On the other hand, there were significant improvements in all post-treatment scores for lower extremity MAS, TUG, GMFM (in all dimensions and total score), total and motor WeeFIM, USG compressibility ratio of spastic gastrocnemius muscle, most subparts of child self-report-PedsQL (daily activities, school activities, movement and balance, pain and injury, eating activities subparts), and parent proxy-report-PedsQL (daily activities, movement and balance, school activities, pain and injury, fatigue subparts) in the aquatic exercise group (Tables 3 and 4).
Since both groups showed a significant improvement in scores for MAS, TUG, GMFM (in all dimensions and total score), and total and motor WeeFIM at Week 6, we compared the percentage changes of continuous numerical data at Week 6 relative to pretreatment values.
The major findings of this study were as follows: (i) Both aquatic exercise and land-based exercise equally improved all scores for lower extremity MAS, TUG, GMFM (in all dimensions and total score), and total and motor WeeFIM in the children with CP; (ii) post-treatment results showed a higher improvement in the USG compressibility ratio, most subparts of child self-report-PedsQL, and parent proxy-report-PedsQL in the aquatic exercise group, compared to the land-based exercise group; and (iii) the MAS scores of spastic gastrocnemius muscle of the patients with CP showed a negative and weak-to-moderate correlation with the compressibility ratio based on the USG findings.
Their functional independence levels were assessed with WeeFIM and their health-related quality of life levels were assessed with the Child Health Questionnaire-Parent Form (PF-50).
A significant difference was found in children with CP with a normal body weight, overweight children with CP, obese children with CP and children with CP with a low body weight in terms of the total WeeFIM score and the variables of quality of life including physical functionality and role/social limitations because of physical health (p<0.
The level of gross motor function of the children was evaluated using the gross motor function classification system (GMFCS) (13) and functional independence was evaluated using the functional independence measurement WeeFIM which was developed for children (14) and the Child Health Questionnaire -Parent Form (CHQ PF-50) (15).
El diagnostico es clinico, apoyado en escalas de medicion, como la de Ashworth (0: no hay aumento del tono; 1: leve aumento del tono; 2: mayor aumento del tono muscular, pero la extremidad se deja flexionar facilmente; 3: tono muscular aumentado, dificultad para la movilizacion pasiva; 4: rigidez completa de la extremidad, en flexion o extension), la de Penn (0: ningun espasmo; 1: leve espasmo con la estimulacion; 2: espasmos fuertes irregulares, menores de uno por hora; 3: mas de un espasmo por hora; 4: mas de 10 espasmos por hora) o la de Tardieu (4) y pruebas funcionales, como por ejemplo la medida de independencia funcional para ninos conocida como WeeFIM
SYSTEM, Uniform Data System for Medical Rehabilitation
The aim of this study was to determine the functional status and QoL of children with SB by using the WeeFIM and CHQPF-50 and to compare the functional status data of pediatric SB patients with those of healthy children.
A single physician assessed the functional status and daily life activities of children with SB using WeeFIM and CHQPF-50.
WeeFIM, alti alt bolum ve 18 madde icerir: kendine bakim (6 madde), sfinkter kontrolu (2 madde), transfer (3 madde), lokomosyon (2 madde), iletisim (2 madde) ve sosyal durum (3 madde).
Olgulara ait KT uygulama oncesi ve sonrasi WeeFIM, SCPM ve SAS degerleri Tablo 2'de gosterilmistir.