Evaluatıon Of Motor Performance Level, Muscle Strength, Balance, And Paın In Chıldren Dıagnosed Wıth Sıckle Cell Anemıa


Thesis Type: Doctorate

Institution Of The Thesis: Gazi University, Sağlık Bilimleri Enstitüsü, FİZYOTERAPİ VE REHABİLİTASYON ANABİLİM DALI, Turkey

Approval Date: 2020

Thesis Language: Turkish

Student: YAĞMUR ÇAM

Supervisor: İlke Keser

Abstract:

This study aims to evaluate the motor performance, muscle strength, balance, and pain

level in children diagnosed with Sickle Cell Anemia and to compare them with children

with typical development. Motor performance, limb muscle strength, maximal hand-grip

strength, "pinch" strength, balance, lower extremity muscle strength-endurance, and pain

were evaluated with the Bruininks-Oseretsky Motor Proficiency Test-2 Short Form,

JTECH Digital Hand Dynamometer, BASELINE Hydraulic Hand Dynamometer,

BASELINE Hydraulic Pinch Dynamometer, Timed Up & Go Test, 30 Second Sit-to-Stand

Test, and Wong-Baker FACES Pain Rating Scale, respectively. The motor performance

level, extremity muscle strength, maximal hand-grip strength, and pinch strength values

were found to be lower in the Sickle Cell Anemia group compared to the control group.

The number of vaso-occlusive pain crisis was 6,83 ± 6,88, the number of blood

transfusions was 8,6 ± 6,77, and the pain severity was 4 point. It was found that there was a

difference in all parameters between the two groups (p<0,05). It was found that children

diagnosed with Sickle Cell Anemia have less motor performance level, muscle strength

and balance than their peers with typical development and experience pain. The results of

this study revealed the necessity of comprehensive physiotherapy evaluations including the

motor function effects caused by symptoms of Sickle Cell Anemia in children and the need

for the development of recommendation, treatment and rehabilitation protocols.

Science Code : 1 0 2 4

Key Words : D e velopmental Delay, Fine Motor Skills, Musculoskeletal System,

Motor Proficiency, Vaso-Occlusive Pain Crisis