Olgu Sunumu
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Serebral Palside Ön Diz Ağrısı Sebebi Olarak Patella Alta: Vaka Sunumu ve Rehabilitasyon Yaklaşımı

Yıl 2018, Cilt: 2 Sayı: 1, 41 - 45, 30.04.2018

Öz

Serebral
palsi (SP);
gelişmekte olan fetal veya
infant beyninde oluşan hasar sonucu, hareket ve postür gelişiminin kalıcı
bozukluğudur. Motor bozukluğa duysal, bilişsel, algısal, davranışsal
bozukluklar ve epilepsi yanında sekonder kas iskelet sistemi problemleri de
eşlik edebilir. Kas iskelet sistemi problemleri içinde diz fleksiyon
deformitesi önemli yer tutar. Diz fleksiyon deformitesi, bükük diz yürüyüşüne
ve dizin ekstansör mekanizmasını etkileyerek patella altaya neden olmaktadır.
Bunun sonucunda ön diz ağrısı (ÖDA) gelişebilmektedir. Kuadriseps, özellikle de
vastus medialis oblikus güçlendirme egzersizleri ile patella altanın neden
olduğu ÖDA azaltılabilir, yürüyüş daha iyi hale getirilebilir.

Kaynakça

  • 1-Rosenbaum P, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.2- Morrell DS, Pearson JM, Sauser DD. Progressive bone and joint abnormalities of the spine and lower extremities in cerebral palsy. Radiographics. 2002 Mar-Apr;22(2):257-68.3-Bertollo N, Pelletier MH, Walsh WR. Simulation of patella alta and the implications for in vitro patellar tracking in the ovine stifle joint. J Orthop. 2012 30; 1789-97.4-Çapacı K. Diz muayenesi – Diz ağrısı nedenleri. In: Beyazova M, Kutsal YG editors. Fiziksel Tıp ve Rehabilitasyon; Ankara, Güneş Tıp Kitabevleri, 2. Baskı. 2011 .p. 2093-110.5- Waninge A et al. Feasibility, test retest reliability, and interrater reliability of the Modified Ashworth Scale and Modified Tardieu Scale in persons with profound intellectual and multiple disabilities. Research İn Developmental Disabilities 2011;32: 613–20.6- Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel değerlendirme metodları. Türkiye Fiziksel Tıp Ve Rehabilitasyon Dergisi 2001; 47 (3); 16-26.7-Palisano R, Rosenbaum P, Walter S. Development and reliability of a system to classify gross motor function in children with Cerebral Palsy. Dev. Med. Child Neurol 1997; 39; 214-23.8- Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Phys Ther 1986;66:1530-39. 9-Senaran H, et al. Anterior knee pain in children with cerebral palsy. J Pediatr Orthop. 2007; 27:12–6.10-Topoleski TA, Kurtz CA, Grogan DP. Radiographic abnormalities and clinical symptoms associated with patella alta in ambulatory children with cerebral palsy. J Pediatr Orthop. 2000; 20:636-9. 11-Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clin Biomech. 2004; 19:1040-7 .12-Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995; 75:658-67.13-Becher JG, Pediatric rehabilitation in children with cerebral palsy: general management, classification of motor disorders. JPO: Journal of Prosthetics and Orthotics, 2002; 14.4: 143-9.

Patella alta as a cause of anterior knee pain in cerebral palcy: case report and rehabilitation approach

Yıl 2018, Cilt: 2 Sayı: 1, 41 - 45, 30.04.2018

Öz

Cerebral
palsy is a permanent disorder of the development in movement  and 
posture which  is a result of damage
in the fetal or infant brain. Sensorial, cognitive,  perceptive, behavioral disorders and
epilepsy, as well as the secondary musculoskeletal problems may accompany motor
disorders. Knee flexion deformity constitutes an essential part of the
musculoskeletal problems. Knee flexion deformity may cause crouch gait and
patella alta by affecting the extensor mechanism of the knee. As a result,
these conditions may cause anterior knee pain. Quadriceps exercises, especially
involving the vastus  medialis obliquus, may
decrease anterior knee pain and improve gait pattern induced by patella alta.

Kaynakça

  • 1-Rosenbaum P, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14.2- Morrell DS, Pearson JM, Sauser DD. Progressive bone and joint abnormalities of the spine and lower extremities in cerebral palsy. Radiographics. 2002 Mar-Apr;22(2):257-68.3-Bertollo N, Pelletier MH, Walsh WR. Simulation of patella alta and the implications for in vitro patellar tracking in the ovine stifle joint. J Orthop. 2012 30; 1789-97.4-Çapacı K. Diz muayenesi – Diz ağrısı nedenleri. In: Beyazova M, Kutsal YG editors. Fiziksel Tıp ve Rehabilitasyon; Ankara, Güneş Tıp Kitabevleri, 2. Baskı. 2011 .p. 2093-110.5- Waninge A et al. Feasibility, test retest reliability, and interrater reliability of the Modified Ashworth Scale and Modified Tardieu Scale in persons with profound intellectual and multiple disabilities. Research İn Developmental Disabilities 2011;32: 613–20.6- Erkin G, Aybay C. Pediatrik rehabilitasyonda kullanılan fonksiyonel değerlendirme metodları. Türkiye Fiziksel Tıp Ve Rehabilitasyon Dergisi 2001; 47 (3); 16-26.7-Palisano R, Rosenbaum P, Walter S. Development and reliability of a system to classify gross motor function in children with Cerebral Palsy. Dev. Med. Child Neurol 1997; 39; 214-23.8- Holden MK, Gill KM, Magliozzi MR. Gait assessment for neurologically impaired patients. Phys Ther 1986;66:1530-39. 9-Senaran H, et al. Anterior knee pain in children with cerebral palsy. J Pediatr Orthop. 2007; 27:12–6.10-Topoleski TA, Kurtz CA, Grogan DP. Radiographic abnormalities and clinical symptoms associated with patella alta in ambulatory children with cerebral palsy. J Pediatr Orthop. 2000; 20:636-9. 11-Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clin Biomech. 2004; 19:1040-7 .12-Damiano DL, Kelly LE, Vaughn CL. Effects of quadriceps femoris muscle strengthening on crouch gait in children with spastic diplegia. Phys Ther. 1995; 75:658-67.13-Becher JG, Pediatric rehabilitation in children with cerebral palsy: general management, classification of motor disorders. JPO: Journal of Prosthetics and Orthotics, 2002; 14.4: 143-9.
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Olgu Sunumu
Yazarlar

Hasan Toktaş

Nuran Eyvaz

Ümit Dündar

Selma Eroğlu

Yayımlanma Tarihi 30 Nisan 2018
Kabul Tarihi 28 Nisan 2018
Yayımlandığı Sayı Yıl 2018 Cilt: 2 Sayı: 1

Kaynak Göster

AMA Toktaş H, Eyvaz N, Dündar Ü, Eroğlu S. Serebral Palside Ön Diz Ağrısı Sebebi Olarak Patella Alta: Vaka Sunumu ve Rehabilitasyon Yaklaşımı. J Biotechnol and Strategic Health Res. Nisan 2018;2(1):41-45.
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