Examination Of Relationship Between Hand Functions And Activity And Participation Levels Of Children With Cerebral Palsy


Thesis Type: Postgraduate

Institution Of The Thesis: Gazi University, Turkey

Approval Date: 2015

Thesis Language: Turkish

Student: Dilan ÖNDER

Supervisor: DERAN OSKAY

Abstract:

Limitation on the functions of hand is a sign of movement disorder in children with Cerebral Palsy (CP). This disability is caused by the immature brain defect. The purpose of this study is to show the relationship between hand functions and activity and participation levels of children with CP, highlighting importance of hand in rehabilitation process and helping the treatment. This study evaluates 100 children with CP, between the ages in 6 and 16 years. Demographic information of children are recorded and following tests applied to every child: Manual Ability Classification System (MACS), ABILHAND-Kids and Pediatric Evaluation of Disability Inventory (PEDI) Functional Skills Scale (FSS). Significant correlation was found between EYSS and ABILHAND-Kids scores (p<0,05). Powerful correlation was found between ABILHAND-Kids and PEDI-FBS scores (p<0,05). Also children with CP were classified by topographical and clinical types to examine the relationship between hand functions and activity and participation levels better. Significant correlation found between ABILHAND-Kids and PEDI-FSS in spastic and dyskinetic types of CP (p<0,05) and no correlation found in ataxic type (p>0,05). ABILHAND-Kids and PEDI-FSS shows correlation in every types of topographic classification; hemiplegic, diparetic and quadriparetic (p<0,05). As a result, without considering anatomic and clinical types, hand functions are affecting activity and participation levels among children with CP.