Biodex balance system training versus treadmill training on balance in children with lower limb burns

Ragaee Saeed Mahmoud; Sarah Sami Abdelaziz; Radwa Said Ahmed

doi:10.53730/ijhs.v6nS7.12980

Authors

Ragaee Saeed Mahmoud
ragaeesaeedpt@yahoo.com
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, South Valley University, Qena, Egypt
Sarah Sami Abdelaziz Department of Physical Therapy for Surgery, Faculty of Physical Therapy, Modern University for Technology and Information, Cairo, Egypt. ORCID: (0000-0003-4555-8406)
Radwa Said Ahmed Department of Physical Therapy for Pediatrics and Its Surgery, Faculty of Physical Therapy, Modern University for Technology and Information, Cairo, Egypt. ORCID: (0000-0003-4252-450X)

Keywords:

Balance, Biodex balance system training, Burn, Children, Lower Limb, Treadmill training

Abstract

Purpose: The purpose of this research is to compare the effectiveness of Biodex Balance System training against treadmill training in helping children with lower limb burns regain their balance. Methods: Forty children (both boys and girls) who were suffering from second degree burns of their lower limb with ≥30% of their total body surface area (TBSA) were took part in this research, they were between the ages of 8 to 16, moreover, they were split equally between two groups (A and B). While both Group A and Group B participated in conventional physical therapy, Group A trained with the Biodex Balancing Device while Group B used treadmill training. The children participated in this study were assessed by Biodex Balance System and they were evaluated before and after the treatment program that applied three sessions per week for eight consecutive weeks. Results: The results showed that there was a statistically significant difference between the groups before and after treatment on all outcome measures assessed. Post-test mean values for all assessed variables also revealed substantially significant differences favoring the group (B) (P< 0.05).

Downloads

Download data is not yet available.

References

Porter C, Hardee J, Herndon DN, Suman OE. The role of exercise in the rehabilitation of patients with severe burns. Exerc. Sport Sci. Rev. 2015; 43 (1): 34 – 40.

Hardee JP, Porter C, Sidossis LS, Børsheim E, Carson JA, Herndon DN, Suman OE. Early Rehabilitative Exercise Training in the Recovery from Pediatric Burn. Med. Sci. Sports Exerc. 2014; 46 (9): 1710 – 1716.

Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur. J. Phys. Rehabil. Med. 2010; 46 (2): 239 – 248.

Ohgi S, Gu S. Pediatric burn rehabilitation: Philosophy and strategies. Burns Trauma. 2013; (2): 73 – 79.

Ali ZMI, El-Refay BH, Ali RR. Aerobic exercise training in modulation of aerobicphysical fitness and balance of burned patients. J. Phys. Ther. Sci. 2015; 27: 585 – 589.

El-gohary TM, Emara HA, Al-Shenqiti A, Hegazy FA. Biodex balance training versus conventional balance training for children with spastic diplegia". J. Taib. Univ.Med. Sci. 2017; 12 (6): 534 – 540.

El-Meniawy GH, Kamal HM, Elshemy SA. Role of treadmill training versus suspension therapy on balance in children with Down syndrome. Egy. J. Med. Hum. Gene. (2012); 13: 37 – 43.

Benjamina NC, Andersena CR, Herndona DN, Suman OE. The effect of lower body burns on physical function. Burns. 2015; 41 (8): 1653 – 1659.

Kim J, Shin W. How to do random allocation (randomization). Clin. Orthop. Surg. 2014; 6 (1):103 – 109.

Hinman M. Factors affecting reliability of the Biodex balance system: a summary of four studies. Sport Rehab. 2010; 9 (2): 240 – 252.

Cachupe WJ, Shifflett B, Kahanov L, Wughalter EH. Reliability of Biodex Balance System measures. Meas. Phys. Educ. Exerc. Sci.; 2001; 5 (2): 97 – 108.

Schmitz R, Arnold B. Inter-tester and intra-tester reliability of the Biodex Stability System. J. Sport Rehabil.; 1998; 7 (2): 95 – 101.

Alsakhawi RS, Elshafey MA. Effect of Core Stability Exercises and Treadmill Training on Balance in Children with Down Syndrome: Randomized Controlled Trial. Adv. Ther. 2019; 36 (9): 2364 – 2373.

