Structural Equation Modeling of Participation Restrictions, Trunk Control, Dynamic Balance and Environmental Factors in Children with Diplegic Cerebral Palsy

Hasan Bingöl; Dilan Demirtaş Karaoba

Makale detayları

Structural Equation Modeling of Participation Restrictions, Trunk Control, Dynamic Balance and Environmental Factors in Children with Diplegic Cerebral Palsy

Yazarlar:

Hasan Bingöl | Dilan Demirtaş Karaoba

Yayıncı:

Hacettepe University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon

Dergi:

Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.11 Issue 2, pp.601-614

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322901

pISSN:

2528-9918

Anahtar kelimeler:

Özet:

 Objective: To test a structural model of trunk balance, dynamic balance and environmental factors as potential determinants of participation restrictions in children with diplegic cerebral palsy CP Material and Method: A total of 35 children with diplegic CP aged between 5-14 years mean age: 8,68 SD 3.1; 17 boys and 18 girls were included in the study. Trunk control, dynamic balance, environmental factors, and participation outcomes of the included children were measured with the Trunk Control Measurement Scale TCMS, Timed Up and Go TUG test, European Child Environment Questionnaire ECEQ, and Assessment of Life Habits Life-H, respectively. Complex or multiple relationships between defined variables were explored using path analysis-one of Structural Equation Modelling SEM. Results: The proposed path model revealed that trunk control had significant and direct effects on dynamic balance and environmental factors variables β1 -0,66; p0,001 and β2 -0,79; p0,001. A direct effect between trunk control variable and participation parameters could not be found p0,05, In contrast, the effects of trunk control on participation parameters was mediated by dynamic balance β1-0,10; p0,05 and β2-0,46; p0,05 and environmental factors parameters β1-0,58; p0,001 and β2-0,21; p0,05. Furthermore, trunk control, dynamic balance, and environmental factors variables explained 33,9 of variance in participation in daily activities scaled score, whereas the same parameters explained only 9  of variance in the score of participation in social settings. Conclusion: Impaired trunk control, poor dynamic balance, and environmental barriers were found to be responsible for poor participation outcomes in children with diplegic CP. This suggests that improving the participation outcomes of the target population necessitates trunk control training, dynamic balance exercises, and environmental modifications.

 Objective: To test a structural model of trunk balance, dynamic balance and environmental factors as potential determinants of participation restrictions in children with diplegic cerebral palsy CP Material and Method: A total of 35 children with diplegic CP aged between 5-14 years mean age: 8,68 SD 3.1; 17 boys and 18 girls were included in the study. Trunk control, dynamic balance, environmental factors, and participation outcomes of the included children were measured with the Trunk Control Measurement Scale TCMS, Timed Up and Go TUG test, European Child Environment Questionnaire ECEQ, and Assessment of Life Habits Life-H, respectively. Complex or multiple relationships between defined variables were explored using path analysis-one of Structural Equation Modelling SEM. Results: The proposed path model revealed that trunk control had significant and direct effects on dynamic balance and environmental factors variables β1 -0,66; p0,001 and β2 -0,79; p0,001. A direct effect between trunk control variable and participation parameters could not be found p0,05, In contrast, the effects of trunk control on participation parameters was mediated by dynamic balance β1-0,10; p0,05 and β2-0,46; p0,05 and environmental factors parameters β1-0,58; p0,001 and β2-0,21; p0,05. Furthermore, trunk control, dynamic balance, and environmental factors variables explained 33,9 of variance in participation in daily activities scaled score, whereas the same parameters explained only 9  of variance in the score of participation in social settings. Conclusion: Impaired trunk control, poor dynamic balance, and environmental barriers were found to be responsible for poor participation outcomes in children with diplegic CP. This suggests that improving the participation outcomes of the target population necessitates trunk control training, dynamic balance exercises, and environmental modifications.

 Objective: To test a structural model of trunk balance, dynamic balance and environmental factors as potential determinants of participation restrictions in children with diplegic cerebral palsy CP Material and Method: A total of 35 children with diplegic CP aged between 5-14 years mean age: 8,68 SD 3.1; 17 boys and 18 girls were included in the study. Trunk control, dynamic balance, environmental factors, and participation outcomes of the included children were measured with the Trunk Control Measurement Scale TCMS, Timed Up and Go TUG test, European Child Environment Questionnaire ECEQ, and Assessment of Life Habits Life-H, respectively. Complex or multiple relationships between defined variables were explored using path analysis-one of Structural Equation Modelling SEM. Results: The proposed path model revealed that trunk control had significant and direct effects on dynamic balance and environmental factors variables β1 -0,66; p0,001 and β2 -0,79; p0,001. A direct effect between trunk control variable and participation parameters could not be found p0,05, In contrast, the effects of trunk control on participation parameters was mediated by dynamic balance β1-0,10; p0,05 and β2-0,46; p0,05 and environmental factors parameters β1-0,58; p0,001 and β2-0,21; p0,05. Furthermore, trunk control, dynamic balance, and environmental factors variables explained 33,9 of variance in participation in daily activities scaled score, whereas the same parameters explained only 9  of variance in the score of participation in social settings. Conclusion: Impaired trunk control, poor dynamic balance, and environmental barriers were found to be responsible for poor participation outcomes in children with diplegic CP. This suggests that improving the participation outcomes of the target population necessitates trunk control training, dynamic balance exercises, and environmental modifications.

