Abstract
Methods In this study, 24 children with spastic CP aged between 8 and 15 years were recruited. They were classified based on their functional performance using Gross Motor Function Classification System (GMFCS). Trunk control and trunk position sense were assessed using the trunk control measurement scale (TCMS) and digital goniometer, respectively. The correlation between these variables was tested using Spearman's correlation coefficient. Results Significant negative correlation was found between trunk position sense and TCMS score. Similarly, a significant moderate correlation was found between trunk position sense and GMFCS. A strong negative correlation was also found between GMFCS and TCMS. Conclusion Children with spastic CP with better trunk position sense had better trunk control. Similarly, children with higher functional performance had better trunk control and lesser error in trunk position sense. The current findings imply the relevance of proprioceptive training of the trunk for enhancing trunk motor control in children with spastic CP.
Highlights
Cerebral palsy is a nonprogressive developmental disorder due to injury to the developing brain, characterized by abnormalities in muscle tone, movement, and motor skills [1]
Literature review suggests a relationship between trunk control and sitting postural control, wherein children with cerebral palsy (CP) present with impaired trunk control and poor maintenance of upright posture owing to impairments in anticipatory [13] and reactive [14, 15] postural responses and changes in ground reaction force during postural adjustment [16]
Children with all the types of spastic CP aged between 8 and 15 years, who were diagnosed with CP by paediatricians through MRI in Gross Motor Function Classification System (GMFCS) levels I-III, who could sit independently for 30 minutes, without back support and feet placed on the ground, and with Modified Mini-Mental Scale Examination score not less than 24, were included in the study [31]
Summary
Cerebral palsy is a nonprogressive developmental disorder due to injury to the developing brain, characterized by abnormalities in muscle tone, movement, and motor skills [1]. Children with spastic cerebral palsy have poor trunk control owing to the weak trunk muscle strength, altered neural control, and inadequate position sense [11, 12]. The current study is aimed at analysing the relationship between trunk control and trunk position sense in children with spastic CP. 24 children with spastic CP aged between 8 and 15 years were recruited They were classified based on their functional performance using Gross Motor Function Classification System (GMFCS). Trunk control and trunk position sense were assessed using the trunk control measurement scale (TCMS) and digital goniometer, respectively. The correlation between these variables was tested using Spearman’s correlation coefficient.
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