{"id":12902,"date":"2015-11-13T15:48:29","date_gmt":"2015-11-13T13:48:29","guid":{"rendered":"http:\/\/is.saglikdanisma.net\/?p=11812"},"modified":"2015-11-13T15:48:29","modified_gmt":"2015-11-13T13:48:29","slug":"ayakta-durabilme-yurume-ve-hareket-bozukluklari","status":"publish","type":"post","link":"https:\/\/saglikdanisma.net\/is\/ayakta-durabilme-yurume-ve-hareket-bozukluklari\/","title":{"rendered":"Ayakta durabilme, y\u00fcr\u00fcme ve hareket bozukluklar\u0131"},"content":{"rendered":"

Santral sinir sistemi veya spinal kord lezyonlar\u0131na e\u015flik eden\u00a0ayakta durabilme, y\u00fcr\u00fcme ve hareket bozukluklar\u0131<\/strong><\/h3>\n\n\n\n\n\n\n\n
\u00a0<\/strong><\/p>\n

Ayakta Durabilme, Y\u00fcr\u00fcme Ve Hareket Bozukluklar\u0131<\/strong><\/td>\n

\u00d6z\u00fcr Oran\u0131 <\/strong><\/td>\n<\/tr>\n
1-Hafif<\/td>\n-Aya\u011fa kalkabiliyor<\/p>\n

-K\u0131sa mesafe y\u00fcr\u00fcyor fakat e\u011fim, y\u00fckselti, basamaklar, derin sandalyeler ve uzun mesafelerde zorluk \u00e7ekiyor<\/td>\n

20<\/td>\n<\/tr>\n
2-Hafif<\/p>\n

Orta<\/td>\n

-Aya\u011fa kalkabiliyor<\/p>\n

-K\u0131sa mesafeyi zorlukla ve yard\u0131ms\u0131z y\u00fcr\u00fcyor, fakat y\u00fcr\u00fcy\u00fc\u015f\u00fc d\u00fcz zeminlerle s\u0131n\u0131rl\u0131<\/td>\n

40<\/td>\n<\/tr>\n
3-A\u011f\u0131r<\/p>\n

Orta<\/td>\n

-Zorlukla aya\u011fa kalk\u0131yor ve ayakta durma pozisyonu elde ediyor<\/p>\n

-Yard\u0131m olmaks\u0131z\u0131n y\u00fcr\u00fcyemiyor<\/td>\n

60<\/td>\n<\/tr>\n
4-A\u011f\u0131r<\/td>\n-Yard\u0131m, mekanik destek ve veya bir yard\u0131mc\u0131 cihaz olmaks\u0131z\u0131n aya\u011fa kalkam\u0131yor<\/td>\n80<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Erken \u00e7ocukluk d\u00f6neminde (0-3 ya\u015f), Ayakta durabilme, Y\u00fcr\u00fcme ve Hareket Bozukluklar\u0131 standart geli\u015fimsel testlerin kaba hareket b\u00f6l\u00fcmleri kullan\u0131larak belirlebilir. Bu alandaki i\u015flev, etkinlik ve kat\u0131l\u0131m zorluklar\u0131 ve k\u0131s\u0131tl\u0131l\u0131klar\u0131n\u0131n d\u00fczeyleri ilgili uzmanlar taraf\u0131ndan, \u00f6ncelikle aile ve \u00e7ocu\u011fun kat\u0131l\u0131m\u0131 ile klinik de\u011ferlendirme yap\u0131larak de\u011ferlendirilir. Uzman\u0131n \u00e7ocu\u011fu, ailesi ve ya\u015fad\u0131\u011f\u0131 ortam ile birlikte ele alarak yapaca\u011f\u0131 \u201caile merkezli i\u015flevsel de\u011ferlendirme\u201d ayr\u0131nt\u0131l\u0131 te\u015fhis ve s\u0131n\u0131fland\u0131rma i\u00e7in esast\u0131r. Te\u015fhis b\u00f6l\u00fcm\u00fcne i\u015flev kayb\u0131n\u0131n d\u00fczeyini a\u00e7\u0131klayan klinik de\u011ferlendirme bulgular\u0131n\u0131n yaz\u0131lmas\u0131 gerekir. Klinik de\u011ferlendirmenin g\u00fcvenilirli\u011fi ve ge\u00e7erlili\u011finin sa\u011flanmas\u0131 i\u00e7in ek olarak standart geli\u015fimsel de\u011ferlendirme ara\u00e7lar\u0131 kullan\u0131l\u0131r. Kullan\u0131labilecek ara\u00e7lar bilimsel yaz\u0131nda yer alan, g\u00fcvenirlik, ge\u00e7erlilik ve norm \u00e7al\u0131\u015fmas\u0131 yeterli olan ve i\u015flevsel yetileri de\u011ferlendiren ara\u00e7lar olmal\u0131d\u0131r.<\/p>\n

