Do Body Mass Index, Q Angle, and Pes Planus Affect Walking Age in Children with Down Syndrome and Their Typically Developing Peers?

Yıl 2022, Cilt: 32 Sayı: 5, 571 - 576, 29.10.2022

Guliz Ertekin İsmihan İlknur Uysal Mehmet Sinan İyisoy

https://doi.org/10.54005/geneltip.1155681

Öz

Objective: To investigate the effects of body mass index (BMI), quadriceps angle (Q0) and pes planus on walking age in children with Down syndrome (DS) and typically developing peers.
Methods: Bodyweight, height and Q0 were measured and footprints were obtained in 50 children with DS and 50 typically developing children (control), ages between 2-6 years. BMI and Staheli index (SI) were calculated.
Results: The mean walking age was 26±8 months in the DS group and 12±2 months in the control group (p<0.0001). While BMI was 85 percent in all age groups in girls in the DS group, it increased with age in boys this group. SI was 1.17±0.28 in the DS group and 0.93±0.04 in the control group (p<0.001). Although there was no significant relationship between walking age and BMI, Q0, pes planus, the difference in walking age between the two groups decreased statistically as Q0 increased (p<0.001).
Conclusion: In the DS group, regular monitoring of BMI, keeping it within healthy limits, and adding exercises related to Q0 and pes planus to physical therapy programs will reduce the delay in walking age.

Anahtar Kelimeler

Body mass index, Down syndrome, Q angle, Walking age, Pes planus

Down Sendromlu Çocuklarda Ve Tipik Gelişim Gösteren Akranlarında Vücut Kitle İndeksi, Q Açısı Ve Pes Planus Yürüme Yaşını Etkiler Mi?

Öz

Amaç: Down sendromlu (DS) olan çocuklar ve tipik gelişime sahip yaşıtlarında vücut kitle indeksi (VKİ), kuadriseps açısı (Q0) ve pes planusun yürüme yaşı üzerine etkilerini araştırmak.
Yöntem: Yaşları 2-6 arasında 50 DS’lu çocuk (DS grubu) ve 50 tipik gelişim gösteren çocukda (kontrol grubu) vücut ağırlığı, boy uzunluğu ve Q açısı ölçüldü ve ayak izleri elde edildi. VKİ ve Staheli indeksi (SI) hesaplandı.
Bulgular: DS grubunda ortalama yürüme yaşı 26±8 ay, kontrol grubunda 12±2 ay idi (p<0.0001). VKİ, DS grubundaki kız çocuklarında tüm yaş gruplarında %85 iken, bu gruptaki erkek çocuklarda yaşla birlikte artış gösterdi. SI, DS grubunda 1.17±0.28 ve kontrol grubunda 0.93±0.04 idi (p<0.001). Yürüme yaşı ile VKİ, Q0, pes planus arasında anlamlı bir ilişki olmamasına rağmen, Q0 arttıkça iki grup arasındaki yürüme yaşı farkı istatistiksel olarak anlamlı azaldı (p<0.001).
Sonuç: DS grubunda VKİ'nin düzenli izlenmesi, sağlıklı sınırlarda tutulması ve fizik tedavi programlarına Q0 ve pes planus ile ilgili egzersizlerin eklenmesi yürüme yaşındaki gecikmeyi azaltacaktır.

Anahtar Kelimeler

Down sendromu, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Pes planus, Q açısı, Vücut kitle indeksi, Yürüme Yaşı

Kaynakça

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