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Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma

Year 2025, Volume: 14 Issue: 2, 478 - 484, 26.06.2025
https://doi.org/10.37989/gumussagbil.1558418

Abstract

ÖZ
Çalışmanın amacı, doğuştan görme engeline sahip bireyler ile edinsel görme engelli bireyler arasında denge ve alt ekstremite kas kuvvetlerinin karşılaştırılmasıdır. Çalışmaya, 10 konjenital ve 11 edinsel toplam 21 (yaş ort: 37,52 ± 14,91) B1 (hiç görmeyen) düzeyde görme engeline sahip birey dahil edildi. Denge fonksiyonlarını değerlendirmek amacıyla Tinetti Denge ve Yürüme Testi ve tek bacak üzerinde durma testi, alt ekstremite kas kuvvetini değerlendirmek amacıyla dijital manuel kas test cihazı kullanıldı. Konjenital ve edinsel görme engelli bireyler arasında denge fonksiyonları ve alt ekstremite kas kuvveti açısından istatistiksel olarak anlamlı bir fark olmadığı tespit edildi (p> 0,05). Sağ ve sol taraf kalça fleksiyonu, plantar fleksiyonu kas kuvveti ve tek bacak üzerinde durma testi değerlerinin istatistiksel olarak anlamsız şekilde edinsel görme engeli olan bireylerde daha yüksek olduğu görüldü (p> 0,05). Tinetti Denge ve Yürüme Testi puanlarının konjenital görme engelli bireylerde istatistiksel olarak anlamlı olmayan şekilde daha yüksek olduğu tespit edildi (p> 0,05). Konjenital görme engelinin edinsel görme engeline göre kas kuvveti ve statik denge aktivitelerini az miktarda olumsuz etkilediği tespit edildi. Ancak bireylerin daha önce uyum sağladıkları ortamda değerlendirmeye alınmaları, denge ölçümü amacıyla kullanılan test türlerinin zorluk derecesinin yeterli olmamasının da katkısı ile oluşan farklılığın belirgin olmadığı sonucuna varıldı.

