Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Atilim University, Ankara, Turkey.
Pediatr Pulmonol. 2020 Sep;55(9):2341-2347. doi: 10.1002/ppul.24903. Epub 2020 Jun 22.
Extrapulmonary involvement such as balance and reaction time is unclear in cystic fibrosis (CF) patients. The aim of this study was to evaluate visuomotor reaction time (VMRT) and dynamic balance in children with CF and non-CF bronchiectasis compared to healthy children.
DESIGN/METHODS: Demographic and clinical characteristics were recorded. All children were evaluated with pulmonary function test (PFT) using a spirometer, incremental shuttle walk test (ISWT) for exercise capacity, Fitlight Trainer for VMRT, and functional reach test (FRT) for dynamic balance.
Fourteen children with CF (10.71 ± 2.94 years, 7 females), 17 children with non-CF bronchiectasis (12.75 ± 2.81 years, 8 females), and 21 healthy children (11.36 ± 3.28 years, 11 females) were included. Children with CF had longer total VMRT (P = .027), poorer FRT performance (P = .001), and shorter ISWT distances (P = .03) compared to the children with non-CF bronchiectasis and controls. Although total VMRT was longest in the CF group, there was no significant difference in mean VMRT among the CF, non-CF bronchiectasis, and control groups (P > .05).
Dynamic balance and VMRT show greater impairment in children with CF than in children with non-CF bronchiectasis compared to healthy controls. Our findings suggest that VMRT and dynamic balance should be taken into consideration for assessments and exercise programs in pulmonary rehabilitation.
囊性纤维化(CF)患者的肺外表现,如平衡和反应时间尚不清楚。本研究旨在评估 CF 患儿和非 CF 支气管扩张症患儿与健康儿童相比的视动反应时(VMRT)和动态平衡。
方法/设计:记录人口统计学和临床特征。所有儿童均使用肺活量计进行肺功能测试(PFT)、递增穿梭步行测试(ISWT)评估运动能力、Fitlight Trainer 评估 VMRT、功能性伸展测试(FRT)评估动态平衡。
纳入 14 例 CF 患儿(10.71±2.94 岁,7 名女性)、17 例非 CF 支气管扩张症患儿(12.75±2.81 岁,8 名女性)和 21 名健康儿童(11.36±3.28 岁,11 名女性)。与非 CF 支气管扩张症患儿和对照组相比,CF 患儿的总 VMRT 更长(P=0.027)、FRT 表现更差(P=0.001)、ISWT 距离更短(P=0.03)。尽管 CF 组的总 VMRT 最长,但 CF、非 CF 支气管扩张症和对照组之间的平均 VMRT 无显著差异(P>0.05)。
与健康对照组相比,CF 患儿的动态平衡和 VMRT 受损程度大于非 CF 支气管扩张症患儿。我们的研究结果表明,VMRT 和动态平衡应纳入肺康复评估和运动方案中。