Relation Analysis of Range of Motion and Motor Ability in Adult with Cerebral Palsy

Abstract

Studies so far have not clarified the relationship with ROM by directly measuring the motor ability in adult with cerebral palsy, even though ROM is closely related to motor ability. Therefore, the purpose of this study is to reveal the relationship between AROM and motor ability based on the close relationship between ROM and motor ability of cerebral palsy.BR The subjects of this study were 101 adults with cerebral palsy (63 men and 38 women, 36.4±8.9 years old in average age, 162.8±9.6 cm in average height, 59.6±11.2 kg in weight, and 22.5±3.7 kg･m-2 in BMI) using three cerebral palsy welfare centers in Korea.BR The ROM measurement was performed by measuring the AROM (Active Range of Motion), and the items were 25 parts of 7 regions of the whole body. In addition, the motor ability measurements were a total of 10 items of motor ability (grip strength, shoulder strength, sit-up, left-back, and softball throwing) which mainly uses the upper extremities, and 5 items of motor ability (50 m running, side steps, single leg stance, standing long jump and 10 m shuttle run test).BR As a result of analyzing the correlation between AROM and motor ability, significant correlation with all exercise abilities was recognized in the ablation and under burst of foot joints in AROM (p.05). In particular, in the relationship between the bowing of the foot joint and standing long jump, the highest value of all correlation coefficients was shown (p.01). On the other hand, extra-shoulder joint rotation was not recognized to be correlated with all motor skills. In addition, there was less motor ability that showed a significant correlation with neck joint flexion and elongation, intra-shoulder joint rotation, and wrist joint extension. Most of the AROMs of the upper extremity were recognized to have a significant correlation with grip strength, shoulder muscle strength, and trunk forward flexion (p.05). In addition, most of the AROMs in the lower extremities were significantly correlated with sit-ups, convulsions, softball throwing, 50m running, side steps, single leg stance, long jump, and shuttle run test (p.05).BR Taken together, the development of foot and hip AROM among lower limb joints is considered the most important to obtain high motor skills in ambulatory cerebral palsy.