INVESTIGATION OF THE BALANCE AND LIFE QUALITY OF VISUALLY IMPAIRED CHILDREN: A PILOT STUDY

Öz

The aim of the study is to examine the balance and quality of life of visually impaired children. Eight visually impaired and 10 children with normal vision aged 8-12 years were included in the study. The age and degrees of vision loss of the children were recorded, and anthropometric measurements were made. The balance of children was evaluated by using "Balance Error Scoring System". Their quality of life was evaluated using the “Pediatric Quality of Life Inventory 4.0” for 8-12-year-olds. Both groups’ assessments were compared using the Mann-Whitney U test. The statistical significance level was accepted as 0.05 in all tests. The age and anthropometric characteristics of children in both groups were similar (p>0.05). It was found that standing on one leg on a hard/flat floor, to tally hard floor, to tally soft floor, and to tally balance error scores were higher in visually impaired children (p=0.003; p=0.016; p=0.001; p=0.002 respectively). No difference was found in the quality of life assessment of children (p>0.05). On the parental scales, visually impaired children were found to have lower physical health functionality and total paren talassessment scores (p=0.003; p=0.001, respectively). Balance development in visually impaired children may be delayed or progress differently compared to their typically developing peers. The effect of visual information on balance was mostly seen in the ability to stand on one foot on soft ground. This is thought to be related to the fact that dynamic balances skills are more difficult for visually impaired children than static balance kills. 

Anahtar Kelimeler

• vision
• balance
• participation
• blindness

GÖRME ENGELLİ ÇOCUKLARIN DENGE VE YAŞAM KALİTELERİNİN İNCELENMESİ: PİLOT ÇALIŞMA

Öz

Çalışmanın amacı görme engelli çocukların denge ve yaşam kalitelerini incelemektir. Çalışmaya 8-12 yaş arasındaki görme engelli 8, normal gören 10 çocuk dahil edildi. Çocukların yaş ve görme kayıplarının dereceleri kaydedildi, antropometrik ölçümleri alındı. Dengeleri “Denge Hata Puanlama Sistemi” ile değerlendirildi. Yaşam kaliteleri 8-12 yaş için “Pediatrik Yaşam Kalitesi Envanteri 4.0” kullanılarak değerlendirildi. Her iki grubun değerlendirmeleri Mann-Whitney U testi kullanılarak karşılaştırıldı. Tüm testlerde istatistiksel anlamlılık düzeyi 0.05 olarak kabul edildi. Her iki gruptaki çocukların yaş ve antropometrik özellikleri benzer bulundu (p>0.05). Sert/düz zemin üzerindeyken tek bacak üstünde durma, toplam sert zemin, toplam yumuşak zemin ve toplam denge hata puanlarının görme engelli çocuklarda daha yüksek olduğu bulundu (sırasıyla p=0.003; p=0.016; p=0.001; p=0.002). Çocukların yaşam kalitesi değerlendirmelerinde çocuklar arasında fark bulunmadı (p>0.05). Ebeveyn yaşam kalitesi ölçeklerinde ise fiziksel sağlık işlevselliğinde ve toplam ebeveyn değerlendirme puanlamasında görme engelli çocukların yaşam kalitesi puanlarının daha düşük olduğu bulundu (sırasıyla p=0.003; p=0.001).Görme engelli çocuklarda denge gelişimi tipik gelişen yaşıtlarına göre gecikebilmekte veya farklı şekilde ilerleyebilmektedir. Görsel bilginin denge üzerine etkisi en çok yumuşak zeminde tek ayaküstünde durma becerisinde görülmüştür. Bu durumun görme engelli çocuklar için dinamik denge becerilerinin statik denge becerilerinden daha zor olmasıyla ilişkili olduğu düşünülmektedir. 

Anahtar Kelimeler

• görme
• denge
• katılım
• körlük

Kaynakça

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