Background: Insufficiencies of gluteus medius and maximus muscles in children with unilateral cerebral palsy (CP) may restrict activity and participation by affecting gait, gross motor functions, and balance. Objectives: The present study aimed to elucidate the effect of Kinesio taping (KT) applied to the gluteus medius and maximus muscles on activity and participation in children with CP. Methods: The study was completed with 20 children with unilateral CP who were randomly divided into 2 groups: The KT group received KT and physiotherapy (n = 11), and the control group received only physiotherapy (n = 9). The KT application was administered for 4 weeks. The activity was evaluated with a BTS G-Walk Spatiotemporal Gait Analysis System, Timed Up and Go test (TUG), Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM), and Pediatric Balance Scale (PBS); in addition, participation was evaluated using the Canadian Occupational Performance Measure (COPM). Results: The KT group showed significant improvements in the gait parameter (cadence; P = 0.009), pelvic tilt symmetry (P = 0.017), pelvic rotation symmetry (P = 0.018), gait symmetry (P < 0.001), FMS (P = 0.07), TUG, GMFM, PBS, and COPM scores (P < 0.001) in the medium-term compared to the control group. It was also found that gait (cadence; P = 0.004) and functional mobility (P < 0.001) improved in the immediate term than in the KT group. Conclusions: KT combined with conventional physiotherapy can improve cadence and functional mobility in the immediate term, as well as gait and pelvic symmetry, functional mobility, gross motor function, balance, and participation in the medium term in children with unilateral CP. Further randomized controlled studies addressing large samples and long-term effects are warranted.

Serebral palsili çocuklarda beyin hasarına sekonder gelişen bozukluklar arasında çiğneme bozukluğu da yer almaktadır. Çiğneme bozukluğu Serebral Palsi (SP)’li çocuğun beslenme durumu ve nörogelişimini olumsuz etkilediği gibi hem çocuk hem de ailenin yaşam kalitesini olumsuz etkileyerek aile ve çocuk etkileşimini bozar. Bu nedenle SP’li çocuklar çiğneme bozukluğu açısından erken dönemde değerlendirilmeli ve uygun müdahale yaklaşımları uygulanmalıdır. Müdahale multidisipliner ekip yaklaşımı gerektirir ve fizyoterapistler bu ekibin önemli bir parçasıdır. Değerlendirme ve rehabilitasyon yaklaşımları planlanırken İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası Sınıflandırması çerçevesindeki kavramlara dayalı, bütüncül bir bakış açısıyla yaklaşımda bulunulmalıdır. Rehabilitasyon yaklaşımları uygulanırken motor öğrenme ilkeleri göz önünde bulundurulmalıdır. Bu derleme sonucunda çiğneme bozukluğu olan SP’li çocuklarda çiğneme fonksiyonunun değerlendirilmesinde kullanılan sonuç ölçütlerinin büyük farklılıklar içerdiği, rehabilitasyon yaklaşımlarının çok bileşenli müdahaleler olduğu görülmüştür. Çiğneme bozukluğu olan SP’li çocuğu İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası Sınıflandırması çerçevesindeki kavramlara dayalı olarak değerlendiren ve bütüncül olarak yaklaşan çalışmaların arttırılmasına ihtiyaç bulunmaktadır.

Aim: To examine knowledge, attitude, and practice (KAP) of mothers with preterm infants in terms of feeding.Method: Forty-one mothers of orally fed preterm infants with a corrected age of less than 6 months were included in the study. A questionnaire about KAP of mothers regarding infant feeding was administered. The Spielberger State Trait Anxiety Inventory was completed to measure the anxiety level of mothers. Results: It was found that 58.5% of the mothers had had high level of knowledge. In terms of practice, 58.5% of the mothers had a good practice level. The mothers had mild state anxiety and moderate trait anxiety. A strong positive correlation was found between the level of knowledge and practice. A good negative correlation was found between state anxiety and the level of knowledge, the level of practice, and between trait anxiety and the level of knowledge. There was a moderate negative correlation between trait anxiety and the level of practice.Interpretation: Although mothers have high levels of knowledge and practice about feeding preterm infants and have positive attitudes, they still have anxiety. Therefore, feeding counseling services during the growth process of the infant will reveal positive results for both mothers and infants.

Background: Insufficiencies of gluteus medius and maximus muscles in children with unilateral cerebral palsy (CP) may restrict activity and participation by affecting gait, gross motor functions, and balance. Objectives: The present study aimed to elucidate the effect of Kinesio taping (KT) applied to the gluteus medius and maximus muscles on activity and participation in children with CP. Methods: The study was completed with 20 children with unilateral CP who were randomly divided into 2 groups: The KT group received KT and physiotherapy (n = 11), and the control group received only physiotherapy (n = 9). The KT application was administered for 4 weeks. The activity was evaluated with a BTS G-Walk Spatiotemporal Gait Analysis System, Timed Up and Go test (TUG), Functional Mobility Scale (FMS), Gross Motor Function Measure (GMFM), and Pediatric Balance Scale (PBS); in addition, participation was evaluated using the Canadian Occupational Performance Measure (COPM). Results: The KT group showed significant improvements in the gait parameter (cadence; P = 0.009), pelvic tilt symmetry (P = 0.017), pelvic rotation symmetry (P = 0.018), gait symmetry (P < 0.001), FMS (P = 0.07), TUG, GMFM, PBS, and COPM scores (P < 0.001) in the medium-term compared to the control group. It was also found that gait (cadence; P = 0.004) and functional mobility (P < 0.001) improved in the immediate term than in the KT group. Conclusions: KT combined with conventional physiotherapy can improve cadence and functional mobility in the immediate term, as well as gait and pelvic symmetry, functional mobility, gross motor function, balance, and participation in the medium term in children with unilateral CP. Further randomized controlled studies addressing large samples and long-term effects are warranted.