Dinamik Ayak-Ayakbileği Ortezi Kullanan Spastik Serebral Palsili Çocukların Memnuniyet Düzeylerinin Araştırılması

Year 2023, Volume: 6 Issue: 3, 14 - 25, 30.09.2023

Sabiha Bezgin , Kamile Uzun Akkaya , Bülent Elbasan

https://doi.org/10.53493/avrasyasbd.1205302

Abstract

Amaç: Serebral palsili çocuklarda rehabilitasyonda önemli bir yere sahip olan dinamik ayak-ayak bileği ortezlerinin kullanımı ile ilgili memnuniyetin araştırılması, eksiklerin giderilmesi ve kullanımın etkin şekilde yürütülmesi için oldukça önemlidir. Çalışmamızın amacı, spastik serebral palsili çocukların memnuniyet düzeyinin kendi görüşleri alınarak değerlendirilmesidir.
Gereç ve Yöntem: Çalışmaya 5-18 yaş aralığında, yürüyebilen, en az 6 aydır dinamik ayak-ayakbileği ortezi kullanan ve soruları cevaplayabilecek kognitif düzeye sahip olan spastik serebral palsili çocuklar dahil edildi. Ortez memnuniyeti konfor, görsellik ve fonksiyonellik başlıkları altında oluşturulan 12 soru aracılığıyla değerlendirildi ve yaş, cinsiyet ve kaba motor fonksiyonların ortez memnuniyeti üzerindeki etkileri araştırıldı.
Bulgular: Çalışmaya yaş ortalaması 10.8 ±4.2 yıl olan toplam 105 spastik SP’li çocuk katıldı. Çalışmanın sonucunda, tüm katılımcıların sonuçları incelendiğinde ortez ile ilgili memnuniyet orta düzeyde bulundu. Ortez memnuniyetini etkileyen faktörler değerlendirildiğinde, fonksiyonel seviyenin üç alanda da memnuniyeti etkileyen bir unsur olduğu, yaşın özellikle ortezin görselliği ile ilgili memnuniyeti etkileyen bir faktör olduğu ve cinsiyetin memnuniyet üzerinde etkisinin olmadığı sonucuna ulaşıldı.
Sonuç: Sonuçta, ortez kullanıcılarının görüşlerinin alınmasıyla, eksikliklerin giderilmesi, kullanım süresinin ve motivasyonun arttırılması açısından oldukça önemli bulgular elde edildi. Ayrıca çocuk temelli yaklaşımın vurgulanması sağlandı. Ortez memnuniyetinin yaş ve kaba motor fonksiyon seviyesi ile değiştiği, cinsiyetin ise sorulan sorular çerçevesinde etkisi olmadığı sonucuna ulaşıldı.

Keywords

memnuniyet, ortez, serebral palsi, yardımcı cihaz

Investigation of Satisfaction Levels of Children with Spastic Cerebral Palsy Using Dynamic Foot-Ankle Orthesis

Abstract

Aim: The investigation of satisfaction with using dynamic foot-ankle orthoses, which have an important place in rehabilitation in children with cerebral palsy (CP), is essential for eliminating deficiencies and effectively implementing the use. Our study aims to evaluate the satisfaction level of children with spastic CP by taking their own opinions.
Materials and Method: Children with spastic CP aged 5-18 years, who can walk, who have been using dynamic foot-ankle orthosis for at least six months, and who have a cognitive level that can answer questions were included in the study. Orthotic satisfaction was evaluated through 12 questions created under the headings of comfort, visuality, and functionality, and the effects of age, gender, and gross motor functions on orthotic satisfaction were investigated.
Results: 105 children with spastic CP with a mean age of 10.8±4.2 years participated in the study. At the end of the study, satisfaction with orthosis was found to be moderate. When the factors affecting orthosis satisfaction were evaluated, it was concluded that functional level affects satisfaction in all three areas. Age is a factor affecting satisfaction primarily related to the visual of the orthosis, and gender does not affect satisfaction.
Conclusion: As a result, by taking the opinions of orthosis users, significant findings were obtained in eliminating deficiencies and increasing the duration of use and motivation. In addition, the child-based approach was emphasized. It was concluded that orthotic satisfaction changed with age and gross motor function level, and gender had no effect within the framework of the questions asked.

Keywords

assistive device, cerebral palsy, orthosis, satisfaction, memnuniyet, ortez, serebral palsi, yardımcı cihaz

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