References

  • 1. Nashner LM, Shupert CL, Horak FB, Black FO. Chapter 33 Organization of posture controls: an analysis of sensory and mechanical constraints. Progres in Brain Research. 1989;80(C):411–8. https://doi.org/10.1016/S0079-6123(08)62237-2
  • 2. Roth S. Perioperative visual loss: What do we know, what can we do? British Journal of Anaesthesia. 2009;103(1):i31–40. doi:10.1093/bja/aep295
  • 3. Stambough JL, Dolan D, Werner R, Godfrey E. Ophthalmologic complications associated with prone positioning in spine surgery. Journal of the American Academy of Orthopaedic Surgeons. 2007;15(3):156–65. doi:10.5435/00124635-200703000-00005
  • 4. Choy NL, Brauer S, Nitz J. Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci. 2003;58(6):525–30. doi:10.1093/gerona/58.6.m525
  • 5. Hsu WL, Scholz JP, Schöner G, Jeka JJ, Kiemel T. Control and estimation of posture during quiet stance depends on multijoint coordination. J Neurophysiol. 2007;97(4):3024–35. https://doi.org/10.1152/jn.01142.2006
  • 6. Akinoğlu B, Kocahan T. Comparison of muscular strength and balance in athletes with visual impairment and hearing impairment. J Exerc Rehabil. 2008;14(5):765–70. doi:10.12965/jer.1836304.152
  • 7. Karakoc O. Muscle Strength and Flexibility without and with Visual Impairments. Int Educ Stud. 2016;9(5):12–7. doi:10.5539/ies.v9n5p12
  • 8. Aydoǧ E, Aydoǧ ST, Çakci A, Doral MN. Dynamic postural stability in blind athletes using the biodex stability system. Int J Sports Med. 2006;27(5):415–8. doi:10.1055/s-2005-865777
  • 9. Shigematsu R, Okura T. A novel exercise for improving lower-extremity functional fitness in the elderly. Aging Clin Exp Res. 2006;18(3):242–8. doi:10.1007/BF03324655
  • 10. Çevik Saldıran T, Atıcı E, Öztürk Ö, Azim Rezaei D. Changes Caused by Sex Differences in Lower Extremity Muscle Strength and Muscle Mechanical Properties-A Pilot Study. Turkiye Klin J Health Sci. 2020;5(3):530–7. doi:10.5336/healthsci.2019-72554
  • 11. Houwen S, Visscher C, Lemmink KAPM, Hartman E. Motor skill performance of school-age children with visual impairments. Dev Med Child Neurol. 2008;50(2):139–45. doi:10.1111/j.1469-8749.2007.02016.x
  • 12. Tröster H, Brambring M. Early motor development in blind infants. J Appl Dev Psychol. 1993;14(1):83–106. https://doi.org/10.1016/0193-3973(93)90025-Q
  • 13. Chen EW, Fu ASN, Chan KM, Tsang WWN. The effects of Tai Chi on the balance control of elderly persons with visual impairment: A randomised clinical trial. Age Ageing. 2012;41(2):254–9. doi:10.1093/ageing/afr146
  • 14. Atasavun Uysal S, Düger T. A comparison of motor skills in Turkish children with different visual acuity. Türk Fizyoter Rehabil Derg. 2011;22(1):23–9.
  • 15. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1998;64(7):1067–70. doi:10.1093/ptj/64.7.1067
  • 16. Tinetti ME. Performance-Oriented Assessment of Mobility Problems in Elderly Patients. J Am Geriatr Soc. 1986;34(2):119–26. doi:10.1111/j.1532-5415.1986.tb05480.x
  • 17. Avers D, Brown M. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination and Performance Testing. 10th ed. Elsevier; 2018. p.62–4. 18. Giagazoglou P, Amiridis IG, Zafeiridis A, Thimara M, Kouvelioti V, Kellis E. Static balance control and lower limb strength in blind and sighted women. Eur J Appl Physiol. 2009;107(5):571–9. doi:10.1007/s00421-009-1163-x
  • 19. Hayran M, Hayran M. Sağlık Araştırmaları İçin Temel İstatistik. Ankara: Omega Araştırma; 2011. 20. Buell C. Motor performance of visually-handicapped children. J Except Child. 1950;17(3):69–72. doi:10.1177/001440295001700302
  • 21. Varma R, Wu J, Chong K, Azen SP, Hays RD. Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology. 2006;113(10):1846–53. doi:10.1016/j.ophtha.2006.04.028
  • 22. Tinetti ME, Mendes de Leon CF, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol. 1994;49(3):M140–7. doi:10.1093/geronj/49.3.m140
  • 23. Miller J. The development or re-establishment of movement in patients with abnormal vision. Aust J Physiother. 1969;15(4):135–40. doi:10.1016/S0004-9514(14)61082-5
  • 24. Dickinson J, Leonard JA. The Role of Peripheral Vision in Static Balancing. Ergonomics. 2007;10(4):421–9. doi:10.1080/00140136708930889
  • 25. Alghadir AH, Alotaibi AZ, Iqbal ZA. Postural stability in people with visual impairment. Brain Behav. 2019;9(11):1–6. doi:10.1002/brb3.1436
  • 26. Jeon BJ, Cha TH. The effects of balance of low vision patients on activities of daily living. J Phys Ther Sci. 2013;25(6):693–6. doi:10.1589/jpts.25.693
  • 27. Portfors‐Yeomans CV, Riach CL. Frequency characteristics of postural control of children without visual impairment. Dev Med Child Neurol. 1995;37(5):456–63. doi:10.1111/j.1469-8749.1995.tb12029.x
  • 28. Pyykkö I, Vesikivi M, Ishizaki H, Magnusson M, Juhola M. Postural control in blinds and in usher’s syndrome. Acta Otolaryngol Suppl. 1996;111(S481):603–6. doi:10.3109/00016489109131482
  • 29. Stones MJ, Kozma A. Balance and age in the sighted and blind. Arch Phys Med Rehabil. 1987;68(2):85–9.
  • 30. Schmid M, Nardone A, De Nunzio AM, Schmid M, Schieppati M. Equilibrium during static and dynamic tasks in blind subjects: no evidence of cross-modal plasticity. Brain. 2007;130(8):2097–107. doi:10.1093/brain/awm15

Comparison of Balance and Lower Extremity Muscle Strength In Congenital and Acquired Visually Impaired Individuals: Cross-Sectional Study

Year 2025, Volume: 14 Issue: 2, 478 - 484, 26.06.2025
https://doi.org/10.37989/gumussagbil.1558418

Abstract

ABSTRACT
The aim of this study is to compare balance and lower extremity muscle strength between individuals with congenital and acquired visual impairment. A total of 21 individuals (mean years: 37.52 ± 14.91) with B1 (blind) visual impairment, (10 congenital and 11 acquired), were included in the study. Tinetti Balance & Gait Test and One Leg Standing Test were used to evaluate balance functions, and a digital manual muscle tester was used to evaluate lower extremity muscle strength. There was no significant difference between congenital and acquired visually impaired individuals in terms of balance and lower extremity muscle strength (p> 0.05). Bilateral hip flexion, plantar flexion muscle strength, and one leg standing test values were found to be insignificantly higher in individuals with acquired visual impairment (p> 0.05). Tinetti Balance & Gait Test scores were found to be higher in individuals with congenital visual impairment, which was not statistically significant (p> 0.05). Congenital visual impairment affects muscle strength and static balance negatively compared to acquired visual impairment, but the difference is not significant due to the fact that individuals were evaluated in an environment they have adapted to before and the difficulty level of the test types used for balance measurement is not sufficient.

