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Duchenne Musküler Distrofili Çocuklarda Ayak Bileği Limitasyonunun Dinamik Denge ve Fonksiyonel Kapasite Üzerine Etkisi

Yıl 2022, Cilt: 10 Sayı: 1, 84 - 95, 10.03.2022
https://doi.org/10.33715/inonusaglik.1020064

Öz

Bu çalışmanın amacı DMD’li çocuklarda ayak bileği limitasyonunun dinamik denge ve fonksiyonel kapasite üzerine etkisini araştırmaktır. Bu kesitsel çalışma, özel eğitim rehabilitasyon merkezlerinde izlenen 6-11 yaşlarında DMD'li otuz altı çocuğu içermektedir. Çocukların demografik verilerinin kaydedilmesine ek olarak ayak bileği limitasyonları gonyometre kullanılarak derece cinsinden kaydedildi. Hastaların dinamik dengesi ve fonksiyonel kapasitesi sırasıyla Süreli Kalk ve Yürü (SKYT ) testi ve 6 Dakika Yürüme Testi (6DYT) ile değerlendirildi. Ayak bileği kısıtlılığının DMD'li çocukların dinamik dengesi ve fonksiyonel kapasitesi üzerinde istatistiksel olarak anlamlı bir etkisi vardı (sırasıyla p= 0.008 ve p= 0.006). DMD’li çocukların ayak bileği limitasyonu arttıkça dinamik dengeleri ve fonksiyonel kapasiteleri azalmaktadır. DMD'li çocuklarda eklem hareket açıklığını artırmak/sürdürmek için uygulanan tedavi yöntemleri biran önce rehabilitasyon programlarına eklenmelidir.

