Ozgun Kaya Kara

The effects of Kinesio Taping on body functions and activity in unilateral spastic cerebral palsy: a single‐blind randomized controlled trial

The aim of this study was to investigate the effects of Kinesio Taping (KT) on the body functions and activity of children with unilateral spastic cerebral palsy (CP).

Agreement between parents and clinicians for the motor functional classification systems of children with cerebral palsy

Purpose. This study aimed to evaluate whether parental ratings of expanded and revised Gross Motor Function Classification System (GMFCS E&R) and Manual Ability Classification System (MACS) had agreement with clinicians’ ratings when classifying children with CP to these two well-known classifications of motor functioning and hereby to evaluate intertester reliability of the classification systems between clinicians and parents. Method. The process of study was designed to collect data from parents using the GMFCS E&R and MACS. The total participants consisted of 100 children with CP and their parents. The overall agreement between the parents and physiotherapist GMFCS and MACS scores was analysed using intraclass correlation coefficient (ICC). Results. The ICC value between parents and physiotherapist was 0.96 (95%% confidence interval [CI] 0.95–0.97) for GMFCS and 0.96 (95%% CI 0.94–0.97) for MACS and indicated excellent agreement. Conclusions. The excellent agreement between parents and clinicians indicated that parents and clinicians can talk in the same language for the motor functional classification systems of children with CP if careful administrations are provided.

Early Childhood Intervention and Early Childhood Special Education in Turkey Within the Scope of the Developmental System Approach

The purpose of this article was to provide an overview of early childhood intervention and early childhood special education (ECI/ECSE) services and practices in Turkey by using the Developmental System Approach (M. J. Guralnick, 2001). After pointing out the history of early childhood and ECI/ECSE services and current legislations with regard to ECI/ECSE in Turkey, the article focuses on ECI/ECSE practices in Turkey. Although ECI/ECSE legislative acts have been in place since 1980s, there are critical issues regarding the provision of systematic ECI/ECSE both to young children with developmental delays or at risk for developmental delays and to their families. These issues include lack of a model system approach, lack of assessment tools and curricula, and lack of qualified personnel. Future recommendations for ECI/ECSE are provided.

Do the physiotherapy results make us happy in a case with ‘happy puppet’ (Angelman) syndrome?

This study aimed to investigate the benefits of physiotherapy programme in a patient with Angelman syndrome (AS) during a follow-up of 3 years. Assessments included: disability level with gross motor function classification systems, gross motor function with gross motor function measurement (GMFM), balance with Berg Balance Scale, motor performance with gross motor performance measurement (GMPM) and tonus assessment with Modified Ashworth Scale. Physiotherapy programme was performed during 36 months, 3 days per week by physical therapist according to Neurodevelopmental Treatment approach. During the 36 months, GMFM increased from 11.46% to 70.82% and GMPM increased from 1.25% to 70.25%. This case report is the first study about the effectiveness of physiotherapy with medium-term follow-up in a child with AS. Physiotherapy results make us happy in this particular patient with ‘happy puppet’ syndrome.

The results of early physiotherapy on a child with incontinentia pigmenti with encephalocele.

This study aimed to exhibit the effects of early physiotherapy and discusses post-treatment results on a patient with incontinentia pigmenti (IP) with encephalocele. Physiotherapy evaluations of the child included cognitive, fine and gross motor development assessed with the Bayley Scales of Infant and Toddler Development – Third Edition (Bayley-III), disability level with the gross motor function classification system, gross motor function with the gross motor function measurement (GMFM), and tonus evaluation with the Modified Ashworth Scale. The child was included in a physiotherapy and rehabilitation programme based on neurodevelopmental treatment three times a week. Although cognitive and motor development according to Bayley-III improved in the present case, motor and cognitive retardation became more apparent with growth. GMFM results indicated a large improvement from 5.88% to 47.73%. Presentation of this case shows the significance of early physiotherapy in this first study on physiotherapy for IP during the early rehabilitation process.

The effects of connective tissue manipulation and Kinesio Taping on chronic constipation in children with cerebral palsy: a randomized controlled trial

Abstract Purpose: The aim of this study was to investigate the effects of connective tissue manipulation (CTM) and Kinesio Taping® (KT) on constipation and quality of life in children with cerebral palsy (CP). Method: This study was designed as a randomized controlled trial. Forty children diagnosed with chronic constipation based on Rome III criteria were randomly assigned to CTM group [6 females, 7 males; 8 y 6 mo (SD = 3y 4 mo)], KT group [7 female, 7 male; 8y 7 mo (SD =3y 5 mo)] or control group [6 female, 7 male; 8y 3 mo (SD = 3y 6 mo)]. All patients were assessed with 7-day bowel diaries, Bristol Stool Form Scale (BSFS), Visual Analog Scale (VAS), and Pediatric Quality of Life Inventory (PEDsQL). Kruskal-Wallis, Wilcoxon’s signed-rank, and Mann–Whitney U tests were used to determine intra-group and inter-group differences. The level of significance was p < 0.05. Results: Among the CTM, KT, and control groups, there were statistically significant differences regarding the changes in defecation frequency (2.46, 3.00, 0.30, ES 1.16, p < 0.001), duration of defecation (5.07, 5.35, 0.15, ES 2.37, p = 0.003), BSFS (1.84, 2.14, 0.07, ES 0.91, p < 0.001), VAS (4.83, 3.87, 0.23, ES 1.98, p < 0.001), and PEDsQL total scores (7, 14, 8.36, −0.85, ES 4.08, p < 0.001). Conclusions: This study revealed that CTM and KT seem equally effective physiotherapy approaches for the treatment of pediatric constipation and these approaches may be added to bowel rehabilitation program. Implications for rehabilitation CTM and KT have similar effectiveness in alleviating the constipation-related symptoms and improving quality of life in children with CP. CTM and KT can be integrated into bowel rehabilitation programs. Considering the characteristics of patients, these treatment options can be used as an alternative of each other by physiotherapists.

