Musculoskeletal System Status, Sleep and Quality of Life of Children with Acute Lymphoblastic Lymphoma During Hospitalization: A Descriptive Pilot Study

Year 2018, Volume: 2 Issue: 1, 31 - 38, 17.01.2018

Ayşe Numanoğlu Akbaş , Muhammet Fatih Uysal Nuriye Özengin

Abstract

Aim: The aim of this study is to analyze and present the
status about muscle strength, gross motor function, functional mobility, sleep
and quality of life of children with Acute Lymphoblastic Lymphoma (ALL) during
hospitalization.

Methods:
Children
diagnosed as ALL, between 4-18 ages, having medical treatment at hospital were
included in this study. Children with any other neurologic or metabolic
diseases and children whose cancer reoccurred didn’t include. For all of the
children information recorded about age (year), height (cm), body mass (kg),
gender, exercise background, recurrent of the cancer and medical treatment.
Assessment scales that are used in this study were; Gross Motor Functions
Measurement (GMFM), Timed Up and Go (TUG) test,
sit-to-stand test,
1 minute walk test (1 MWT), Functional
Independence Measure for Children (WeFIM), Impact on Family Scale (IPFAM), Pediatric Quality of Life Inventory (PedsQL) (Cancer Module) Parent Proxy Report and Children’s
Sleep Habits Questionnaire Short Form (CSHQ). We presented descriptive analyses as minimums,
maximums, means and standard deviations for continuous variables and minimums,
maximums, medians and standard errors for categorical variables. We set the
level of significance at p<0.05.

Results:
We included 7
children (5 girls and two boys) and parents in this study. Mean age of the
children was 6.86 ±4.48.  In our sample mean value of GMFM-66 was
67.65±15.57, TUG was 11.69±5.10, 1 MWT was 55.81±23.81, sit-to-stand test was
23.69±6.81, IPFAM total score was 72.71±4.34, CSHQ total score was 48.71±2.87, WeeFIM
total score was 100.57±7.27 and PedsQL total
score was 64.29±19.17

Conclusion:
According to the
study ALL affects musculoskeletal status, quality of life, family impairment
and sleep habits of the children. We think muscle strengthening exercises and
activity focused interventions could be effective and should be studied in new
research in the rehabilitation of ALL.

Keywords

Acute Lymphoblastic Lymphoma, Physiotherapy, Gross Motor Function, Sleep

AKUT LENFOBLASTİK LENFOMA'LI ÇOCUKLARDA HOSPİTALİZASYON SÜRECİNDE KAS İSKELET SİSTEMİNİN DURUMU, UYKU VE YAŞAM KALİTESİ: TANIMLAYICI PİLOT ÇALIŞMA

Abstract

Amaç: Bu çalışmanın amacı Akut Lenfoblastik Lenfoma'lı (ALL)
çocuklarda hospitalizasyon sürecinde kas kuvveti, kaba motor fonksiyon, fonksiyonel
mobilite, uyku ve yaşam kalitesi ile ilgili durumları analiz etmek ve
sunmaktır.

Metod: Bu çalışmaya, ALL teşhisi konulan 4-18 yaşlar
arasında, hastanede tıbbi tedavi gören çocuklar dâhil edildi. Başka bir
nörolojik veya metabolik hastalığı olan çocuklar ile kanseri tekrarlayan
çocuklar dâhil edilmedi. Tüm çocuklar için; yaş (yıl), boy (cm), vücut ağırlığı
(kg), cinsiyet, egzersiz geçmişi, kanserin tekrarlayıp tekrarlamadığı ve tıbbi
tedavileri hakkında bilgiler kaydedildi. Bu çalışmada kullanılan değerlendirme
ölçekleri; Kaba Motor Fonksiyon Ölçümü (GMFM), Zamanlı Kalk Yürü Testi (TUG),
Otur-Kalk Testi, 1 Dakikalık Yürüme Testi (1 MWT), Çocuklar için Fonksiyonel
Bağımsızlık Ölçeği (WeFIM), Aile Etkilenim Ölçeği (IPFAM), Pediatrik Yaşam
Kalitesi Envanteri Ebeveyn Raporu (PedsQL) (Kanser Modülü) ve Çocuk Uyku Alışkanlıkları Anketi Kısa
Formu'ydu (CSHQ). Tanımlayıcı analizler;
sürekli değişkenler için minimum, maksimum, ortalama ve standart sapma ve
kategorik değişkenler için minimum, maksimum, medyan ve standart hata olarak
sunuldu. İstatistiksel anlamlılık seviyesi olarak p <0.05'i belirlendi.

Bulgular: Çalışmaya 7 çocuk (5 kız, iki erkek) ve anne-baba dâhil edildi. Çocukların yaş ortalaması 6.86 ± 4.48 idi. Örneklemden elde edilen ortalama değerler; GMFM-66: 67.65 ± 15.57, TUG: 11.69 ± 5.10, 1 MWT: 55.81 ± 23.81, Otur-Kalk Testi: 23.69 ± 6.81, IPFAM toplam puanı: 72.71 ± 4.34, CSHQ toplam puanı: 48.71 ± 2.87, WeeFIM toplam puanı: 100.57 ± 7.27 ve PedsQL toplam puanı: 64.29 ± 19.17 şeklindeydi.

Sonuç:
Çalışmamızın sonuçlarına göre, ALL; hospitalizasyon sürecinde
kas iskelet sistemini, yaşam kalitesini, aile etkilenimini ve çocukların uyku
alışkanlıklarını etkilemektedir. Kas güçlendirme egzersizleri ve aktiviteye
odaklı müdahalelerin ALL'nin rehabilitasyonunda etkili olabileceğini, yeni
çalışmalarda araştırılması gerektiğini düşünüyoruz.

Keywords

Akut Lenfoblastik Lenfoma, Fizyoterapi, Kaba Motor Fonksiyon, Uyku

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