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    The effects of reflexology on constipation and motor functions in children with cerebral palsy
    (Elsevier Taiwan, 2018) Elbasan, Bulent; Bezgi, Sabiha
    Background: There is no evidence regarding the effects of reflexology on constipation and motor functions in children with cerebral palsy. This study was planned to investigate the effects of reflexology combined with neurodevelopmental therapy on constipation and motor functions in children with cerebral palsy. Methods: Forty children between the ages of 3 and 15 years with cerebral palsy within levels 3/4/5 according to the Gross Motor Function Classification System (GMFCS) were included in the study. The participants were divided into two groups. While children in Group 1 received neurodevelopmental therapy, children in Group 2 also received reflexology. The therapy continued for two sessions per week for 8 weeks. Each session of neurodevelopmental therapy lasted for 45-60 min and reflexology took around 20 min. Motor performance of the children was evaluated with the Gross Motor Function Measure (GMFM) while constipation was assessed with the Modified Constipation Assessment Scale (MCAS). Results: Both groups showed significant improvements in the GMFM scores after therapy (<0.001). In the group where neurodevelopmental therapy was applied together with reflexology, there was a decrease in MCAS scores (<0.001). Conclusion: NGT improved motor performance in both groups and adding reflexology to therapy had a positive effect on constipation. We suggest applying reflexology to children with cerebral palsy who experience constipation problems. Copyright (C) 2017, Taiwan Pediatric Association. Published by Elsevier Taiwan LLC.
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    Nutritional status of children with cerebral palsy in Turkey
    (Taylor & Francis Ltd, 2013) Tuzun, Emine Handan; Guven, Duygu Korkem; Eker, Levent; Elbasan, Bulent; Bulbul, Selda Fatma
    Purpose: The aim of this study was to assess the nutritional status, and provide information regarding anthropometric measurements of cerebral-palsied children living in the city of Ankara, Turkey. Method: A total of 447 children with cerebral palsy (CP) were participated in this cross-sectional study. Participants were assessed for functional motor impairment by the gross motor function classification system (GMFCS). Assesment of nutritional status was based on the triceps skinfold thickness (TSF), arm fat area (AFA) estimates derived from TSF and mid-upper arm circumference measurements. TSF and AFA Z-scores were computed using reference data. Results: Cerebral-palsied children had lower TSF and AFA Z-scores compared to reference data from healthy children. The prevalence of underweight and overweight among boys was 8.3 and 9.5%, respectively, whereas it was 19.0 and 0.5% for girls. Underweight was more prevalent in the low functioning children than in moderate functioning children. Conclusions: The findings of this study indicate that cerebral-palsied children face nutritional challenges. Underweight is more prevalent than overweight among cerebral-palsied children. To optimize the outcomes of rehabilitation and prevention efforts, an understanding of the heterogeneity of nutritional status among children with CP is required.