Turkiye Klinikleri Journal of Pediatrics

.: REVIEW
Factors Shaping Physical Activity Levels in Children with Epilepsy-A Rehabilitation Perspective: Traditional Review
Epilepsili Çocuklarda Fiziksel Aktivite Düzeylerini Şekillendiren Faktörler-Bir Rehabilitasyon Perspektifi: Geleneksel Derleme
Merve KURT AYDINa,b, Dilan SAVAŞ KALENDERc , Tülay TARSUSLUd
aİzmir Kâtip Çelebi University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, İzmir, Türkiye
bİzmir Kâtip Çelebi University Physiotherapy and Rehabilitation Research and Application Center, İzmir, Türkiye
cDokuz Eylül University Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, İzmir, Türkiye
dDokuz Eylül University Faculty of Physical Therapy and Rehabilitation, Department of Neurological Physiotherapy-Rehabilitation, İzmir, Türkiye
Turkiye Klinikleri J Pediatr. 2025;34(1):27-34
doi: 10.5336/pediatr.2024-104909
Article Language: EN
Full Text
ABSTRACT
 From past to present, epilepsy, a long-term neurological condition marked by recurrent unprovoked seizures, has been linked to limitations in physical activity. Despite the proven benefits of exercise or physical activity in children with epilepsy, unfounded beliefs and misinformation, such as the idea that physical activity can trigger seizures or is dangerous for children with epilepsy, can influence attitudes of families and children about it, potentially leading to reduced participation in physical activities. The International League Against Epilepsy recommends physical activity for individuals diagnosed with epilepsy, highlighting that the benefits outweigh the risks. In 2016, the International League Against Epilepsy supported safe participation in sports for individuals with epilepsy, categorizing sports by their potential risk of injury or death during a seizure: minimal, moderate, or high risk. Swimming, water skiing, and sailing should be approached with caution and preferably conducted under supervision. For sports like bicycle racing, horseback riding, and gymnastics should be considered according to individual characteristics. Aerobic exercise is generally recommended for nearly all individuals with epilepsy. When recommending physical activity, it is important to consider the benefit/risk ratio, personal characteristics, seizure characteristics, and the nature of the physical activity. Physical activity can potentially reduce seizure frequency, improve mood and cognitive function, enhance overall physical health, and mitigate comorbidities which might result from epilepsy or its treatment, such as obesity and decreased bone quality. Therefore, children and adolescents should be encouraged to participate in sports activities at school or in recreational settings, while taking into account the associated risk classifications.

Keywords: Epilepsy; aerobic exercise; seizure; physical activity
ÖZET
 Geçmişten bu yana, tekrarlayan provoke edilmemiş nöbetlerle kendini gösteren uzun süreli nörolojik bir durum olan epilepsi, fiziksel aktivite sınırlamalarıyla ilişkilendirilmiştir. Epilepsili çocuklarda egzersiz veya fiziksel aktivitenin kanıtlanmış faydalarına rağmen fiziksel aktivitenin nöbetleri tetikleyebileceği veya epilepsili çocuklar için tehlikeli olduğu fikri gibi asılsız inançlar ve yanlış bilgiler, ailelerin ve çocukların bu konuya yaklaşımını etkileyerek fiziksel aktivitelere katılımın azalmasına neden olabilmektedir. Uluslararası Epilepsi ile Savaş Ligi, epilepsi teşhisi konmuş bireyler için fiziksel aktiviteyi tavsiye etmekte ve faydalarının risklerinden daha ağır bastığını vurgulamaktadır. Uluslararası Epilepsi ile Savaş Ligi, 2016 yılında epilepsili bireylerin spora güvenli bir şekilde katılımını desteklemiş ve sporları nöbet sırasında yaralanma veya ölüm riskine göre kategorize etmiştir: minimal, orta veya yüksek risk. Yüzme, su kayağı ve yelken gibi aktivitelere dikkatle yaklaşılmalı ve tercihen gözetim altında yapılmalıdır. Bisiklet yarışı, ata binme ve jimnastik gibi sporlar için bireysel özellikler dikkate alınmalıdır. Aerobik egzersiz genellikle epilepsisi olan neredeyse tüm bireyler için önerilmektedir. Fiziksel aktivite önerirken fayda/risk oranını, kişisel özellikleri, nöbet özelliklerini ve fiziksel aktivitenin doğasını göz önünde bulundurmak önemlidir. Fiziksel aktivite potansiyel olarak nöbet sıklığını azaltabilir, ruh hâlini ve bilişsel işlevi iyileştirebilir, genel fiziksel sağlığı geliştirebilir ve obezite ve azalmış kemik kalitesi gibi epilepsi ile ilişkili komorbiditeleri hafifletebilir. Bu nedenle, çocuklar ve ergenler, ilgili risk sınıflandırmaları dikkate alınarak, okulda veya eğlence ortamlarında spor faaliyetlerine katılmaya teşvik edilmelidir.

Anahtar Kelimeler: Epilepsi; aerobik egzersiz; nöbet; fiziksel aktivite
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"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com