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Subject: search.filters.subject.Cerebral palsy

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    Is there a relationship between upper limb function and swallowing function in children with cerebral palsy? A cross-sectional study
    (2022) Guzel, Sukran; Yigman, Zeynep Aykin; Umay, Ebru; 0000-0001-9852-0917; AAG-3148-2021
    Objective: Despite the association between gross motor and swallowing functions in patients with cerebral palsy (CP), there have been no studies examining the relationship between upper limb functions and swallowing in detail. The aim of this study was to evaluate the relationship between upper extremity skills and swallowing function in children with CP. Methods: The study included a total of 71 patients with CP who were attending the rehabilitation clinic. Upper limb functions were assessed using the Bimanual Fine Motor Function (BFMF) scale, and swallowing function with the Functional Oral Intake Scale (FOIS). The Nine-hole peg test (NPHT) was used to assess manual hand dexterity. Grip strength was measured with a Jamar hand dynamometer and pinchmeter. Correlation analysis was applied to outcome parameters. Results: The BFMF classification was level 1 in 6 patients (8.5%), level 2 in 22 patients (31.0%), level 3 in 27 patients (38.0%), level 4 in 12 patients (16.9%) and level 5 in 4 patients (5.6%). Nutrition was provided through oral intake in 59 (83.1%) patients and 12 (16.9%) were tube dependent. While a negative correlation was determined between swallowing function and BFMF and NHPT, a positive correlation was determined between swallowing function and grip strength values. Conclusions: The findings of this study demonstrated that there is a relationship between swallowing functions and upper limb functions. These findings may help in predicting functional improvement in terms of swallowing and/or if the patient needs further intervention such as upper limb rehabilitation in addition to oral motor training to improve oral intake, and thereby nutritional intake.
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    The effect of physician experience on the measurement reliability of the Reimers' hip migration percentage in children with cerebral palsy
    (2015) Analan, Pinar Doruk; Yilmaz, Emine Ece; Adnan, Mehmet; Leblebici, Berrin; 26644686
    [Purpose] Reimers' hip migration percentage (MP) is commonly used to document the extent of hip displacement in children with cerebral palsy (CP). However, factors such as poor administration of pelvic radiographs, a lack of concentration, inexperience, or a busy clinical environment may result in variations in the MP measurements. The aim of this study was to compare the differences in the MP results of two physiatrists with varying levels of experience to determine the role of experience in the measurement's accuracy. [Subjects and Methods] This retrospective study included 62 hip radiographs of 31 children with spastic CP. Two physiatrists with different experience levels calculated the baseline MP on two occasions six weeks apart. Correlations, intra-and inter-rater reliabilities, and differences in the MPs were compared. [Results] Correlations and inter-and intra-rater reliabilities of the measurements were excellent. There were no statistically significant intra-or inter-rater differences for either of the two measurement points. Inter-rater correlations for each session were 0.94. [Conclusion] Experience does not appear to be a factor in the evaluation of MP, and inter-rater differences do not cause problems regarding patient follow-up. Therefore, repeated pelvic radiographs are not necessary in the evaluation of MP in children with CP unless indicated.