Impairments, activity limitations, and participation restrictions of the international classification of functioning, disability, and health model in children with ambulatory cerebral palsy

Objectives: To examine the impairments, activity limitations, and participation restrictions in children with spastic unilateral and bilateral cerebral palsy (CP). We investigated the relationship between these factors according to the international classification of functioning, disability, and health (ICF) model. Methods: This prospective cross sectional study included 60 children aged between 4-18 years with spastic CP (30 unilateral, 30 bilateral involvement) classified as Levels I and II on the gross motor function classification system. Children had been referred to the Pediatric Rehabilitation Unit in the Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey between March 2014 and March 2015. The Physician Rating scale was used to assess body functions and structures. The Gillette Functional Assessment Questionnaire 22-item skill set, Pediatric Functional Independence Measure, and Pediatric Outcomes Data Collection Instrument were used to assess activity and participation levels. Results: There was a significant positive correlation between impairments and activity limitations (r=0.558; p=0.000), as well as between activity limitations and participation restrictions (r=0.354, p=0.005). Conclusion: These results show that activity limitations in children with unilateral and bilateral ambulatory CP may be related to their impairments and participation restrictions, although the sample size of our study is not large enough for generalizations. Overall, our study highlights the need for up-to-date, practical evaluation methods according to the ICF model.

Is there any difference between high-risk infants with different birth weight and gestational age in neurodevelopmental characters?

AIM This study is aimed to investigate differences between cognitive, language and motor development of high-risk infants related to birth weight and gestational age. MATERIAL AND METHODS One hundred sixty high-risk infants who were born 32 weeks, 1 500 gr and below included in this study. According to corrected age, 58 infants were 1 month, 72 were at 4 months, 82 were at 8 months and 65 were 12 months old. Infants were seperated two groups according to gestational age <30 weeks and 30-32 weeks and birth weight ≤1 000 gr and 1 001-1 500 gr. Infants motor development were assessed with Bayley-III Infant and Toddler Development Motor Scale (Bayley-III) and Neuro Sensory Motor Developmental Scale (NSMDA), cognitif and lanuage development were Bayley-III cognitive and Language scales. Assessments were applied by the same physiotherapist at 1 month, 4 months, 8 months and 12 months old infants in corrected age. Mann-Whitney U Test, 2 x 2 Chi-Square test ve Fishers exact tests were used to compare group data. Statistical significance was determined p<0.05. RESULTS Cognitive, motor and language developments were in normal ranges in all infants. There were no statistical differences in cognitive, language and motor development between groups (p>0.05). CONCLUSION Results of this study showed that the motor, cognitive and language development were normal in all high risk infants and power gestational age and birth weight did not affect these parametes.

Beyin felci olan çocuklarda kaba motor işlevleri kazanma yaşının işlevsel motor bozukluk üzerine etkisi

Amac: Bu calismanin amaci beyin felci olan cocuklarda kaba motor islevleri kazanma yasinin islevsel motor bozukluk uzerine etkisinin arastirilmasidir Gerec ve Yontem: Calismamiza cocuk norologu tarafindan tanisi konulmus ve Hacettepe Univeristesi Saglik Bilimleri Fakultesi Fizyoterapi ve Rehabilitasyon Bolumu Serebral Paralizi Birimi rsquo;ne fizyoterapi rehabilitasyon programi almak icin gonderilmis 671 beyin felci olan cocuk alindi ve ailelerine cocuklarin kaba motor islevleri kazanma yaslari soruldu Islevsel motor bozukluk Kaba Motor Fonksiyon Siniflandirma Sistemine gore belirlendi Bulgular: Beyin felci olan olgularin klinik tipleri 625 rsquo;i spastik 93 1 32 rsquo;si diskinetik 4 8 10 rsquo;u ataksik 1 5 dordu karisik tip 0 6 olarak belirlendi Kaba Motor Fonksiyon Siniflandirma Sistemine gore seviye I rsquo;de 152 22 7 seviye II rsquo;de 102 15 2 seviye III rsquo;de 111 16 5 seviye IV rsquo;de 60 8 9 seviye V rsquo;de 246 36 7 olgu yer almaktaydi Bagimsiz oturma becerisi kazanma yasi ortanca degeri seviye I rsquo;de dokuz ay seviye II rsquo;de 12 ay seviye III rsquo;de 24 aydi Emekleme yetenegi kazanma yasi ortanca degeri seviye I rsquo;de 12 ay seviye II rsquo;de 18 ay seviye III rsquo;de 48 aydi Bagimsiz yurume yasi ortanca degeri seviye I rsquo;de 18 ay seviye II rsquo;de 33 aydi Calisma icin Hacettepe Universitesi Tip Fakultesi Etik Komitesinden onay alindi No: HEK 09 60 Cikarimlar: Bizim de bekledigimiz gibi motor bozuklugun siddeti arttikca kaba motor islevi kazanma yaslari giderek artmistir Bu calismanin sonuclarinin beyin felci olan cocugun kaba motor bozuklugunun seyri ile ilgili bilgi verebilecegini dusunmekteyiz Turk Ped Ars 2012; 47: 193 8