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Effect of Closed Kinetic Chain Exercise Via Telerehabilitation on Muscle Strength, Balance, Fatigue and Hemoglobin
Revati Chavan1, Deepa C Metgud2, Sujata Jali3
1KLE Institute of Physiotherapy, KAHER, Belagavi, Karnataka India.
Insights
Closed Kinetic Chain (CKC) exercises delivered via telerehabilitation significantly improved muscle strength, balance, and reduced fatigue in children with Beta Thalassemia Major. The 8-week program did not impact hemoglobin levels.
Area of Science:
- Pediatric Rehabilitation
- Hematology
- Exercise Physiology
Background:
- Children with Beta Thalassemia Major experience muscle weakness, bone fragility, and fatigue, impacting their quality of life.
- Strengthening exercises, particularly Closed Kinetic Chain (CKC) exercises, show promise in improving physical function.
- Telerehabilitation offers a feasible approach to deliver exercise interventions remotely.
Purpose of the Study:
- To evaluate the impact of CKC exercises via telerehabilitation on muscle strength, balance, fatigue, and hemoglobin levels in children with Beta Thalassemia Major.
Main Methods:
- A study involving 32 children (aged 8-15) with Beta Thalassemia Major, randomized into an experimental (CKC telerehabilitation) and control (education) group.
- The experimental group underwent 8 weeks of CKC exercises (30-40 minutes, twice weekly).
- Outcome measures included balance (BOT-2), muscle strength (dynamometer), fatigue (PQL-MFS), and hemoglobin levels, assessed at baseline, week 4, and week 8.
Main Results:
- Significant improvements were observed in balance (p < 0.001) and muscle strength (p < 0.001) in the experimental group.
- A significant reduction in fatigue levels (p < 0.005) was noted in children participating in the CKC exercise program.
- No significant changes in hemoglobin levels were found in either group.
Conclusions:
- An 8-week telerehabilitated CKC exercise program effectively enhances muscle strength and balance, while reducing fatigue in children with Beta Thalassemia Major.
- Telerehabilitation is a viable method for delivering physical therapy interventions to pediatric patients with chronic conditions.
- Further research may explore long-term effects and optimal exercise parameters for this population.
Abstract:
Children with thalassemia often suffer from complications such as muscle weakness, bone fragility, fatigue and reduced physical endurance. As strengthening exercises have the potential to enhance physical function, increase independence, and improve overall quality of life for thalassemic child and Closed Kinetic Chain (CKC) exercises are proven to be beneficial due to their ability to engage multiple muscle groups simultaneously, leading to improved muscle strength and balance. Therefore the aim of the study was to determine the effect of closed kinetic chain exercises via telerehabilitation on muscle strength, balance, fatigue, and haemoglobin levels in Beta Thalassemia Major children This study involved 32 children aged 8-15 years with Beta thalassemia major, divided into experimental group (n = 16) receiving CKC exercises via telerehabilitation for 30-40-minutes, twice a week for 8 weeks, the control group (n = 16) receiving education on importance of being physically activity. Outcome measures were assessed at baseline, 4th week and 8th week which included balance using Bruininks-Oseretsky Test of Motor Proficiency (BOT-2); muscle strength, measured via hand-held dynamometer; fatigue levels by (PQL-MFS); and haemoglobin levels via the spectrophotometric method The experimental group showed significant improvements in balance (p < 0.001), muscle strength (p < 0.001), and fatigue reduction (p < 0.005), but no significant changes were observed on haemoglobin levels. An 8-week CKC exercise program delivered via telerehabilitation significantly enhanced balance, muscle strength, and reduced fatigue in children with Beta Thalassemia Major, though it did not affect haemoglobin levels.
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