Płeć, stosowanie leków i edukacja: kluczowe czynniki wpływające na rozwój motoryczny u małych dzieci leczonych z powodu epilepsji
Gender, medication use, and education: Key factors affecting motor development in toddlers under epilepsy treatment
W skrócie
Badacze zbadali 173 małe dzieci z epilepsją w wieku 2-3 lat, które przyjmują leki przeciwpadaczkowe, aby sprawdzić jak płeć, czas stosowania leków i edukacja wpływają na ich umiejętności motoryczne. Wyniki pokazały, że im dłużej dzieci przyjmują leki, tym bardziej opóźnia się ich rozwój motoryczny, ale edukacja i nauka mogą to opóźnienie zmniejszać lub łagodzić. Szczególnie edukacja pomocy w rozwoju większych ruchów ciała, takich jak chodzenie czy bieganie.
Oryginalny abstract (angielski)
OBJECTIVE: This study aims to investigate whether gender, duration of medication use, and participation in education create differences in psychomotor skills in children aged 24-36 months diagnosed with epilepsy and using antiepileptic drugs. METHODS: The study was conducted with 173 children who were diagnosed with epilepsy and receiving medication, all of whom applied to the Bursa Uludağ University Health Practice and Research Center. The research was carried out in the city of Bursa, located in the western region of Turkey, and is therefore based on a sample drawn from a regional healthcare center. In this study, participants were selected according to purposive sampling criteria, and a cross-sectional survey method within a quantitative research design was employed. Data were collected using the "Denver II Developmental Screening Test" and analyzed using the Independent Sample t-test and ANOVA. ANOVA was conducted to determine whether there was a difference between the scores obtained by the children and the scores they were expected to achieve in relation to the duration of medication usage. Effect sizes were determined using eta squared values in the comparisons. RESULTS: In children aged 24-36 months with epilepsy, there were no statistically significant differences in fine and gross motor skill scores based on gender. However, statistically significant differences were found in fine and gross motor skill scores in relation to the duration of medication use. As the duration of medication use increased, delays in fine and gross motor skills were observed, indicating a moderate effect. Additionally, significant differences in fine and gross motor skill scores were noted according to educational level, with scores increasing as the duration of education increased. Notably, the impact of education on gross motor skills was found to be particularly strong. CONCLUSIONS: These findings suggest that delays in fine and gross motor skills due to long-term medication use can be mitigated by educational status and the duration of education.