Musculoskeletal System Status, Sleep and Quality of Life of Children with Acute Lymphoblastic Lymphoma During Hospitalization: A Descriptive Pilot Study

Öz

Aim: The aim of this study is to analyze and present the status about muscle strength, gross motor function, functional mobility, sleep and quality of life of children with Acute Lymphoblastic Lymphoma (ALL) during hospitalization.

Methods: Children diagnosed as ALL, between 4-18 ages, having medical treatment at hospital were included in this study. Children with any other neurologic or metabolic diseases and children whose cancer reoccurred didn’t include. For all of the children information recorded about age (year), height (cm), body mass (kg), gender, exercise background, recurrent of the cancer and medical treatment. Assessment scales that are used in this study were; Gross Motor Functions Measurement (GMFM), Timed Up and Go (TUG) test, sit-to-stand test, 1 minute walk test (1 MWT), Functional Independence Measure for Children (WeFIM), Impact on Family Scale (IPFAM), Pediatric Quality of Life Inventory (PedsQL) (Cancer Module) Parent Proxy Report and Children’s Sleep Habits Questionnaire Short Form (CSHQ). We presented descriptive analyses as minimums, maximums, means and standard deviations for continuous variables and minimums, maximums, medians and standard errors for categorical variables. We set the level of significance at p<0.05.

Results: We included 7 children (5 girls and two boys) and parents in this study. Mean age of the children was 6.86 ±4.48.  In our sample mean value of GMFM-66 was 67.65±15.57, TUG was 11.69±5.10, 1 MWT was 55.81±23.81, sit-to-stand test was 23.69±6.81, IPFAM total score was 72.71±4.34, CSHQ total score was 48.71±2.87, WeeFIM total score was 100.57±7.27 and PedsQL total score was 64.29±19.17

Conclusion: According to the study ALL affects musculoskeletal status, quality of life, family impairment and sleep habits of the children. We think muscle strengthening exercises and activity focused interventions could be effective and should be studied in new research in the rehabilitation of ALL.

Anahtar Kelimeler

• Acute Lymphoblastic Lymphoma,Physiotherapy,Gross Motor Function,Sleep

AKUT LENFOBLASTİK LENFOMA'LI ÇOCUKLARDA HOSPİTALİZASYON SÜRECİNDE KAS İSKELET SİSTEMİNİN DURUMU, UYKU VE YAŞAM KALİTESİ: TANIMLAYICI PİLOT ÇALIŞMA

Öz

Amaç: Bu çalışmanın amacı Akut Lenfoblastik Lenfoma'lı (ALL) çocuklarda hospitalizasyon sürecinde kas kuvveti, kaba motor fonksiyon, fonksiyonel mobilite, uyku ve yaşam kalitesi ile ilgili durumları analiz etmek ve sunmaktır.

Metod: Bu çalışmaya, ALL teşhisi konulan 4-18 yaşlar arasında, hastanede tıbbi tedavi gören çocuklar dâhil edildi. Başka bir nörolojik veya metabolik hastalığı olan çocuklar ile kanseri tekrarlayan çocuklar dâhil edilmedi. Tüm çocuklar için; yaş (yıl), boy (cm), vücut ağırlığı (kg), cinsiyet, egzersiz geçmişi, kanserin tekrarlayıp tekrarlamadığı ve tıbbi tedavileri hakkında bilgiler kaydedildi. Bu çalışmada kullanılan değerlendirme ölçekleri; Kaba Motor Fonksiyon Ölçümü (GMFM), Zamanlı Kalk Yürü Testi (TUG), Otur-Kalk Testi, 1 Dakikalık Yürüme Testi (1 MWT), Çocuklar için Fonksiyonel Bağımsızlık Ölçeği (WeFIM), Aile Etkilenim Ölçeği (IPFAM), Pediatrik Yaşam Kalitesi Envanteri Ebeveyn Raporu (PedsQL) (Kanser Modülü) ve Çocuk Uyku Alışkanlıkları Anketi Kısa Formu'ydu (CSHQ). Tanımlayıcı analizler; sürekli değişkenler için minimum, maksimum, ortalama ve standart sapma ve kategorik değişkenler için minimum, maksimum, medyan ve standart hata olarak sunuldu. İstatistiksel anlamlılık seviyesi olarak p <0.05'i belirlendi.

Bulgular: Çalışmaya 7 çocuk (5 kız, iki erkek) ve anne-baba dâhil edildi. Çocukların yaş ortalaması 6.86 ± 4.48 idi. Örneklemden elde edilen ortalama değerler; GMFM-66: 67.65 ± 15.57, TUG: 11.69 ± 5.10, 1 MWT: 55.81 ± 23.81, Otur-Kalk Testi: 23.69 ± 6.81, IPFAM toplam puanı: 72.71 ± 4.34, CSHQ toplam puanı: 48.71 ± 2.87, WeeFIM toplam puanı: 100.57 ± 7.27 ve PedsQL toplam puanı: 64.29 ± 19.17 şeklindeydi.

Sonuç: Çalışmamızın sonuçlarına göre, ALL; hospitalizasyon sürecinde kas iskelet sistemini, yaşam kalitesini, aile etkilenimini ve çocukların uyku alışkanlıklarını etkilemektedir. Kas güçlendirme egzersizleri ve aktiviteye odaklı müdahalelerin ALL'nin rehabilitasyonunda etkili olabileceğini, yeni çalışmalarda araştırılması gerektiğini düşünüyoruz.

Anahtar Kelimeler

• Akut Lenfoblastik Lenfoma,Fizyoterapi,Kaba Motor Fonksiyon,Uyku

Kaynakça

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