Friedreich ataksisi olan bir adölesanda bireysel tedavi programı için optimal eksternal ağırlığın belirlenmesi: Bir Vaka Raporu

Year 2024, Volume: 2 Issue: 1, 29 - 34, 24.06.2024

İrem Akar Beyzanur Şentürk Ali İmran Yalçın Semra Topuz İpek Gürbüz Öznur Tunca Yılmaz Numan Bulut

Abstract

Amaç: Bu çalışma Friedreich Ataksi (FRDA)’li bir adölesanda postüral kontrol, yürüyüş ve denge parametrelerini optimize etmek için eksternal ağırlık miktarını araştırdı.
Yöntem: 16 yaşındaki bir FRDA’lı adölesan (boyu:1.57 m ve kilosu:60 kg) bu çalışmaya dahil edildi. Adölesanın postüral kontrol, yürüyüş ve dengesi gövdeye bağlanan farklı ağırlıklarla (ağırlıksız, vücut ağırlığının %5’i, %10’u, %15’i ve %20’si) değerlendirildi. The Bertec Balance Check Screener™, GAITRite ve Zamanlı Kalk Yürü (TUG) testleri sırasıyla postüral kontrolü, yürüyüşü ve dinamik dengeyi değerlendirmek için kullanıldı.
Bulgular: Stabilite limiti açısından FRDA’lı adölesan anterio-posterior yönlerde vücut ağırlığının %10’unda ve lateral yönde vücut ağırlığının %15’inde en iyi performansı gösterdi. Anterio-posterior yönlerde, normal yüzeyde postüral salınım aralığı ağırlıksızda ve köpük yüzeyde vücut ağırlığının %15’inde en düşük değerdeydi. Lateral yönlerde, normal ve köpük yüzeyde adölesan vücut ağırlığının %10’unda minimum postüral salınım aralığı gösterdi. Vücut ağırlığının %20’sinde daha yüksek döngü süresi, adım uzunluğu ve daha dar destek yüzeyine sahipti. TUG değeri vücut ağırlığının %20’sinde en düşüktü.
Sonuç: Bu bulgular, FRDA'da eksternal ağırlık uygulamalarında optimal miktarın bireysel olarak belirlenmesi ihtiyacını ortaya koyarak literatüre katkı sağlayabilir.

Keywords

Friedreich Ataksisi, Yürüyüş, Postural Denge, Vücut Ağırlığı

Determining the optimal external weight for an individual treatment program in an adolescent with Friedreich ataxia: A Case Report

Abstract

Purpose: This study investigated the amount of external weight to optimize postural control, gait, and balance parameters in an adolescent with Friedreich ataxia (FRDA).
Method: The study included a 16-year-old adolescent (height: 1.57 m and weight: 60 kg) with FRDA. The adolescent's postural control, gait, and balance were evaluated by attaching different weights (unweight, 5%, 10%, 15%, and 20% of the body weight (BW)) to the trunk. The Bertec Balance Check Screener™, GAITRite and Timed up and Go (TUG) were used to assess postural control (postural sway, limits of stability), gait, and dynamic balance, consecutively.
Results: Regarding limits of stability, the adolescent with FRDA performed best at 10% of BW in the anterio-posterior directions and at 15% of BW in the lateral directions. In the antero-posterior directions, the postural sway range on the normal surface was the lowest in unweighted and the lowest at 15% of BW on the perturbed surface. In the lateral directions, she performed the minimum postural sway range at 10% of BW on both the normal and perturbed surfaces. She had a higher cycle time, stride length and narrower support surface at 20% of BW. The value of TUG was the lowest at 20% of BW (10.44 sec).
Conclusion: These findings may contribute to the literature by revealing the need for individual determination of the optimal amount in external weighting applications in FRDA.

Keywords

Friedreich Ataxia, Gait, Postural Balance, Body Weight

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