Destekleyen Kurum

Yok

Proje Numarası

Yok

Teşekkür

Yok

Kaynakça

  • Ainslie, T. (2012). The Concise Guide to Physiotherapy-Volume 2-E-Book: Treatment: Elsevier Health Sciences.
  • Akima, H., Lott, D., Senesac, C., Deol, J., Germain, S., Arpan, I., . . . Vandenborne, K. (2012). Relationships of thigh muscle contractile and non-contractile tissue with function, strength, and age in boys with Duchenne muscular dystrophy. Neuromuscular Disorders, 22(1), 16-25.
  • Akkurt, L., Gürbüz, İ. A., Karaduman, A., Yilmaz, Ö. T. (2019). Lower Limb Flexibility in Children With Duchenne Muscular Dystrophy: Effects on Functional Performance. Pediatric Exercise Science, 31(1), 42-46.
  • Alkan, H., Mutlu, A., Fırat, T., Bulut, N., Karaduman, A. A., Yılmaz, Ö. T. (2017). Effects of functional level on balance in children with Duchenne Muscular Dystrophy. European Journal of Paediatric Neurology, 21(4), 635-638.
  • Allsop, K., Tecklin, J. (1989). Physical therapy for the child with myopathy and related disorders. Pediatric Physical Therapy, 303-318.
  • Aras, B., Aras, O., Karaduman, A. (2011). Reliability of balance tests in children with Duchenne muscular dystrophy. Scientific Research and Essays, 6(20), 4428-4431.
  • Bach, J., Lieberman, J. (1993). Rehabilitation of the patient with disease affecting the motor unit. Rehabilitation medicine: Principles and practice. 2nd ed. JB. Lippincott Co.
  • Baptista, C. R., Costa, A. A., Pizzato, T. M., Souza, F. B., Mattiello-Sverzut, A. C. (2014). Postural alignment in children with Duchenne muscular dystrophy and its relationship with balance. Brazilian Journal of Physical Therapy, 18, 119-126.
  • Burns, J., Ryan, M. M., Ouvrier, R. A. (2009). Evolution of foot and ankle manifestations in children with CMT1A. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 39(2), 158-166.
  • Bushby, K., Finkel, R., Birnkrant, D. J., Case, L. E., Clemens, P. R., Cripe, L., . . . Pandya, S. (2010a). Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management. The Lancet Neurology, 9(1), 77-93.
  • Bushby, K., Finkel, R., Birnkrant, D. J., Case, L. E., Clemens, P. R., Cripe, L., . . . Pandya, S. (2010b). Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. The Lancet Neurology, 9(2), 177-189.
  • Farmer, S., Pearce, G., Whittall, J., Quinlivan, R., Patrick, J. (2006). The use of stock orthoses to assist gait in neuromuscular disorders: a pilot study. Prosthetics and Orthotics International, 30(2), 145-154.
  • Field, A. (2005). Exploring data. Discovering statistics using SPSS, 2, 63-106.
  • Goemans, N., Van den Hauwe, M., Wilson, R., Van Impe, A., Klingels, K., Buyse, G. (2013). Ambulatory capacity and disease progression as measured by the 6-minute-walk-distance in Duchenne muscular dystrophy subjects on daily corticosteroids. Neuromuscular Disorders, 23(8), 618-623.
  • Hayran, M., Hayran, M. (2011). For Health Research Basic Statistics (1 ed.). Ankara: Art Ofset Press.
  • Karaduman, A., Yılmaz, Ö., Alemdaroglu, I. (2014). Pediatric physical therapy and rehabilitation in neuromuscular disorders. Ankara. In: Turkey: Pelikan press.
  • Kaya, P., Alemdaroğlu, İ., Yilmaz, Ö., Karaduman, A., Topaloğlu, H. (2014). The effect of the limitation of ankle joint’s movement on the walking performance in neuromuscular diseases. Turkish Journal of Physiotherapy and Rehabilitation, 2(25), 1-6.
  • Kaya, P., Alemdaroğlu, İ., Yılmaz, Ö., Karaduman, A., Topaloğlu, H. (2015). Effect of muscle weakness distribution on balance in neuromuscular disease. Pediatrics International, 57(1), 92-97.
  • Laboratories, A. C. o. P. S. f. C. P. F. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166, 111-117.
  • McDonald, C. M. (2002). Physical activity, health impairments, and disability in neuromuscular disease. American Journal of Physical Medicine & Rehabilitation, 81(11), S108-S120.
  • McDonald, C. M., Abresch, R. T., Carter, G. T., Fowler, J. W., Johnson, E. R., Kilmer, D. D. (1995). Profiles of neuromuscular diseases. Becker's muscular dystrophy. American Journal of Physical Medicine & Rehabilitation, 74(5 Suppl), S93-103.
  • McDonald, C. M., Henricson, E. K., Abresch, R. T., Florence, J., Eagle, M., Gappmaier, E., . . . Barth, J. (2013). The 6‐minute walk test and other clinical endpoints in Duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle & Nerve, 48(3), 357-368.
  • McDonald, C. M., Henricson, E. K., Han, J. J., Abresch, R. T., Nicorici, A., Elfring, G. L., . . . Miller, L. L. (2010). The 6‐minute walk test as a new outcome measure in Duchenne muscular dystrophy. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 41(4), 500-510.
  • Olle, M. M., Pivarnik, J. M., Klish, W. J., Morrow Jr, J. R. (1993). Body composition of sedentary and physically active spinal cord injured individuals estimated from total body electrical conductivity. Archives Of Physical Medicine and Rehabilitation, 74(7), 706-710.
  • Pandya, S., Florence, J. M., King, W. M., Robison, J. D., Oxman, M., Province, M. A. (1985). Reliability of goniometric measurements in patients with Duchenne muscular dystrophy. Physical Therapy, 65(9), 1339-1342.
  • Romano, A., Favetta, M., Schirinzi, T., Summa, S., Minosse, S., D'Amico, A., . . . Bertini, E. (2019). Evaluation of gait in Duchenne Muscular Dystrophy: Relation of 3D gait analysis to clinical assessment. Neuromuscular Disorders, 29(12), 920-929.
  • Rose, K. J., Burns, J., Wheeler, D. M., North, K. N. (2010). Interventions for increasing ankle range of motion in patients with neuromuscular disease. Cochrane Database of Systematic Reviews (2).
  • Scott, O., Hyde, S., Goddard, C., Dubowitz, V. (1981). Prevention of deformity in Duchenne muscular dystrophy. A prospective study of passive stretching and splintage. Physiotherapy, 67(6), 177.
  • Vignos, P. J., Spencer, G. E., Archibald, K. C. (1963). Management of progressive muscular dystrophy of childhood. Jama, 184(2), 89-96.
  • Williams, E. N., Carroll, S. G., Reddihough, D. S., Phillips, B. A., Galea, M. P. (2005). Investigation of the timed‘up & go’test in children. Developmental Medicine & Child Neurology, 47(8), 518-524.

