IJPR.2017.101

Type of Article:  Original Research

Volume 5; Issue 2 (April 2017)

Page No.: 1912-1919

DOI: https://dx.doi.org/10.16965/ijpr.2017.101

INFLUENCE OF SENSORIMOTOR TRAINING ON BALANCE AND PAIN PARAMETERS IN CHILDREN WITH HEMOPHILIA

Abeer R. Ibrahim 1, Azza M. Atya *1, Al Shimaa R. Azab 2.

1 Basic Sciences Department, Faculty Of Physical Therapy, Cairo University, Egypt.

3 Department of Physical Therapy for Growth and Developmental Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.

Corresponding Author Address: Azza Mohamed Atya, Assistant Professor of physical therapy, Basic Sciences department, Faculty of Physical Therapy, Cairo University, Egypt. Phone Number: +201005208479, E-Mail: azzaatya73@gmail.com

ABSTRACT

Background and purpose: Children with hemophilia often have intra-articular and intra-muscular bleeding which have a worse impact on postural stability and balance.  Therefore, the purpose of this study was to investigate the effect of sensorimotor training on balance and perceived pain in children with hemophilia.

Subjects and Methods: Thirty hemophilic boys mean age (12.06±1.2) were divided randomly into two equal groups. Control group (n=15) received conventional physical therapy program and study group (n=15) received the same program in addition to sensorimotor training exercises. Baseline assessment included stability indices and perceived pain, was conducted at the beginning of the study and after 8 weeks of treatment program.

Results: There was no significant difference between both groups in the pre-treatment mean values of all measured variables. Significant improvement was observed in the two groups between pre and post treatment measured outcomes. Furthermore, the study group recorded significantly better improvement in balance and pain parameters compared with the control group.

Conclusion: Sensorimotor training could be an excellent supplement to regularly rehabilitation program used for children with hemophilia. It produces positive effects on balance and perceived pain parameters for these patients.

Key words: Sensorimotor Training, Balance, Pain, Hemophilia.

