Efficacy of aquatic exercises on balance in children with sickle cell anemia: A randomized controlled trial

Authors

  • Omar Abd El-Hameed Abd El-Fattah Ghetas Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • Azza Abd El-Aziz Abd El-Hady Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
  • El-Sayed Ali Shaheen Ali Department of Internal Medicine, Shebeen Elkom Teaching Hospital, Minofia, Egypt.
  • Amira El-Sayed El-Bagalaty Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
DOI: https://doi.org/10.6018/sportk.591231
Keywords: Sickle Cell Anemic Children, Aquatic Exercises, Balance Measurements, Complete Blood Analysis

Abstract

The aim of this study was to investigate the efficacy of aquatic exercises on balance in children with sickle cell anemia. A randomized controlled trial was conducted. Sixty children with mild sickle cell anemia and poor balance from both sexes (35 boys and 25 girls) participated in this study. Their ages ranged from 5-10 years with a mean value of 7.30± 1.66 years in the study group (A) and 7.26 ±1.70 in the control group (B). They were divided into two equal groups: the study group (A) and the control group (B). The study group (A) consisted of 30 children (17 boys and 13 girls), who received medical treatment (prescribed by physician), balance exercises, and aquatic exercises sessions. The control group (B) consisted of 30 children (18 boys and 12 girls) who received medical treatment (prescribed by physician) and balance exercises only. The program continued for eight weeks with two sessions per week with a total of sixteen sessions. Each session lasted forty minutes for aquatic exercises sessions and thirty minutes for the balance exercises sessions. Balance was measured before and after treatment using the Pediatric Balance Scale (PBS). A complete blood analysis was performed before and after treatment. The balance functions showed a statistically significant improvement in the study group (A) (p < 0.05) with an improvement of 28.09% after treatment, while in the control group (B) the improvement was not statistically significant (p > 0.05) with a percentage of 10.93% after treatment. The mean Hb value also improved by 29.2% in the study group (A) with a statistically significant increase (p < 0.05), while in the control group (B) there was no statistically significant improvement (p > 0.05) with a percentage of 8.44% after treatment. The aquatic exercise program has a positive effect on improving balance functions in children with sickle cell anemia.

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References

Abd El-Kader, S. M., & Al-Shreef, F. M. (2018). Impact of aerobic exercises on selected inflammatory markers and immune system response among patients with sickle cell anemia in asymptomatic steady state. African Health Sciences, 18(1), 111–119. https://doi.org/10.4314/ahs.v18i1.15

Al-Naama, L. M., Hassan, M. K., & Mehdi, J. K. (2016). Association of erythrocytes antioxidant enzymes and their cofactors with markers of oxidative stress in patients with sickle cell anemia. Qatar Medical Journal, 2015(2), 14. https://doi.org/10.5339/qmj.2015.14

Anna, S., Brendan, B., Mark, M., & Mark, S. (2016). Biomechanical aspects of aquatic therapy: A literature review on application and methodological challenges. Journal of Fitness Research, 5(1), 48-62.

Asimenia, G., Paraskevi, M., Polina, S., Anastasia, B., Kyriakos, T., & Georgios, G. (2013). Aquatic training for ankle instability. Foot & Ankle Specialist, 6(5), 346–351. https://doi.org/10.1177/1938640013493461

Bento, P. C. B., Pereira, G., Ugrinowitsch, C., & Rodacki A, L. F. (2012). The effects of a water-based exercise program on strength and functionality of older adults. Journal of Aging and Physical Activity, 20(4), 469–483. https://doi.org/10.1123/japa.20.4.469

Connes, P., Machado, R., Hue, O., & Reid, H. (2011). Exercise limitation, exercise testing and exercise recommendations in sickle cell anemia. Clinical Hemorheology and Microcirculation, 49(1-4), 151–163. https://doi.org/10.3233/CH-2011-1465

Daneshjoo, A., & Yusof, A. (2016). Effects of Water and Land-based Sensorimotor Training Programs on Static Balance among University Students. International Journal of Applied Exercise Physiology, 5(2), 12-19.

Dehkordi, A. H., Hasani, T., Fekri, K., Deris, F., & Etemadifar, S. (2020). Effects of Aquatic Exercise on Dimensions of Quality of Life and Blood Indicators in Patients with Beta-Thalassemia Major. International Journal of Preventive Medicine, 11, 128. https://doi.org/10.4103/ijpvm.IJPVM_290_19

Esoh, K., Wonkam-Tingang, E., & Wonkam, A. (2021). Sickle cell disease in sub-Saharan Africa: transferable strategies for prevention and care. The Lancet Haematology, 8(10), 744–755. https://doi.org/10.1016/S2352-3026(21)00191-5

Gellen, B., Messonnier, L. A., Galactéros, F., Audureau, E., Merlet, A. N., Rupp, T., Peyrot, S., Martin, C., Féasson, L., Bartolucci, P., & EXDRE collaborative study group. (2018). Moderate-intensity endurance-exercise training in patients with sickle-cell disease without severe chronic complications (EXDRE): an open-label randomised controlled trial. The Lancet Haematology, 5(11), 554–562. https://doi.org/10.1016/S2352-3026(18)30163-7

Grau, M., Nader, E., Jerke, M., Schenk, A., Renoux, C., Dietz, T., Collins, B., Bizjak, D. A., Joly, P., Bloch, W., Prokop, A., & Connes, P. (2019). Impact of A Six Week Training Program on Ventilatory Efficiency, Red Blood Cell Rheological Parameters and Red Blood Cell Nitric Oxide Signaling in Young Sickle Cell Anemia Patients: A Pilot Study. Journal of Clinical Medicine, 8(12), 2155. https://doi.org/10.3390/jcm8122155

Hagag, A. A., El-Farargy, M. S., Elrefaey, S., & Abo El-enein, A. M. (2016). Study of gonadal hormones in Egyptian female children with sickle cell anemia in correlation with iron overload: Single center study. Hematology/Oncology and Stem Cell Therapy, 9(1), 1–7. https://doi.org/10.1016/j.hemonc.2015.11.005

Ilona, I., Eugenia, R., Germina, C., & Ligia, R. (2015). Effectiveness of Aquatic Exercises Program to improve the level of physical fitness for Children with Disabilities. Journal of Sport and Kinetic Movement, 2(26), 137.

