerebral palsy. Dev. Med. Child Neurol. 2014; 56(7): 681-685.
  • 30) McPhee PG, Verschuren O, Peterson MD, Tang A, Gorter JW. The formula for health and well-being in ındividuals with cerebral palsy: cross-sectional data on physical activity, sleep, and nutrition. Ann Rehabil Med. 2020; 44(4): 301-310.
  • 31) Hemmingsson H, Stenhammer AM, Paulsson K. Sleep problems and the need for parental night-time attention in children with physical disabilities. Child Care Health Dev. 2009; 35(19): 89-95.
  • 32) Dalvand H, Dehghan L, Shamsoddin A, Fatehi F, Rirahi A. Sleep disorders in children with cerebral palsy based on grossmotor function levels. Journal of Mazandaran University of Medical Sciences. 2017; 26: 91-98.
  • 33) Nooijen C, Slaman J, Van der Slot W, Stam HJ, Roebroeck ME, Van den Berg-Emons, R. Health-related physical fitness of ambulatory adolescents and young adults with spastic cerebral palsy. J Rehabil Med. 2014; 46(7): 642-7.
  • 34) Kerem M, Livanelioğlu A, Aysun S. Serebral paralizide erken tanı ve rehabilitasyonun önemi. Turkiye Klinikleri J Pediatr. 2000; 9(1) :23-7.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Fatih Enzin 0000-0002-9836-3787

Hazel Çelik Güzel 0000-0001-6510-5012

Sevgi Felek 0000-0002-8874-5757

Yayımlanma Tarihi 28 Ağustos 2022
Gönderilme Tarihi 21 Şubat 2022
Kabul Tarihi 5 Ağustos 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 19 Sayı: 2

Kaynak Göster

Vancouver Enzin F, Çelik Güzel H, Felek S. Serebral Palsili Olgularda Fiziksel Aktivite Düzeyi ile Uyku Kalitesi Arasındaki İlişkinin Değerlendirilmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2022;19(2):354-60.
 Kapak Resmi İndir

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty