IJPR.2017.215

Type of Article:  Original Research

Volume 5; Issue 5 (October 2017)

Page No.: 2392-2398

DOI: https://dx.doi.org/10.16965/ijpr.2017.215

EFFECT OF USING TREADMILL EXERCISE ON MOBILITY SKILLS IN HEMOPHILIC CHILDREN

Ragaee Saeed Alsakhawi *1, Reham Saeed Alsakhawi 2.

*1 Embaba Public Hospital, Egypt.

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

Corresponding Author: Ragaee Saeed Alsakhawi, Embaba Public Hospital1, Egypt. E-Mail: rsm211_pt@yahoo.com

ABSTRACT

Background: One of the most severe blood coagulation disorders is Hemophilia. As a result of the bleeding episodes, immobilization and diminish physical activities hemophilic patients face serious problems as loss of muscle mass, decreased strength, balance problems and proprioception loss. The treadmill exercise is one of the most effective and available tool to achieve improving mobility skills in those children during walking. The aiming of this study to investigate the effect of treadmill exercises on mobility skills in hemophilic children.

Methodology: Thirty hemophilic children ranging in age from seven to eleven years were assigned randomly into two groups of equal number (control and study groups). Control group received selective physical therapy program aiming to facilitate balance, while study group received the same exercises as the control group in addition to treadmill exercise. Dynamic Posturography was used to evaluate mobility skills parameters as Step length, Step Width, Speed, Turn time and Turn Sway of all children in both groups before and after three successive months of treatment.

Results: The results revealed significant differences of all measured variables of mobility skills in two groups after three successive months of treatment, also revealed significant difference when compared the two groups after treatment in favor of the study group. Conclusion: The using treadmill exercise can be added to the physical therapy program aiming to improve mobility skills in hemophilic children during walking.

Key Words: Balance, Dynamic Posturography, Hemophilia, Mobility Skills, Treadmill.