Inusa, B. P. D., Hsu, L. L., Kohli, N., Patel, A., Ominu-Evbota, K., Anie, K. A., & Atoyebi, W. (2019). Sickle Cell Disease-Genetics, Pathophysiology, Clinical Presentation and Treatment. International Journal of Neonatal Screening, 5(2), 20. https://doi.org/10.3390/ijns5020020

Kim, K. H., Lee, B. A., & Oh, D. J. (2018). Effects of aquatic exercise on health-related physical fitness, blood fat, and immune functions of children with disabilities. Journal of Exercise Rehabilitation, 14(2), 289–293. https://doi.org/10.12965/jer.1836068.034

Kim, K., Lee, D. K., & Kim, E. K. (2016). Effect of aquatic dual-task training on balance and gait in stroke patients. Journal of Physical Therapy Ccience, 28(7), 2044–2047. https://doi.org/10.1589/jpts.28.2044

Lee, K. J., Lee, M. M., Shin, D. C., Shin, S. H., & Song, C. H. (2014). The effects of a balance exercise program for enhancement of gait function on temporal and spatial gait parameters in young people with intellectual disabilities. Journal of Physical Therapy Science, 26(4), 513–516. https://doi.org/10.1589/jpts.26.513

Merlet, A. N., Chatel, B., Hourdé, C., Ravelojaona, M., Bendahan, D., Féasson, L., & Messonnier, L. A. (2019). How Sickle Cell Disease Impairs Skeletal Muscle Function: Implications in Daily Life. Medicine and Science in Sports and Exercise, 51(1), 4–11. https://doi.org/10.1249/MSS.0000000000001757

Methajarunon, P., Eitivipart, C., Diver, C. J., & Foongchomcheay, A. (2016). Systematic review of published studies on aquatic exercise for balance in patients with multiple sclerosis, Parkinson's disease, and hemiplegia. Hong Kong Physiotherapy Journal, 35, 12–20. https://doi.org/10.1016/j.hkpj.2016.03.002

Oviedo, G. R., Guerra-Balic, M., Baynard, T., & Javierre, C. (2014). Effects of aerobic, resistance and balance training in adults with intellectual disabilities. Research in Developmental Disabilities, 35(11), 2624–2634. https://doi.org/10.1016/j.ridd.2014.06.025

Pozzi, F., Snyder-Mackler, L., & Zeni, J. (2013). Physical exercise after knee arthroplasty: a systematic review of controlled trials. European Journal of Physical and Rehabilitation Medicine, 49(6), 877–892.

Pugh, C. J., Sprung, V. S., Ono, K., Spence, A. L., Thijssen, D. H., Carter, H. H., & Green, D. J. (2015). The effect of water immersion during exercise on cerebral blood flow. Medicine and Science in Sports and Exercise, 47(2), 299–306. https://doi.org/10.1249/MSS.0000000000000422

Sibley, K. M., Beauchamp, M. K., Van Ooteghem, K., Paterson, M., & Wittmeier, K. D. (2017). Components of Standing Postural Control Evaluated in Pediatric Balance Measures: A Scoping Review. Archives of Physical Medicine and Rehabilitation, 98(10), 2066–2078 https://doi.org/10.1016/j.apmr.2017.02.032

Tinti, G., Somera, R., Jr, Valente, F. M., & Domingos, C. R. (2010). Benefits of kinesiotherapy and aquatic rehabilitation on sickle cell anemia. A case report. Genetics and Molecular Research, 9(1), 360–364. https://doi.org/10.4238/vol9-1gmr722

Waked, I. (2017). Recommended Physical Therapy Program for Improving Quality of Life for Patients with Sickle Cell Anemia. International Journal of Health Sciences & Research, 7(1), 163-173.

Wanees, B., & Mohamed, I. (2016). Comparing the Effects of Aquatic and Land-Based Exercises on Balance and Walking in Spastic Diplegic Cerebral Palsy Children. The Medical Journal of Cairo University, 84(1), 1-8.

Williams, N. (2017). The Borg Rating of Perceived Exertion Scale (RPE). Occupational Medicine, 67(5), 404 – 405.

Yusniel, L., Odonel, B., & Betania, R. (2017). Physical rehabilitation of children with falciform anemia. Revista científica OLIMPIA, 14(42), 66-76.

Zanoni, C. T., Galvão, F., Cliquet Junior, A., & Saad, S. T. (2015). Pilot randomized controlled trial to evaluate the effect of aquatic and land physical therapy on musculoskeletal dysfunction of sickle cell disease patients. Revista Brasileira de Hematologia e Hemoterapia, 37(2), 82–89. https://doi.org/10.1016/j.bjhh.2014.11.010

Published
01-11-2023
How to Cite
Abd El-Fattah Ghetas, O. A. E.-H., Abd El-Hady, A. A. E.-A., Shaheen Ali, E.-S. A., & El-Sayed El-Bagalaty, A. (2023). Efficacy of aquatic exercises on balance in children with sickle cell anemia: A randomized controlled trial. SPORT TK-EuroAmerican Journal of Sport Sciences, 12, 18. https://doi.org/10.6018/sportk.591231
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