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Yıl:1997; Cilt: 5; Sayı: 2>> Özet
Psikiyatri Psikoloji Psikofarmakoloji (3P) Dergisi; 1997;5(2):94-103
Ruhsal bozukluğu olan çocuklarda nörolojik silik bulguların araştırılması
R Uslu
Ankara Üniversitesi, Ankara
Amaç: Kliniğe başvuran 91 çocuk, yaş, cinsiyet ve sosyokültürel düzeyce eşleştirildikten 91 kontrol ile nörolojik silik bulgular bakımından karşılaştırılmalardır. Yöntem: Araştırma grubunda tüm tanı gruplan birarada ele alınmıştır. Silik bulgular için Nörolojik Muayene (Neurological Examination for Soft Signs-NESS) adı verilen puanlanmış muayene formu kullanılarak araştırma ve kontrol grupları arasında toplam puan ve alt puanlar bakımından fark olup olmadığına bakılmıştır. Cinsiyetin ve yaşın grup içi ve gruplar arası puan farklarına etkisi de araştırılmıştır. Bulgular: Araştırma grubu, toplam puanın yanısıra, yürüme ve denge, disritmi, hareketin sürdürülmesi, istemsiz hareket, yürümede asimetrik taşma, yineleyici ve ardışık hareketlerde taşma alt puanlarında kontrol grubuna göre anlamlı düzeyde daha yüksek ortalamalara sahiptir. Erkek denekler toplam puan, disritmi, istemsiz hareket, ardışık hareketlerde taşma ve sağa yönelmiş asimetri alt puanlarında kızlara göre anlamlı olarak daha yüksek ortalamalar almışlardır. Toplam puan ileyürüme ve denge disritmi ve asimetrik taşma alt puanlarında 6-8 yaş gruplarının ortalamaları, daha büyük yaş gruplarının ortalamalarından anlamlı olarak yüksektir. Tartışma:Bulgular, yazındaki veriler ile karşılaştırılarak tartışılmıştır.
Neurological soft signs in children with psychiatric disorders
Objective: A group of 91 children selected from a clinical population were compared with age, sex and socioculturally matched 91 normal controls to determine the quantitative difference of neurological soft signs. Method: Neurological Examination for Soft Signs (NESS), a scored examination form was administered to assess the difference in terms of total and sub scores. The contribution of sex and age to the scores, both within and between groups, were also evaluated. Results: The index group was found to have significantly higher total scores and sub-scores of gait and balance, dysrhythmia, impersistence, involuntary movements and overflow. Boys had significantly higher dysrhythmia, involuntary movements, over flow with timed sequenced movements and right asymmetrical error sub-scores, compared to girls. Gait and balance, dysrhythmia and aysmmetrical overflow sub-scores as well as total scores were significantly higher in the 6-8 age groups, compared to older children. Discussion: Findings have been discussed in comparison to the relevant data in the literature.

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