Effectiveness of Aquatic Therapy on Balance and Functionality in Children With Duchenne and Becker Muscular Dystrophy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Duchenne or Becker Muscular Dystrophy
- Sponsor
- Gaziosmanpasa Research and Education Hospital
- Enrollment
- 16
- Locations
- 1
- Primary Endpoint
- Pediatric Berg Balance Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The purpose of this study is ; to evaluate the effects of aquatic therapy applied in addition to conventional physical therapy on balance, functionality and quality of life in children with Duchenne and Becker muscular dystrophy.
Detailed Description
Duchenne and Becker muscular dystrophy is the most common type of muscular dystrophy in childhood caused by a mutation of the DMD gene. Progressive muscle weakness is the main symptom, as muscle fiber degeneration is the primary pathological process. Weakness selectively affects the proximal before the distal limb muscles and the lower before the upper limbs. The affected child therefore has difficulty running, jumping, and walking up steps. Although there is currently no treatment method that eliminates the disease, exercise practices significantly improve the quality of life of children. There are not enough studies in the literature evaluating whether the addition of aquatic therapy to conventional physical therapy helps to improve balance skills, functionality and quality of life in children with muscular dystrophy. The purpose of this study is ; to evaluate the effects of aquatic therapy applied in addition to conventional physical therapy on balance, functionality and quality of life in children with Duchenne and Becker muscular dystrophy. Our study will include children aged 5-18 years and complete a 10 -m walk without assistance/support who are diagnosed with Duchenne or Becker muscular dystrophy by a neurologist and followed up in the Muscular Diseases Unit of Gaziosmanpaşa Training and Research Hospital In follow-ups, patients who are planned to receive aquatic therapy will be listed according to their application dates. In addition to the exercises home programme, patients at the top of the list will receive aquatic treatment 3 days a week for a total of 5 weeks with a physiotherapist. Patients at the bottom of the list will form the control group and will receive home programme exercise while waiting in line for aquatic therapy After 5 weeks, the initial assessments will be repeated and recorded
Investigators
Ceyda Ulu
Assistant doctor in the department of physical medicine and rehabilitation
Gaziosmanpasa Research and Education Hospital
Eligibility Criteria
Inclusion Criteria
- •Diagnosed with Duchenne Muscular Dystrophy or Becker Muscular Dystrophy by a neurologist
- •Between the ages of 5-18, with ongoing ambulation
- •Co-operating with the physiotherapist's practices
Exclusion Criteria
- •Those who will not be able to perform the evaluation parameters
- •Have a serious systemic disease that may interfere with exercise
- •Injury and/or surgery in the last 6 months
- •Receive gene therapy
- •In the presence of contraindications to aquatic therapy such as excessive fear of water, behavioral problems, shortness of breath at rest, infection, incontinence, known chlorine allergy, open wound, acute systemic disease, epilepsy, tracheotomy, permanent drain, immunodeficiency
Outcomes
Primary Outcomes
Pediatric Berg Balance Scale
Time Frame: five weeks
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items: sitting to standing,standing to sitting,transfers,standing unsupported,sitting unsupported,standing with eyes closed,standing with feet together,standing with one foot in front,standing on one foot,turning 360 degrees,turning to look behind,retrieving object from floor,placing alternate foot on stool,reaching forward with outstretched arm. That are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.
Secondary Outcomes
- Timed Performance Tests (walking 10 m, climbing 4 steps and descending 4 steps)(five weeks)
- The Pediatric Quality of Life Inventory (PedsQL)-Neuromuscular Module (PedsQL-3.0(five weeks)