Static postural balance evaluation and an investigation of the relationship with joint health in children with severe haemophilia: a controlled cross-sectional study

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dc.contributor.authorTat, Necati M.
dc.contributor.authorTat, Ayse M.
dc.contributor.authorOner, Ahmet F.
dc.contributor.authorKaraman, Kamuran
dc.contributor.authorKaplan, Seyhmus
dc.contributor.authorCan, Filiz
dc.date.accessioned2024-02-23T14:24:14Z
dc.date.available2024-02-23T14:24:14Z
dc.date.issued2021
dc.departmentNEÜen_US
dc.description.abstractIntroduction Recurrent hemarthroses disturbing force/movement control are likely to impair postural balance. Aim To investigate the possible changes in static postural balance parameters in children with haemophilia (CwH) and to reveal its relationship with Haemophilia Joint Health Score (HJHS). Methods Twenty-one CwH aged 6-18 who had haemophilic arthropathy in at least one lower limb joint and 21 healthy peers were evaluated by using a force platform. Centre of pressure (CoP) signals were displayed as a map in both anteroposterior direction (APD) and mediolateral direction (MLD) by statokinesigram. Accordingly, the amplitude, velocity and standard deviation of CoP displacements along with the perimeter and ellipse area were measured. Assessments were made under eyes opened and eyes closed in bipedal stance for 60 s. Joint health and muscle strength were evaluated with HJHS and digital dynamometer, respectively. Results Velocity and amplitude of CoP displacements in MLD were increased in CwH (p<0.05). It was also found that these parameters were moderate correlated with the clinical score of the lower limb joints (p<0.05). In CwH, standard deviation of CoP displacements in the APD was significantly higher in eyes closed, while standard deviation in MLD was significantly higher in eyes opened (p<0.05). Conclusion Disturbances during bipedal stance reveal the need for balance evaluation in CwH. Increased mediolateral oscillations may be an early sign of disorders of the musculoskeletal system in CwH. In addition to improving joint health, postural balance exercises that increase MLD stability have to be included in the rehabilitation programme of CwH.en_US
dc.identifier.doi10.1111/hae.14240
dc.identifier.endpageE252en_US
dc.identifier.issn1351-8216
dc.identifier.issn1365-2516
dc.identifier.issue2en_US
dc.identifier.pmid33486846en_US
dc.identifier.scopus2-s2.0-85099837164en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageE245en_US
dc.identifier.urihttps://doi.org/10.1111/hae.14240
dc.identifier.urihttps://hdl.handle.net/20.500.12452/13849
dc.identifier.volume27en_US
dc.identifier.wosWOS:000610785000001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofHaemophiliaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArthropathyen_US
dc.subjectBalanceen_US
dc.subjectChildrenen_US
dc.subjectHaemophiliaen_US
dc.subjectJoint Healthen_US
dc.titleStatic postural balance evaluation and an investigation of the relationship with joint health in children with severe haemophilia: a controlled cross-sectional studyen_US
dc.typeArticleen_US

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