Kullan\u0131labilecek ayr\u0131nt\u0131l\u0131 standart geli\u015fimi de\u011ferlendirme ara\u00e7lar\u0131na \u00f6rnekler: Bayley Bebekler \u0130\u00e7in Geli\u015fimi De\u011ferlendirme \u00d6l\u00e7e\u011fi, \u00c7ocuklar\u0131n Yetiyitimi De\u011ferlendirme \u00d6l\u00e7e\u011fi (Pediatric Evaluation of Disability Inventory-PEDI), Vineland Uyum Davran\u0131\u015f \u00d6l\u00e7e\u011fi, Kaba Motor Fonksiyon S\u0131n\u0131fland\u0131rma Sistemi. Klinik de\u011ferlendirme e\u015fli\u011finde kullan\u0131labilecek geli\u015fimsel tarama ya da izleme ara\u00e7lar\u0131na \u00f6rnekler: Geli\u015fimi \u0130zleme ve Destekleme Rehberi (G\u0130DR), Ankara Geli\u015fim Tarama Envanteri (AGTE), Denver II Geli\u015fimsel Tarama Testi, Ya\u015flar ve D\u00f6nemler (Ages and Stages).\u00a0<\/em><\/p>\n

Standart testlerde kaba hareket b\u00f6l\u00fcmleri:\u00a0 <\/strong><\/p>\n

Normal da\u011f\u0131l\u0131mdan (-2 Standart Sapma) ile (-3 Standart Sapma) aras\u0131nda olan \u00e7ocuklara orta %40;\u00a0 <\/strong><\/p>\n

Normal da\u011f\u0131l\u0131mdan (-3 Standart Sapma) alt\u0131nda olan \u00e7ocuklara a\u011f\u0131r d\u00fczeyde %60 \u00f6z\u00fcr oran\u0131 verilir. <\/strong><\/p>\n

(-2 Standart Sapma): 3.persantil alt\u0131, 70 puan alt\u0131, Kaba Motor Fonksiyon S\u0131n\u0131fland\u0131rma Sisteminde Seviye II e\u015f de\u011feridir. <\/strong><\/p>\n

(-3 Standart Sapma): 1.persantil alt\u0131, 50 puan alt\u0131, Kaba Motor Fonksiyon S\u0131n\u0131fland\u0131rma Sisteminde Seviye III-V e\u015f de\u011feridir.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Santral sinir sistemi veya spinal kord lezyonlar\u0131na e\u015flik eden\u00a0ayakta durabilme, y\u00fcr\u00fcme ve hareket bozukluklar\u0131 \u00a0 Ayakta Durabilme, Y\u00fcr\u00fcme Ve Hareket Bozukluklar\u0131 \u00d6z\u00fcr Oran\u0131 1-Hafif -Aya\u011fa kalkabiliyor -K\u0131sa mesafe y\u00fcr\u00fcyor fakat e\u011fim, y\u00fckselti, basamaklar, derin sandalyeler ve uzun mesafelerde zorluk \u00e7ekiyor 20 2-Hafif Orta -Aya\u011fa kalkabiliyor -K\u0131sa mesafeyi zorlukla ve yard\u0131ms\u0131z y\u00fcr\u00fcyor, fakat y\u00fcr\u00fcy\u00fc\u015f\u00fc d\u00fcz zeminlerle […]<\/p>\n","protected":false},"author":4,"featured_media":11891,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[225,226,27,28,30,32,227],"class_list":["post-12902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ozurluluk-raporu","tag-ayakta-durabilme","tag-hareket-bozuklugu","tag-ozur-oran-cetveli","tag-ozur-orani","tag-ozurlu","tag-yonetmelik-eki","tag-yurume"],"_links":{"self":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12902","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/comments?post=12902"}],"version-history":[{"count":0,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/posts\/12902\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/"}],"wp:attachment":[{"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/media?parent=12902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/categories?post=12902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saglikdanisma.net\/is\/wp-json\/wp\/v2\/tags?post=12902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}