REFERENCES

  1. Islam S, Morshed AA, Khan ZJ. Hemophilia in Children. Journal of Paediatric Surgeons of Bangladesh. 2016;6(2):54-63.
  2. Ljung R. Prophylactic therapy in haemophilia. Blood reviews. 2009;23(6):267-74.
  3. Collins P. Treatment of acquired hemophilia A. Journal of Thrombosis and Haemostasis. 2007;5(5):893-900.
  4. Van den Berg H, Fischer K, Mauser‐Bunschoten E, Beek F, Roosendaal G, Van der Bom J, et al. Long‐term outcome of individualized prophylactic treatment of children with severe haemophilia. British journal of haematology. 2001;112(3):561-5.
  5. Dunn A. Pathophysiology, diagnosis and prevention of arthropathy in patients with haemophilia. Haemophilia. 2011;17(4):571-8.
  6. Kleijn P, Mauser‐Bunschoten E, Fischer K, Smit C, Holtslag H, Veenhof C. Evidence for and cost‐effectiveness of physiotherapy in haemophilia: a Dutch perspective. Haemophilia. 2016.
  7. Beeton K, Alltree J, Cornwall J. Rehabilitation of muscle dysfunction in haemophilia. Haemophilia. 2001;(24):1-12.
  8. Soucie JM, Cianfrini C, Janco RL, Kulkarni R, Hambleton J, Evatt B, et al. Joint range-of-motion limitations among young males with hemophilia: prevalence and risk factors. Blood. 2004;103(7):2467-73.
  9. Engelbert RH, Plantinga M, Van der Net J, Van Genderen FR, Van den Berg MH, Helders PJ, et al. Aerobic capacity in children with hemophilia. The Journal of pediatrics. 2008;152(6):833-8.
  10. Fearn M, Hill K, Williams S, Mudge L, Walsh C, McCarthy P, et al. Balance dysfunction in adults with haemophilia. Haemophilia. 2010;16(4):606-14.
  11. Gallach J, Querol F, Gonzalez L, Pardo A, Aznar J. Posturographic analysis of balance control in patients with haemophilic arthropathy. Haemophilia. 2008;14(2):329-35.
  12. Hilberg T, Herbsleb M, Gabriel H, Jeschke D, Schramm W. Proprioception and isometric muscular strength in haemophilic subjects. Haemophilia. 2001;7(6):582-8.
  13. Souza F, McLaughlin P, Pereira R, Minuque N, Mello M, Siqueira C, et al. The effects of repetitive haemarthrosis on postural balance in children with haemophilia. Haemophilia. 2013;19(4):e212-e7.
  14. Falk B, Portal S, Tiktinsky R, Weinstein Y, Constantini N, Martinowitz U. Anaerobic power and muscle strength in young hemophilia patients. Medicine and science in sports and exercise. 2000;32(1):52-7.
  15. Chen L, Wu R, Zhang G. Affects of proprioception training on bleeding frequency in target joints of low extremities in children with moderate-severe hemophilia. Chinese Journal of Rehabilitation Medicine. 2010;4(25):340-342.
  16. Heijnen L, Buzzard BB, editors. The role of physical therapy and rehabilitation in the management of hemophilia in developing countries. Seminars in thrombosis and hemostasis; 2005.
  17. McCoy SW, Jirikowic T, Price R, Ciol MA, Hsu L-Y, Dellon B, et al. Virtual Sensorimotor Balance Training for Children With Fetal Alcohol Spectrum Disorders: Feasibility Study. Physical therapy. 2015;95(11):1569-81.
  18. McCaskey MA, Schuster-Amft C, Wirth B, de Bruin ED. Effects of postural specific sensorimotor training in patients with chronic low back pain: study protocol for randomised controlled trial. Trials. 2015 Dec 15;16(1):571.
  19. Page P. Sensorimotor training: A “global” approach for balance training. Journal of Bodywork and Movement Therapies. 2006;10(1):77-84.
  20. Gruber M, Gollhofer A. Impact of sensorimotor training on the rate of force development and neural activation. European journal of applied physiology. 2004;92(1-2):98-105.
  21. Ludwig O, Fröhlich M, Schmitt E. Therapy of poor posture in adolescents: Sensorimotor training increases the effectiveness of strength training to reduce increased anterior pelvic tilt. Cogent Medicine. 2016;3(1):12-31.
  22. Hupperets MD, Verhagen EA, van Mechelen W. Effect of sensorimotor training on morphological, neurophysiological and functional characteristics of the ankle. Sports medicine. 2009;39(7):591-605.
  23. Kendall FP, Kendall FP. Muscles : testing and function with posture and pain. Baltimore, MD: Lippincott Williams & Wilkins; 2005.
  24. Schmitz R, Arnold B. Intertester and Intratester Reliability of a Dynamic Balance Protocol Using the Biodex Stability System. JOURNAL OF SPORT REHABILITATION. 1998;7(2):95-101.
  25. Pereira HM, Campos TFd, Santos MB, Cardoso JR, Garcia MdC, Cohen M. Influence of knee position on the postural stability index registered by the Biodex Stability System. GAIPOS Gait & Posture. 2008;28(4):668-72.
  26. Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The faces pain scale for the self-assessment of the severity of pain experienced by children: Development, initial validation, and preliminary investigation for ratio scale properties. PAIN</cja:jid> Pain. 1990;41(2):139-50.
  27. Zaky LA, Hassan WF. Effect of partial weight bearing program on functional ability and quadriceps muscle performance in hemophilic knee arthritis. EJMHG Egyptian Journal of Medical Human Genetics. 2013;14(4):413-8.
  28. Combs SA, Dugan EL, Passmore M, Riesner C, Whipker D, Yingling E, et al. Balance, Balance Confidence, and Health-Related Quality of Life in Persons With Chronic Stroke After Body Weight-Supported Treadmill Training. YAPMR Archives of Physical Medicine and Rehabilitation. 2010;91(12):1914-9.
  29. El-Meniawy GH, Kamal HM, Elshemy SA. Role of treadmill training versus suspension therapy on balance in children with Down syndrome. Egyptian Journal of Medical Human Genetics. 2012;13(1):37-43.
  30. Pavlu D, Novosadova K. Contribution to the objectivization of the method of sensorimotor training stimulation according to Janda and Vavrova with regard to evidence-based-practice. Rehabil Phys Med. 2001;8(4):178-81.
  31. Hertel J. Sensorimotor deficits with ankle sprains and chronic ankle instability. Clinics in sports medicine. 2008;27(3):353-70.
  32. Solomonow M, Krogsgaard M. Sensorimotor control of knee stability. A review. Scandinavian journal of medicine & science in sports. 2001;11(2):64-80.
  33. Kapreli E, Athanasopoulos S, Papathanasiou M, Van Hecke P, Kelekis D, Peeters R, et al. Lower limb sensorimotor network: issues of somatotopy and overlap. Cortex. 2007;43(2):219-32.
  34. Blanchette V, Key NS, Ljung L, Manco‐Johnson M, Berg H, Srivastava A. Definitions in hemophilia: communication from the SSC of the ISTH. Journal of Thrombosis and Haemostasis. 2014;12(11):1935-9.
  35. Horak FB. Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? Age and ageing. 2006;35(suppl 2):ii7-ii11.
  36. Tsauo J-Y, Cheng P-F, Yang R-S. The effects of sensorimotor training on knee proprioception and function for patients with knee osteoarthritis: a preliminary report. Clinical Rehabilitation. 2008;22(5):448-57.
  37. Lephart S, Fu F. Proprioception and neuromuscular control in joint stability. Human Kinetics, Champaign. Rozzi S, Yuktanandana P, Pincivero D, Lephart SM. 2000:375-383.
  38. Hwang JA, Bae SH, Do Kim G, Kim KY. The effects of sensorimotor training on anticipatory postural adjustment of the trunk in chronic low back pain patients. Journal of physical therapy science. 2013;25(9):1189-92.
  39. Bruhn S, Kullmann N, Gollhofer A. The effects of a sensorimotor training and a strength training on postural stabilisation, maximum isometric contraction and jump performance. International journal of sports medicine. 2004;25(01):56-60.
  40. Moutzouri M, Gleeson N, Billis E, Panoutsopoulou I, Gliatis J. What is the effect of sensori-motor training on functional outcome and balance performance of patients’ undergoing TKR? A systematic review. Physiotherapy. 2016;102(2):136-44.

Cite this article: Abeer R. Ibrahim, Azza M. Atya, Al Shimaa R. Azab. INFLUENCE OF SENSORIMOTOR TRAINING ON BALANCE AND PAIN PARAMETERS IN CHILDREN WITH HEMOPHILIA. Int J Physiother Res 2017;5(2):1912-1919. DOI: 10.16965/ijpr.2017.101
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