Combs SA, Dugan EL, Passmore M, Riesner C, Whipker D, Yingling E, Curtis AB. Balance, balance confidence, and health-related quality of life in persons with chronic stroke after bodyweight supported treadmill training. Arch. Phys. Med. Rehabil. 2010; 91 (12): 1914 – 4550 1919.

Smith BA, Kubo M, Black DP, Holtr G, Mirich BD. Effect of practice on a novel task – walking on a treadmill: preadolescents with and without Down syndrome. Phys. Ther. 2007; 87 (6): 766 – 777.

Khalaf MMA, El-Okby HMK. Treadmill Training As an Adjunctive Physical Therapy Modality to Improve Gait Deviations in Children with Lower Limb Burn Injury. Bull. Fac. Ph. Th. Cairo Univ. 2006; 11 (2): 127 – 134.

Chao T, Porter C,Herndon DN, Siopi A, Ideker H, Mlcak RP, Sidossis LS, Suman OE. Propranolol and Oxandrolone Therapy Accelerated Muscle Recovery in Burned Children. Med. Sci. Sports Exerc. 2018; 50 (3): 427 – 435.

El-gohary TM, Khaled OA, Ibrahim SR, Al-shenqiti AM, Ibrahim MI. Effect of proprioception cross training on repositioning accuracy and balance among healthy individuals. J. Phys. Ther. Sci. 2016; 28 (11): 3178 – 3182.

Elangovan N, Herrmann A, Konczak J. Assessing proprioceptive function: evaluating joint position matching methods against psychophysical thresholds. Phys. Ther. 2014; 94 (4): 553-561.

Cho C, Hwang W, Hwang S, Chung Y. Treadmill Training with Virtual Reality Improves Gait, Balance, and Muscle Strength in Children with Cerebral Palsy. Tohoku J. Exp. Med. 2016; 238 (3): 213 – 218.

Matsuno VM, Camargo MR, Palma GC, Alveno D, Barela AM. Analysis of partial body weight support during treadmill and overground walking of children with CP. Rev. Bras. Fisider. 2010; 14 (5): 124 – 131.

Tulchin K, Orendurff M, Karol L. A comparison of multisegmentfoot kinematics during level over ground and treadmill walking. Gait Posture 2010; 3 (2) 104 – 108.

Dal U, Erdogan T, Resitoglu B, Beydagi H. Determination of preferred walking speed on treadmill may lead to high oxygen cost on treadmill walking. Gait Posture 2010; 31 (3): 366 – 369.

Suman OE, Mlcak RP, Herndon DN: Effect of exercise training on pulmonaryfunction in children with thermal injury. J. Burn Care Rehabil. 2002; 23 (1): 288 – 293.

De Lateur BJ, Magyar-Russell G, Bresnick MG, Bernier FA, Ober MS, Krabak BJ, Ware L, Hayes MP, Fauerbach JA. Augmented exercise in the treatment of deconditioning from major burn injury. Arch. Phys. Med. Rehabil. 2007; 88 (12): 18 – 23.

Ulrich DA, Ulrich BD, Angulo-Kinzler RM, Yun J. Treadmill training of infants with Down syndrome: evidence-based developmental outcomes. Pediatrics 2001; 108 (5):84 – 91.

Carmeli E, Bar-Crad S, Lotan M, Coleman R. Five clinical tests to assess balance following ball exercises and treadmill training in adult persons with intellectual disability. J. Gerontol. Series A-Biol. Sci. Med. Sci. 2003; 58 (8): 767 – 772.

Clayton RP, Wurzer P, Clark R. Andersen CR, Mlcak RP, Herndon DN,Suman OE. Effects of different duration exercise programs in children with severe burns. Burns. 2017; 43 (4): 796 – 803.

Cambiaso-Daniel J, Rivas E, Carson JS, Hundeshagen G, Lopez ON, Glover SQ, Herndon DN, Suman OE. Cardiorespiratory Capacity and Strength Remain Attenuated in Children with Severe Burn Injuries at Over 3 Years. Postburn. J. Pediatr. 2018; 192 (1): 152 – 158.

Pena R, Ramirez LL, Crandall CG, Wolf SE, Herndon DN, Suman OE. Effects of community based exercise in children with severe burns: A randomized trial. Burns.2016; 42 (1): 41 – 47