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    A Comparison of the Functioning and Disability Levels of Children With Hemiplegic and Diplegic Cerebral Palsy Based on ICF-CY Components
    (Sage Publications Inc, 2024) Bingol, Hasan; Karaoba, Dilan Demirtas
    We compared children with hemiplegic and diplegic cerebral palsy (CP) using the conceptual framework of the International Classification of Functioning, Disability and Health: Child and Youth version (ICF-CY). We enrolled 42 children with CP aged 5 - 13 years old (M age = 9.57, SD = 2.8 years). We assessed their trunk control and dynamic balance with the Trunk Control Measurement Scale (TCMS) and the Timed Up and Go test (TUG), and we used ABILHAND-Kids and Assessment of Life Habits (Life-H) to assess their manual ability and participation with activities of daily living. We administered the European Child Environment Questionnaire (ECEQ) to identify relevant environmental factors. We employed structural equation modeling (SEM) to identify specific factors contributing to potential differences between these CP groups. Children with hemiplegic CP demonstrated significantly better outcomes in terms of trunk control, dynamic balance, and environmental factors compared to those with diplegic CP (p < .05). In contrast, children with diplegic CP demonstrated superior outcomes regarding manual ability, compared to those with hemiplegic CP (p < .001). In our structural equation models, trunk control strongly predicted both dynamic balance (0.75) and environmental factors (0.74). Moreover, the relationships between trunk control and participation in daily and social activities were 0.54 and 0.47, respectively. Impaired trunk control and dynamic balance were significant contributors to increased activity restrictions and environmental barriers in children with diplegic CP. This suggests that improving disability and functioning in children with diplegic CP requires a focus on trunk control training and dynamic balance exercises.
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    Effect of psoriatic arthritis on the strength, proprioception, skill, coordination, and functional condition of the hand
    (Wiley, 2022) Candiri, Busra; Talu, Burcu; Karaoba, Dilan Demirtas; Ozaltin, Gulfem Ezgi; Yolbas, Servet
    Background This study was planned to evaluate the strength, proprioception, skill, coordination, and functional condition of the hand in individuals with psoriatic arthritis and to correlate disease activity with these parameters. Methods Fifty-six individuals (psoriatic arthritis group, n = 36; control group, n = 20) were included in the study. Evaluations were performed of disease activity with Disease Activity Score 28; grip strength with a dynamometer and pinch strength with pinch gauge dynamometers; joint position sensation with a goniometer; finger skills with a mobile application; and coordination and skill of both hands with the Purdue Pegboard test. The Michigan Hand Outcomes Questionnaire (MHQ) was used for hand functional evaluation. Results There was a significant difference between the grip and pinch strength of the psoriatic arthritis group and the control group (P < 0.05). There was no significant difference between the joint position sense measurements and the mobile application scores between the groups (P > 0.05). Purdue Pegboard scores showed a significant difference only in both hands and assembly subsections (P < 0.05). With Disease Activity Score 28, significant correlations were found between grip and pinch strength, mobile application scores, Purdue Pegboard all subsections, and left-hand joint position sense average error amount, and between MHQ and grip and pinch strength. Conclusions This study is the first to show that psoriatic arthritis has a negative effect especially on hand strength; grip strength decreases as disease severity increases and, skill, coordination, and functionality of hand deteriorate.
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    Investigation of the relationship between femoral anteversion, pelvic inclination and spasticity in children with spastic diplegic cerebral palsy
    (Bayrakol Medical Publisher, 2023) Karaoba, Dilan Demirtas; Candiri, Busra; Talu, Burcu
    Aim: This research was planned to analyze the relationship between femoraloanteversion, pelvic inclination and spasticity in children with spasticodiplegic cerebral palsy. Material and Methods: The study included 33 participants with spasticldiplegic cerebrallpalsy, aged 5-18 years (mean age 13.7 years [SD 3.1 years]; 15 girls, 18 boys), with GrosslMotor Function Classification Score 1 and 2. Femoralianteversion was evaluated with the Craig test. Pelvic inclination angle was measured using a specially designed caliper-like device and a mobile application (rotating sphere clinometer) with a phone placed on the device. Spasticity was evaluated using the Modified Ashworth Scale. The average spasticity values in the lower extremity hip flexor, adductor, internal rotator, knee flexor, plantar flexor and evertor muscles were calculated. Results: A moderate positiveicorrelation was observed between the femoral anteversion angle and pelvic inclination angle (right: r=.373, p<.05; left: r=.412, p<.05) and between femoral anteversion angle and the mean value of lower extremity total spasticity (right: r= .361, p<.05, left: r= .368, p<.05). There was no significant relationship between the pelvic inclination angle and the mean value of lower extremity total spasticity (right: r=.208, p>.05; left: r=.302, p>.05). Discussion: It was observed that an increase in lower extremity spasticity value may cause an increased femoralianteversion angle, while an increase in femoral anteversion may cause an increase in pelvic inclination angle.