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Balance evaluation in haemophilic preadolescent patients using Nintendo Wii Balance Board ®
Author(s) -
PérezAlenda S.,
Carrasco J. J.,
AguilarRodríguez M.,
MartínezGómez L.,
QuerolGiner M.,
CuestaBarriuso R.,
TorresOrtuño A.,
Querol F.
Publication year - 2017
Publication title -
haemophilia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.213
H-Index - 92
eISSN - 1365-2516
pISSN - 1351-8216
DOI - 10.1111/hae.13128
Subject(s) - haemophilia , medicine , balance (ability) , physical therapy , physical medicine and rehabilitation , force platform , surgery
Alterations in the musculoskeletal system, especially in the lower limbs, limit physical activity and affect balance and walking. Postural impairments in haemophilic preteens could increase the risk of bleeding events and deteriorate the physical condition, promoting the progression of haemophilic arthropathy. Aim This study aims to evaluate static postural balance in haemophilic children, assessed by means of the Wii Balance Board ® ( WBB ). Methods Nineteen children with haemophilia and 19 without haemophilia aged 9–10 years, have participated in this study. Postural balance was assessed by performing four tests, each one lasting 15 s: bipodal eyes open ( BEO ), bipodal eyes closed ( BEC ), monopodal dominant leg ( MD ) and monopodal non‐dominant leg ( MND ). Two balance indices, standard deviation of amplitude ( SDA ) and standard deviation of velocity ( SDV ) were calculated in the anterior–posterior ( AP ) and medial–lateral ( ML ) directions. Results Index values were higher in haemophilic group and the differences were statistically significant ( P < 0.05) in only six ( SDAAP in BEO , BEC and MD conditions, SDAML in BEO , SDVAP in BEO and SDVML in MND condition) of 16 parameters analysed. Conclusion Tests performed indicate a poorer static postural balance in the haemophilic cohort compared to the control group. Accordingly, physiotherapy programmes, physical activity and sports should be designed to improve the postural balance with the aim of preventing joint deterioration and improving quality of life.