Orhan ÖZTÜRK, İlkşan DEMİRBÜKEN, Mine Gülden POLAT, Sebastian WOLF

Fonksiyonel Kalça Kalibrasyon Hareketlerinin Serebral Palsili Çocuklarda Yürüyüş Analizinin Kinematik Verilerine Etkileri

Amaç: Fonksiyonel kalça kalibrasyon hareketlerinin yürüyüş analizinde kalça eklem merkezi üzerine etkilerini inceleyen çalışmalar bulunsa da bu kalibrasyon hareketlerinin kliniğe yansımaları incelenmemiştir. Bu çalışmanın amacı üç farklı fonksiyonel kalibrasyon hareketi (Fleksiyon/Ekstansiyon-Abduksiyon/Adduksiyon-Sirkümdüksiyon (FAC), Modifiye Star Hareketi (Mstar) ve Kontralateral Taraf Modifiye Star Hareketi (CsMstar)) ile elde edilen kalça eklem merkezlerinin yürüyüş analizi kinematik sonuçlara etkilerinin incelenmesidir. Gereç ve Yöntem: Çalışmaya 23 serebral palsili (10 kız, 13 erkek, ortalama yaş: 15.57 ±7.55 yıl) katılımcı dâhil edildi. Üç farklı kalibrasyon hareketi yapılarak yürüyüş analizinde kalça eklem merkezi fonksiyonel metot ile belirlendi. Üç boyutlu yürüyüş analizi yapılarak alt ekstremitelerin kinematik verileri elde edildi. Fonksiyonel kalça eklem merkezlerinin kinematik sonuçlar üzerine etkileri Yürüyüş Profil Skoru (GPS) ve pik kinematik değerler kullanılarak değerlendirildi. Ayrıca, kinematik verilerin dalga formlarının kök ortalama kare farkı (RMS) ve ortalama farkı incelendi. Bulgular: FAC kalibrasyon hareketi ile elde edilen GPS değeri, Mstar ve CsMstar’a göre istatistiki olarak farklılık gösterdi (p

Anahtar Kelimeler:

Yürüyüş Analizi, Kalça Eklem Merkezi, Kinematik Veriler, Serebral Palsi

The Effects of Functional Hip Calibration Movements on the Kinematic Data of Gait Analysis in Children with Cerebral Palsy

Objective: Although there are studies investigating the effects of functional hip calibration movements on the hip joint centre in gait analysis, the clinical reflections of these calibration movements have not been examined. The aim of the present study is to examine the effects of hip joint centres obtained with three different functional calibration movements (Flexion/ Extension-Abduction/Adduction-Circumduction (FAC), Modified Star Motion (Mstar) and Contra Lateral Side Modified Star Motion (CsMstar)) on kinematic outcomes. Material and Method: Twenty-three participants with cerebral palsy (10 female, 13 male, mean age: 15.57 ±7.55 years) were included in the study. The hip joint centre was determined by using the functional method in gait analysis by performing three different calibration movements. Kinematic data of the lower extremities were obtained via three-dimensional gait analysis. The effects of functional hip joint centres on kinematic results were evaluated by using the Gait Profile Score (GPS) and peak kinematic values. In addition, the root mean square difference (RMS) and the mean difference of the kinematic waveforms were investigated. Results: GPS value, obtained with FAC calibration movement, was statistically different from Mstar and CsMstar (p

Keywords:

Gait Analysis, Hip Joint Centre, Kinematics, Cerebral Palsy,

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