References

  • 1. Nashner LM, Shupert CL, Horak FB, Black FO. Chapter 33 Organization of posture controls: an analysis of sensory and mechanical constraints. Progres in Brain Research. 1989;80(C):411–8. https://doi.org/10.1016/S0079-6123(08)62237-2
  • 2. Roth S. Perioperative visual loss: What do we know, what can we do? British Journal of Anaesthesia. 2009;103(1):i31–40. doi:10.1093/bja/aep295
  • 3. Stambough JL, Dolan D, Werner R, Godfrey E. Ophthalmologic complications associated with prone positioning in spine surgery. Journal of the American Academy of Orthopaedic Surgeons. 2007;15(3):156–65. doi:10.5435/00124635-200703000-00005
  • 4. Choy NL, Brauer S, Nitz J. Changes in postural stability in women aged 20 to 80 years. J Gerontol A Biol Sci Med Sci. 2003;58(6):525–30. doi:10.1093/gerona/58.6.m525
  • 5. Hsu WL, Scholz JP, Schöner G, Jeka JJ, Kiemel T. Control and estimation of posture during quiet stance depends on multijoint coordination. J Neurophysiol. 2007;97(4):3024–35. https://doi.org/10.1152/jn.01142.2006
  • 6. Akinoğlu B, Kocahan T. Comparison of muscular strength and balance in athletes with visual impairment and hearing impairment. J Exerc Rehabil. 2008;14(5):765–70. doi:10.12965/jer.1836304.152
  • 7. Karakoc O. Muscle Strength and Flexibility without and with Visual Impairments. Int Educ Stud. 2016;9(5):12–7. doi:10.5539/ies.v9n5p12
  • 8. Aydoǧ E, Aydoǧ ST, Çakci A, Doral MN. Dynamic postural stability in blind athletes using the biodex stability system. Int J Sports Med. 2006;27(5):415–8. doi:10.1055/s-2005-865777
  • 9. Shigematsu R, Okura T. A novel exercise for improving lower-extremity functional fitness in the elderly. Aging Clin Exp Res. 2006;18(3):242–8. doi:10.1007/BF03324655
  • 10. Çevik Saldıran T, Atıcı E, Öztürk Ö, Azim Rezaei D. Changes Caused by Sex Differences in Lower Extremity Muscle Strength and Muscle Mechanical Properties-A Pilot Study. Turkiye Klin J Health Sci. 2020;5(3):530–7. doi:10.5336/healthsci.2019-72554
  • 11. Houwen S, Visscher C, Lemmink KAPM, Hartman E. Motor skill performance of school-age children with visual impairments. Dev Med Child Neurol. 2008;50(2):139–45. doi:10.1111/j.1469-8749.2007.02016.x
  • 12. Tröster H, Brambring M. Early motor development in blind infants. J Appl Dev Psychol. 1993;14(1):83–106. https://doi.org/10.1016/0193-3973(93)90025-Q
  • 13. Chen EW, Fu ASN, Chan KM, Tsang WWN. The effects of Tai Chi on the balance control of elderly persons with visual impairment: A randomised clinical trial. Age Ageing. 2012;41(2):254–9. doi:10.1093/ageing/afr146
  • 14. Atasavun Uysal S, Düger T. A comparison of motor skills in Turkish children with different visual acuity. Türk Fizyoter Rehabil Derg. 2011;22(1):23–9.
  • 15. Bohannon RW, Larkin PA, Cook AC, Gear J, Singer J. Decrease in timed balance test scores with aging. Phys Ther. 1998;64(7):1067–70. doi:10.1093/ptj/64.7.1067
  • 16. Tinetti ME. Performance-Oriented Assessment of Mobility Problems in Elderly Patients. J Am Geriatr Soc. 1986;34(2):119–26. doi:10.1111/j.1532-5415.1986.tb05480.x
  • 17. Avers D, Brown M. Daniels and Worthingham’s Muscle Testing: Techniques of Manual Examination and Performance Testing. 10th ed. Elsevier; 2018. p.62–4. 18. Giagazoglou P, Amiridis IG, Zafeiridis A, Thimara M, Kouvelioti V, Kellis E. Static balance control and lower limb strength in blind and sighted women. Eur J Appl Physiol. 2009;107(5):571–9. doi:10.1007/s00421-009-1163-x
  • 19. Hayran M, Hayran M. Sağlık Araştırmaları İçin Temel İstatistik. Ankara: Omega Araştırma; 2011. 20. Buell C. Motor performance of visually-handicapped children. J Except Child. 1950;17(3):69–72. doi:10.1177/001440295001700302
  • 21. Varma R, Wu J, Chong K, Azen SP, Hays RD. Impact of severity and bilaterality of visual impairment on health-related quality of life. Ophthalmology. 2006;113(10):1846–53. doi:10.1016/j.ophtha.2006.04.028
  • 22. Tinetti ME, Mendes de Leon CF, Doucette JT, Baker DI. Fear of falling and fall-related efficacy in relationship to functioning among community-living elders. J Gerontol. 1994;49(3):M140–7. doi:10.1093/geronj/49.3.m140
  • 23. Miller J. The development or re-establishment of movement in patients with abnormal vision. Aust J Physiother. 1969;15(4):135–40. doi:10.1016/S0004-9514(14)61082-5
  • 24. Dickinson J, Leonard JA. The Role of Peripheral Vision in Static Balancing. Ergonomics. 2007;10(4):421–9. doi:10.1080/00140136708930889
  • 25. Alghadir AH, Alotaibi AZ, Iqbal ZA. Postural stability in people with visual impairment. Brain Behav. 2019;9(11):1–6. doi:10.1002/brb3.1436
  • 26. Jeon BJ, Cha TH. The effects of balance of low vision patients on activities of daily living. J Phys Ther Sci. 2013;25(6):693–6. doi:10.1589/jpts.25.693
  • 27. Portfors‐Yeomans CV, Riach CL. Frequency characteristics of postural control of children without visual impairment. Dev Med Child Neurol. 1995;37(5):456–63. doi:10.1111/j.1469-8749.1995.tb12029.x
  • 28. Pyykkö I, Vesikivi M, Ishizaki H, Magnusson M, Juhola M. Postural control in blinds and in usher’s syndrome. Acta Otolaryngol Suppl. 1996;111(S481):603–6. doi:10.3109/00016489109131482
  • 29. Stones MJ, Kozma A. Balance and age in the sighted and blind. Arch Phys Med Rehabil. 1987;68(2):85–9.
  • 30. Schmid M, Nardone A, De Nunzio AM, Schmid M, Schieppati M. Equilibrium during static and dynamic tasks in blind subjects: no evidence of cross-modal plasticity. Brain. 2007;130(8):2097–107. doi:10.1093/brain/awm15
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Physical Training, Sports and Physical Activity For Disabled, Motor Control, Allied Health and Rehabilitation Science (Other)
Journal Section Articles
Authors

