INVESTIGATION OF PHYSICAL FITNESS AND GROSS MOTOR CAPACITY IN CHILDREN WITH NEUROFIBROMATOSIS TYPE 1

Abstract

Purpose: To assess physical fitness, gross motor capacity, and their relationship in children with neurofibromatosis type 1 (NF1). Materials and Methods: Children with NF1 (n=40, age 6-17, mean 9.70±3.8 years) and typically developing children (TDC) (n= 28, age 5,5-17,5, mean 11.35±3.0 years) were evaluated by the six-minute walking test, sit-up test, sit-and-reach test, flamingo balance test and body mass index. Gross motor capacity was assessed with the Gross Motor Function Measure D and E subdimensions. Results: Physical fitness and gross motor capacity differed significantly between NF1 and TDC (p<0.05). Physical fitness parameters correlated with gross motor capacity to a fair to moderate degree in children with NF1 (r:0.42-0.71; p<0.05). Conclusions: Physical fitness and gross motor capacity are correlated and both are impaired in children with NF1. Exercise programs aiming to increase these functions can be recommended: therefore, areas of intervention can be defined from tests described in this study.

Keywords

• Neurofibromatosis type 1
• physical fitness
• physiotherapy

NÖROFİBROMATOZİS TİP 1 TANILI ÇOCUKLARDA KABA MOTOR KAPASİTE VE FİZİKSEL UYGUNLUĞUN İNCELENMESİ

Öz

Amaç: Nörofibramatozis Tip 1 (NF1) tanılı çocuklarda kaba motor kapasite, ve fiziksel uygunluğu ve birbirleri arasındaki ilişkiyi değerlendirmektir. Yöntem: NF1'li çocuklar (n=40, yaş 6-17, ortalama 9,70±3.8 yıl) ve tipik gelişen çocuklar (TGÇ) (n= 28, yaş 5,5-17,5, ortalama 11,35±3,0 yıl) altı dakikalık yürüme testi, mekik testi, otur-uzan testi, flamingo denge testi ile değerlendirildi ve vücut kitle indeksi hesaplandı. Kaba motor fonksiyon, Kaba Motor Fonksiyon Ölçütü D ve E alt boyutları ile değerlendirildi. Sonuçlar: Fiziksel uygunluk ve kaba motor kapasite NF1 ve TDC arasında anlamlı farklılık gösterdi (p<0,05). Fiziksel uygunluk parametreleri, NF1'li çocuklarda kaba motor kapasitesi ile orta derecede korelasyon gösterdi (r:0,42-0,71; p<0,05). Tartışma: NF1 tanılı çocuklarda fiziksel uygunluk ve motor kapasite etkilenmiştir ve birbirleri ile ilişkilidirler. Etkilenen fonksiyonları arttırmaya yönelik egzersiz programları önerilebilir. Sonuç olarak; müdahale alanları çalışmamızda tanımlanmış testler ile belirlenebilir.

Anahtar Kelimeler

• Fiziksel Uygunluk
• Fizyoterapi
• Nörofibramatozis tip 1

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