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

Year 2022, Volume: 10 Issue: 1, 84 - 95, 10.03.2022

Halil Alkan , Mahsum Eren

https://doi.org/10.33715/inonusaglik.1020064

Abstract

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.

Keywords

Ayak bileği limitasyonu, Dinamik denge, Duchenne musküler distrofi, Fonksiyonel kapasite.

Supporting Institution

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Project Number

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Thanks

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

Abstract

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.

Keywords

Ankle limitation, Duchenne Muscular Dystrophy, Dynamic balance, Functional capacity

Project Number

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