REFERENCES

  1. Lissauer T, Clayden G. Illustrated textbook of pediatrics. 4th Toronto: Elsevier; 2007.
  2. Engelbert RH, Plantinga M, Vander Net J, Van Genderen FR, Van den Berg MH, Helders PJ, et al. Aerobic capacity in children with hemophilia. J Pediatr 2008;152(6):833–8.
  3. Hilberg T, Herbsleb M, Puta C, Gabriel HH, Schramm W. Physical training increases isometric muscular strength and proprioceptive performance in haemophilic subjects. Haemophilia 2003;9(1):86–93.
  4. Gonzalez, F. Querol, J. Gallach, et al. Force fluctuations during the maximum isometric voluntary contraction of the quadriceps femoris in hemophilic patients Hemophilia; 2007;13(1):65-70.
  5. Bax M., Flodmark O. and Tydeman C. Future Direction In: Baxter P.; The Definition and Classification of Cerebral Palsy. Developmental Medicine & Child Neurology 2008;49(2):39
  6. Oeffinger D., Rogers S., Bagley A., Gorton G. and Tylkowski C.: Clinical Applications of Outcome Tools in Ambulatory Children with Cerebral Palsy. Physical Medicine and Rehabilitation Clinic of North America 2009;20(3):549-565.
  7. Al-abbad B., Tohamy A., Mostafa A. and El-meniawy G.: “Treadmill training versus endurance exercises in improving muscle strength and functional activity in down’s syndrome children”. Master Degree, Cairo University. Thesis. 2009: 130.
  8. Prosser LA, Stanley CJ, Norman TL, Park HS, Damiano DL. Comparison of elliptical training, stationary cycling, treadmill walking and overground walking. Gait & posture. 2011;33(2):244-250.
  9. Tammuella S., Rebecca K. and Cindy M. Emergency Department Care or Patient with Hemophilia and Von Willebr and Disease. The Journal of Emergency Medicine. 2008;13:285-291.
  10. Liston RA, Brouwer BJ. Arch Phys Med Rehabil. Reliability and validity of measures obtained from stroke patients using the Balance Master 1996;77(5):425-30.
  11. NeuroCom® International, Inc. (2004). Instructions For Use: Balance Master® System. Operator’s Manual. Version 8.2.
  12. http://resourcesonbalance.com/neurocom/products/BalanceMaster.aspx
  13. Rothermel S., Hale S., Hertel J. and Denegar C. Effect of active foot positioning on the outcome of a balance training program. Physical Therapy in Sport 2004. Elsevier B.V.; 5:98–103.
  14. Hill K, Fearn M, Williams S, Mudge L, Walsh C, McCarthy P, Walsh M, Street A. Effectiveness of a balance training home exercise programme for adults with haemophilia: a pilot study. Haemophilia. 2010;16(1):162-9.
  15. Carolyn K. and Lynn A.: “Therapeutic exercises, stretching for impaired mobility”. 5th 2007:66-104.
  16. ‏Forsyth AL, Quon DV, Konkle BA: Role of exercise and physical activity on haemophilic arthropathy, fall prevention and osteoporosis Haemophilia. Wiley Online Library. 2011‏;17(5):e870–e876.
  17. McBride J., Porcari J. and Scheunke M. Effect of Vibration during Fatiguing Resistance Exercise on Subsequent Muscle Activity during Maximal Voluntary Isometric Contractions. The Journal of Strength and Conditioning Research. 2004;18(4):777-781.
  18. Cornelius W. and Raushuber M. The Relationship Between Isometric Contraction Duration and Improvement in Acute Hip Joint Flexibility. The Journal of Strength and Conditioning Research. 2003;13:39-41.
  19. Zatsiorsky V. Isometric Exercises. Science and Practice of Strength Training 2nd 2006: 124.
  20. Ravanbod R, Torkaman G, Esteki A.: Comparison between pulsed ultrasound and low level laser therapy on experimental haemarthrosis.Haemophilia. 2013;19(3):420-5.
  21. Gomis M, González LM, Querol F, Gallach JE: Effects of electrical stimulation on muscle trophism in patients with hemophilic arthropathy‏ Archives of Physical Medicine and Rehabilitation. Elsevier. 2009;90(11):1924-1930
  22. Low J. and Reed A. Electrotherapy Explained, Principles and practice. 4th ed 2002; Butter worth Heinemann.
  23. McNevin NH, Coraci L, Schafer J. Gait in adolescent cerebral palsy: the effect of partial unweighting. Arch Phys Med Rehabil. 2000;81: 525-8.
  24. Karimi N., Ebrahimi I., Kahrizi S. and Torkaman G. Evaluation of postural balance using the biodex balance system in subjects with and without low back pain. Pak J Med Sci. 2008;6:45-52.
  25. Feland J., Hager R. and Merrill R. Sit to stand transfer: performance in rising power, transfer time and sway by age and sex in senior athletes”. British Journal of Sports Medicine 2005;39:285-286.
  26. Sanger T. and Kukke S. Abnormalities of Tactile Sensory Function in Children with Dystonic and Diplegic Cerebral Palsy. Journal of Child Neurology. 2007;22(3):289-293.
  27. Matsuno V., Camargo M., Palma G., Alveno D. and Barela A.: “Analysis of partial body weight support during treadmill and over ground walking of children with CP”. Rev. Bras. Fisider. 2010;(5)14.
  28. Jean R. and Stout B. Gait development and analysis In: Darl W. and Robert J. Physical therapy for children 3rd ed. Saunders Elsevier. 2006;161-179.
  29. Day JA, Fox EJ, Lowe J. Locomotor training with partial body weight support on a treadmill in a nonambulatory child with spastic tetraplegic cerebral palsy: a case report. Pediatr Phys Ther. 2004;16:106-13.
  30. Cherng RJ, Liu CF, Hong RF. Effect of treadmill training with body weight support on gait and gross motor function in children with spastic cerebral palsy. Am J Phys Med Rehabil 2007;86:548–55.
  31. Olama KA. Endurance exercises versus treadmill training in improving muscle strength and functional activities in hemiparetic cerebral palsy Egyptian Journal of Medical Human Genetics 2011;12(2):193-199.
  32. Dal U, Erdogan T, Resitoglu B, Beydagi H. Determination of preferred walking speed on treadmill may lead to high oxygen cost on treadmill walking. Gait and posture, Elsevier B.V 2010;31(3):366-9.
  33. Tulchin K, Orendurff M, and Karol L. A comparison of multi-segment foot kinematics during level over ground and treadmill walking. Gait Posture. 2010;31 (1):104-8.

Cite this article: Ragaee Saeed Alsakhawi, Reham Saeed Alsakhawi. EFFECT OF USING TREADMILL EXERCISE ON MOBILITY SKILLS IN HEMOPHILIC CHILDREN. Int J Physiother Res 2017;5(5):2392-2398. DOI: 10.16965/ijpr.2017.215