Alkan Halil, Mutlu Akmer, Fırat Tüzün, Bulut Numan, Karaduman Aynur Ayşe, Yılmaz Öznur Tunca
Hacettepe University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, 06100 Samanpazarı, Ankara, Turkey.
Eur J Paediatr Neurol. 2017 Jul;21(4):635-638. doi: 10.1016/j.ejpn.2017.02.005. Epub 2017 Feb 20.
This study was planned to compare the static and dynamic balance in children with Duchenne Muscular Dystrophy (DMD) at different functional levels with each other and with healthy peers.
Sixty nine children between the ages of 6 and 11 were included in this study where 52 of them were diagnosed with DMD in Level I (18 patients), Level II (17 patients), and Level III (17 patients) according to Brooke Functional Classification Scale and 17 of them healthy peers were included. In order to assess static and dynamic balance pediatric functional reach test (PFRT) and timed up and go test (TUGT) were used.
When compared in terms of the TUGT, differences were found between all groups, i.e. Level 1 and 2, Level 2 and 3, Level 1 and 3, Healthy peers and Level 1, Healthy peers and Level 2, and Healthy peers and Level 3 (p < 0.0083). When compared in terms of the PFRT in the standing positions, there was difference between level 3 and healthy peers (p < 0.0083), but not between the other groups.
We found poor functional level in DMD to affect the dynamic and static balance parameters in this study. The dynamic balance of a child with DMD at Level 3 is decreased to a third of a healthy peer.
本研究旨在比较不同功能水平的杜氏肌营养不良症（DMD）患儿之间以及他们与健康同龄人的静态和动态平衡。
本研究纳入了69名6至11岁的儿童，其中52名根据布鲁克功能分类量表被诊断为I级（18例）、II级（17例）和III级（17例）的DMD患儿，另外17名是健康同龄人。为了评估静态和动态平衡，使用了儿科功能伸展测试（PFRT）和定时起立行走测试（TUGT）。
在TUGT方面进行比较时，所有组之间均存在差异，即I级和II级、II级和III级、I级和III级、健康同龄人与I级、健康同龄人与II级以及健康同龄人与III级之间（p < 0.0083）。在站立位进行PFRT比较时，III级与健康同龄人之间存在差异（p < 0.0083），但其他组之间无差异。
在本研究中，我们发现DMD患儿功能水平较差会影响其动态和静态平衡参数。III级DMD患儿的动态平衡下降至健康同龄人的三分之一。
