Duchenne Musküler Distrofi'de Vücut Farkındalığının Postür ve Denge ile İlişkisi

Abstract

ABSTRACT Atay, K. The Relationship of Body Awareness with Posture and Balance in Duchenne Muscular Dystrophy. Hacettepe University Graduate School Health Sciences Programme of Neurology Physiotherapy Master's Thesis, Ankara, 2023. This study was planned to compare body awareness in Duchenne Muscular Dystrophy (DMD) with healthy peers and to examine the relationship between body awareness in DMD and posture, balance, performance, walking, ambulation and trunk control. 42 DMD children and 40 healthy children aged 6-16 years, with Brooke functional levels in the 1-4 stages, were included in the study. In our study, the Body Awareness Rate Questionnaire and photography method were used to evaluate the body awareness of children with DMD. The posture of children with DMD is the New York Posture Scale (NYPS), their balance is the Pediatric Balance Scale (PDS) and functional reaching test, their performance is the 6 Minute Walk Test, their walking is the DMD Gait Assessment Scale, their ambulation is the Northstar Ambulation Scale, their trunk checks are the Trunk Control Measurement Scale. was evaluated with. The Body Awareness Rate Questionnaire and photography method were used to evaluate the body awareness of healthy children. It was determined that there was a difference in the Mood subparameter of the Body Awareness Ratio Questionnaire between DMD and healthy children (children with DMD 27.00 points, healthy children 19.00 points), (p<0.001). It was determined that there was no difference between the body awareness of DMD and healthy children according to the photography method (p>0.05). A significant relationship was found between the feeling/emotion subparameter of the body awareness ratio questionnaire and PDS in children with DMD (r=0.41, p=0.006). In our study, it was determined that the body awareness of children with DMD was more affected by their mood than their healthy peers, that the body awareness of children with DMD was similar to their healthy peers, and that they were aware of what correct body postures should be. It was determined that the body awareness of children with DMD was related to their balance. The results of our study suggested that although body awareness was not affected in children with early DMD, body awareness assessments would be important in preventing secondary complications that may occur in the future. Key Words: Duchenne Muscular Dystrophy, Balance, Posture, Body Awareness