THE EFFECT OF ANKLE LIMITATION ON DYNAMIC BALANCE AND FUNCTIONAL CAPACITY IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY

Yıl 2022, Cilt: 10 Sayı: 1, 84 - 95, 10.03.2022
https://doi.org/10.33715/inonusaglik.1020064

Öz

The aim of this study is to investigate the effect of ankle limitation on dynamic balance and functional capacity in children with Duchenne Muscular Dystrophy (DMD). This cross-sectional study included thirty-six 6- to 11-year-old children with DMD who were followed up in the special education rehabilitation centers. In addition to recording of the demographic data of the children, ankle limitations were recorded in degrees using a goniometer. Dynamic balance and functional capacity of the patients were evaluated using the Timed Up and Go (TUG) test and 6-Minute Walk Test (6MWT), respectively. Ankle limitation had a statistically significant effect on dynamic balance and functional capacity of children with DMD (p = 0.008 and p = 0.006, respectively). In children with DMD, dynamic balance and functional capacity deteriorate as their ankle limitation increases. Treatment methods applied to increase/maintain joint range of motion in children with DMD should be added to the rehabilitation programs as early as possible.

Proje Numarası

Yok

Kaynakça

  • Ainslie, T. (2012). The Concise Guide to Physiotherapy-Volume 2-E-Book: Treatment: Elsevier Health Sciences.
  • Akima, H., Lott, D., Senesac, C., Deol, J., Germain, S., Arpan, I., . . . Vandenborne, K. (2012). Relationships of thigh muscle contractile and non-contractile tissue with function, strength, and age in boys with Duchenne muscular dystrophy. Neuromuscular Disorders, 22(1), 16-25.
  • Akkurt, L., Gürbüz, İ. A., Karaduman, A., Yilmaz, Ö. T. (2019). Lower Limb Flexibility in Children With Duchenne Muscular Dystrophy: Effects on Functional Performance. Pediatric Exercise Science, 31(1), 42-46.
  • Alkan, H., Mutlu, A., Fırat, T., Bulut, N., Karaduman, A. A., Yılmaz, Ö. T. (2017). Effects of functional level on balance in children with Duchenne Muscular Dystrophy. European Journal of Paediatric Neurology, 21(4), 635-638.
  • Allsop, K., Tecklin, J. (1989). Physical therapy for the child with myopathy and related disorders. Pediatric Physical Therapy, 303-318.
  • Aras, B., Aras, O., Karaduman, A. (2011). Reliability of balance tests in children with Duchenne muscular dystrophy. Scientific Research and Essays, 6(20), 4428-4431.
  • Bach, J., Lieberman, J. (1993). Rehabilitation of the patient with disease affecting the motor unit. Rehabilitation medicine: Principles and practice. 2nd ed. JB. Lippincott Co.
  • Baptista, C. R., Costa, A. A., Pizzato, T. M., Souza, F. B., Mattiello-Sverzut, A. C. (2014). Postural alignment in children with Duchenne muscular dystrophy and its relationship with balance. Brazilian Journal of Physical Therapy, 18, 119-126.
  • Burns, J., Ryan, M. M., Ouvrier, R. A. (2009). Evolution of foot and ankle manifestations in children with CMT1A. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 39(2), 158-166.
  • Bushby, K., Finkel, R., Birnkrant, D. J., Case, L. E., Clemens, P. R., Cripe, L., . . . Pandya, S. (2010a). Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and pharmacological and psychosocial management. The Lancet Neurology, 9(1), 77-93.
  • Bushby, K., Finkel, R., Birnkrant, D. J., Case, L. E., Clemens, P. R., Cripe, L., . . . Pandya, S. (2010b). Diagnosis and management of Duchenne muscular dystrophy, part 2: implementation of multidisciplinary care. The Lancet Neurology, 9(2), 177-189.
  • Farmer, S., Pearce, G., Whittall, J., Quinlivan, R., Patrick, J. (2006). The use of stock orthoses to assist gait in neuromuscular disorders: a pilot study. Prosthetics and Orthotics International, 30(2), 145-154.
  • Field, A. (2005). Exploring data. Discovering statistics using SPSS, 2, 63-106.
  • Goemans, N., Van den Hauwe, M., Wilson, R., Van Impe, A., Klingels, K., Buyse, G. (2013). Ambulatory capacity and disease progression as measured by the 6-minute-walk-distance in Duchenne muscular dystrophy subjects on daily corticosteroids. Neuromuscular Disorders, 23(8), 618-623.