Büşra Alkan 0000-0001-7612-6185

Eminenur Uğurlu 0009-0004-8599-0003

Meryem Nur Arı 0009-0000-5183-8872

Havva Nur Aydemir 0009-0009-6462-5273

Publication Date June 26, 2025
Submission Date September 30, 2024
Acceptance Date December 13, 2024
Published in Issue Year 2025 Volume: 14 Issue: 2

Cite

APA Alkan, B., Uğurlu, E., Arı, M. N., Aydemir, H. N. (2025). Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 14(2), 478-484. https://doi.org/10.37989/gumussagbil.1558418
AMA Alkan B, Uğurlu E, Arı MN, Aydemir HN. Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. June 2025;14(2):478-484. doi:10.37989/gumussagbil.1558418
Chicago Alkan, Büşra, Eminenur Uğurlu, Meryem Nur Arı, and Havva Nur Aydemir. “Konjenital Ve Edinsel Görme Engelli Bireylerde Denge Ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, no. 2 (June 2025): 478-84. https://doi.org/10.37989/gumussagbil.1558418.
EndNote Alkan B, Uğurlu E, Arı MN, Aydemir HN (June 1, 2025) Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14 2 478–484.
IEEE B. Alkan, E. Uğurlu, M. N. Arı, and H. N. Aydemir, “Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma”, Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 14, no. 2, pp. 478–484, 2025, doi: 10.37989/gumussagbil.1558418.
ISNAD Alkan, Büşra et al. “Konjenital Ve Edinsel Görme Engelli Bireylerde Denge Ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14/2 (June2025), 478-484. https://doi.org/10.37989/gumussagbil.1558418.
JAMA Alkan B, Uğurlu E, Arı MN, Aydemir HN. Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2025;14:478–484.
MLA Alkan, Büşra et al. “Konjenital Ve Edinsel Görme Engelli Bireylerde Denge Ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, vol. 14, no. 2, 2025, pp. 478-84, doi:10.37989/gumussagbil.1558418.
Vancouver Alkan B, Uğurlu E, Arı MN, Aydemir HN. Konjenital ve Edinsel Görme Engelli Bireylerde Denge ve Alt Ekstremite Kas Kuvvetinin Karşılaştırılması: Kesitsel Araştırma. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi. 2025;14(2):478-84.