Aerobic Capacity Muscle Strength and Health Related Quality of Life in Children With Chronic Liver Disease

Aerobic Capacity Muscle Strength and Health Related Quality of Life in Children With Chronic Liver Disease

Physical therapy program for children with chronic liver disease consist of gait training, strengthening ex for UL&ll, stretching exercise to improve physical fitness and quality of life

Intervention study for one group of children diagnosed with chronic liver disease ages more than 6ys, study include assessment and intervention, assessment of 6MWt, grip strength by hand held dynamometer, quadriceps strength by Lafayette, al children subjected to laboratory investigation pre and post of study completion, anthropometric measure, quality of life and fatigue assessment then all children will perform physical therapy program of gait training muscle strengthening for 8 week

Inclusion Criteria:

• Their age ranged from7 to14 years old.
• Residence in Cairo to be able to attend the rehabilitation program.
• Diagnosis of CLD as (Wilson disease, autoimmune hepatitis, chronic cholestasis , ….etc).
• All children were medically stabled
• All children had the same socioeconomic status

Exclusion Criteria:

• Complication that prevent children from performing maximal exercise test as fracture of both upper and lower limbs, cardiovascular instability and muscle disease in patient with glycogen storage disease(GSD) or abnormal creatine phosphokinase(CPK).
• Patients with cognitive and motor disorders as in case of hepatic encephalopathy and or ascites.
• Patients who underwent liver transplantation.
• Patient with end stage liver disease.
• History of variceal bleeding from one month ago or less.
• No other system disease (chest, cardiac and nervous system).
• Medical examination no hernia.