  • Hayran, M., Hayran, M. (2011). For Health Research Basic Statistics (1 ed.). Ankara: Art Ofset Press.
  • Karaduman, A., Yılmaz, Ö., Alemdaroglu, I. (2014). Pediatric physical therapy and rehabilitation in neuromuscular disorders. Ankara. In: Turkey: Pelikan press.
  • Kaya, P., Alemdaroğlu, İ., Yilmaz, Ö., Karaduman, A., Topaloğlu, H. (2014). The effect of the limitation of ankle joint’s movement on the walking performance in neuromuscular diseases. Turkish Journal of Physiotherapy and Rehabilitation, 2(25), 1-6.
  • Kaya, P., Alemdaroğlu, İ., Yılmaz, Ö., Karaduman, A., Topaloğlu, H. (2015). Effect of muscle weakness distribution on balance in neuromuscular disease. Pediatrics International, 57(1), 92-97.
  • Laboratories, A. C. o. P. S. f. C. P. F. (2002). ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med, 166, 111-117.
  • McDonald, C. M. (2002). Physical activity, health impairments, and disability in neuromuscular disease. American Journal of Physical Medicine & Rehabilitation, 81(11), S108-S120.
  • McDonald, C. M., Abresch, R. T., Carter, G. T., Fowler, J. W., Johnson, E. R., Kilmer, D. D. (1995). Profiles of neuromuscular diseases. Becker's muscular dystrophy. American Journal of Physical Medicine & Rehabilitation, 74(5 Suppl), S93-103.
  • McDonald, C. M., Henricson, E. K., Abresch, R. T., Florence, J., Eagle, M., Gappmaier, E., . . . Barth, J. (2013). The 6‐minute walk test and other clinical endpoints in Duchenne muscular dystrophy: reliability, concurrent validity, and minimal clinically important differences from a multicenter study. Muscle & Nerve, 48(3), 357-368.
  • McDonald, C. M., Henricson, E. K., Han, J. J., Abresch, R. T., Nicorici, A., Elfring, G. L., . . . Miller, L. L. (2010). The 6‐minute walk test as a new outcome measure in Duchenne muscular dystrophy. Muscle & Nerve: Official Journal of the American Association of Electrodiagnostic Medicine, 41(4), 500-510.
  • Olle, M. M., Pivarnik, J. M., Klish, W. J., Morrow Jr, J. R. (1993). Body composition of sedentary and physically active spinal cord injured individuals estimated from total body electrical conductivity. Archives Of Physical Medicine and Rehabilitation, 74(7), 706-710.
  • Pandya, S., Florence, J. M., King, W. M., Robison, J. D., Oxman, M., Province, M. A. (1985). Reliability of goniometric measurements in patients with Duchenne muscular dystrophy. Physical Therapy, 65(9), 1339-1342.
  • Romano, A., Favetta, M., Schirinzi, T., Summa, S., Minosse, S., D'Amico, A., . . . Bertini, E. (2019). Evaluation of gait in Duchenne Muscular Dystrophy: Relation of 3D gait analysis to clinical assessment. Neuromuscular Disorders, 29(12), 920-929.
  • Rose, K. J., Burns, J., Wheeler, D. M., North, K. N. (2010). Interventions for increasing ankle range of motion in patients with neuromuscular disease. Cochrane Database of Systematic Reviews (2).
  • Scott, O., Hyde, S., Goddard, C., Dubowitz, V. (1981). Prevention of deformity in Duchenne muscular dystrophy. A prospective study of passive stretching and splintage. Physiotherapy, 67(6), 177.
  • Vignos, P. J., Spencer, G. E., Archibald, K. C. (1963). Management of progressive muscular dystrophy of childhood. Jama, 184(2), 89-96.
  • Williams, E. N., Carroll, S. G., Reddihough, D. S., Phillips, B. A., Galea, M. P. (2005). Investigation of the timed‘up & go’test in children. Developmental Medicine & Child Neurology, 47(8), 518-524.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Halil Alkan 0000-0001-6895-2495

Mahsum Eren 0000-0002-7055-5840

Proje Numarası Yok
Erken Görünüm Tarihi 4 Mart 2022
Yayımlanma Tarihi 10 Mart 2022
Gönderilme Tarihi 6 Kasım 2021
Kabul Tarihi 10 Ocak 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 10 Sayı: 1

Kaynak Göster

APA Alkan, H., & Eren, M. (2022). THE EFFECT OF ANKLE LIMITATION ON DYNAMIC BALANCE AND FUNCTIONAL CAPACITY IN CHILDREN WITH DUCHENNE MUSCULAR DYSTROPHY. İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi, 10(1), 84-95. https://doi.org/10.33715/inonusaglik.1020064