 Amaç: Diplejik Serebral Palsi SPli çocuklarda katılım kısıtlılıklarının potansiyel belirleyicileri olan gövde dengesi, dinamik denge ve çevresel faktörlerin yapısal modelini test etmek Gereç ve Yöntem: Çalışmaya yaşları 5-14 yıl ortalama yaş:10,282,47; 17 erkek 18 kız arasında değişen toplam 35 diplejik SPli çocuk dâhil edildi. Çalışmaya dâhil edilen çocukların gövde kontrolü, dinamik denge ve fonksiyonel mobiliteleri, çevresel faktörler ve katılım özellikleri sırasıyla Gövde Kontrol Ölçüm Skalası GKÖS, Zamanlı Kalk ve Yürü Testi ZKYT, Avrupa Çocuk Çevre Anketi AÇÇA ve Yaşam Alışkanlıkları Değerlendirme Anketi Life -H kullanılarak değerlendirildi. Belirlenen değişkenler arasındaki kompleks veya çoklu ilişkiler yapısal bir eşitlik modeli YEM olan Yol Analizi kullanılarak belirlendi. Bulgular: Önerilen yol modeli, diplejik SPli çocuklarda gövde kontrolünün dinamik denge ve çevresel faktörler değişkenleri üzerinde anlamlı ve doğrudan etkileri olduğunu ortaya koydu β1 -0,66; p0,001 ve β2 -0,79; p0,001. Gövde kontrolünün katılım parametreleriyle doğrudan ilişkisi bulunamadı p0,05. Buna karşılık, gövde kontrollünün katılım parametreleri üzerindeki etkilerine dinamik denge β1-0,10; p0.05 ve β2-0,46; p0,05 ve çevresel faktörler β1-0,58; p0,001 ve β2-0,21; p0,05 değişkenleri aracılık etmiştir. Son olarak, gövde kontrolü, dinamik denge ve çevresel faktörler parametreleri birlikte günlük aktivitelere katılım skorundaki varyansın 33,9unu açıklarken, aynı parametreler sosyal ortamlara katılım parametresi skorundaki varyansın sadece 9unu açıkladı. Sonuç: Bozulmuş gövde kontrolü, zayıf dinamik denge ve çevresel engeller, diplejik SPli çocuklarda kötü katılım sonuçlarından sorumlu bulundu. Bu durum, hedef kitlenin katılım sonuçlarının iyileştirilmesi için gövde kontrol eğitimi, dinamik denge egzersizleri ve çevresel değişikliklerin yapılması gerektiğini göstermektedir.

Makale detayları

Structural Equation Modeling of Participation Restrictions, Trunk Control, Dynamic Balance and Environmental Factors in Children with Diplegic Cerebral Palsy

Yazarlar:

Hasan Bingöl | Dilan Demirtaş Karaoba

Yayıncı:

Hacettepe University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon

Dergi:

Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.11 Issue 2, pp.601-614

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322901

pISSN:

2528-9918

Child

diplegic cerebral palsy

participation

structural equation modellingÇocuk

diplejik serebral palsi

katılım

yapısal eşitlik modellemesi

Sayı

Makale detayları

Yazarlar: Hasan Bingöl | Dilan Demirtaş Karaoba

Yayıncı: Hacettepe University

Ana Başlıklar: Fizyoterapi | Rehabilitasyon

Dergi: Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.11 Issue 2, pp.601-614

Belge Tipi: Makale

Yayın Tarihi: 2/2024

Belge Dili: Türkçe

Document ID (Org No.): 2001322901

pISSN: 2528-9918

Sayı

Yazarlar:

Hasan Bingöl | Dilan Demirtaş Karaoba

Yayıncı:

Hacettepe University

Ana Başlıklar:

Fizyoterapi | Rehabilitasyon

Dergi:

Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi Vol.11 Issue 2, pp.601-614

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

Türkçe

Document ID (Org No.):

2001322901

pISSN:

2528-9918