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Medicinski pregled
2017, vol. 70, br. 7-8, str. 235-240
jezik rada: engleski
vrsta rada: stručni članak
doi:10.2298/MPNS1708235D


Funkcionalni status dece sa cerebralnom paralizom
aInstitute of Child and Youth Healthcare of Vojvodina, Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad
bClinical Center of Vojvodina, Novi Sad, Medical Rehabilitation Clinic + University of Novi Sad, Faculty of Medicine, Novi Sad
cSpecial Hospital for Rheumatic Diseases, Novi Sad + University of Novi Sad, Faculty of Medicine, Novi Sad

e-adresa: cila.demesidrljan@mf.uns.ac.rs

Sažetak

Uvod. Cerebralna paraliza se nalazi među najčešćim uzrocima nastanka neuroloških oštećenja u dečjem uzrastu. U kliničkoj slici dominira oštećenje funkcionalnih motoričkih sposobnosti. Kod dece sa cerebralnom paralizom često su prisutni udruženi neurorazvojni ili senzorni problemi. Prisustvo ovih poremećaja može ograničavati pojedinca u svakodnevnim aktivnostima. Cilj rada bio je utvrđivanje funkcionalnog statusa dece sa cerebralnom paralizom i istraživanje odnosa između funkcionalnih sposobnosti, oblika cerebralne paralize i pridruženih oboljenja. Materijal i metode. Uzorak se sastojao od ukupno 206 dece. Iz medicinske dokumentacije su dobijeni podaci o kliničkim karakteristikama cerebralne paralize i pridruženim oboljenjima. Klinički tip cerebralne paralize određen je prema preporuci Surveillance of Cerebral Palsy in Europe i topografski. Grube motoričke funkcije procenjene su na osnovu istoimenog klasifikacionog sistema Gross Motor Function Classification System, a manuelne sposobnosti na osnovu Manual Ability Classification System. Rezultati. Oko dve trećine dece sa cerebralnom paralizom (64%) imalo je I, II ili III stepen oštećenja grube motoričke funkcije prema primenjenom klasifikacionom sistemu. Registrovana je statistički značajna razlika u distribuciji kliničkih tipova cerebralne paralize i mentalnog deficita u odnosu na funkcionalnu klasifikaciju (p < 0,001). Teži stepen mentalnog deficita, kvadriplegična i diskinetična forma cerebralne paralize bile su povezane sa težim nivoom funkcionalnog oštećenja. Epilepsija je bila prisutnija u grupi dece sa većim stepenom oštećenja grube motoričke funkcije (p = 0,009). Zaključak. Hod je bio moguć samostalno ili sa pomagalom kod dve trećine dece. Funkcionalna sposobnost najviše je bila limitirana kod kvadriplegičnog i diskinetičkog oblika cerebralne paralize. Teži nivo funkcionalnog oštećenja bio je povezan sa većom zastupljenošću i težim stepenom pridruženih oboljenja.

Ključne reči

Reference

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