Influence of Trunk Control on Gait Characteristics and Capacity in Children with Spastic Diplegic Cerebral Palsy

Cemil Özal

Makale detayları

Influence of Trunk Control on Gait Characteristics and Capacity in Children with Spastic Diplegic Cerebral Palsy

Yazarlar:

Cemil Özal

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.58-67

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288270

pISSN:

2536-4499

Anahtar kelimeler:

Özet:

 Aim: This study was conducted with the aim of to determine the relationship between trunk control and walking with time-distance characteristics and walking capacity in children with spastic diplegic cerebral palsy. Method: The study included 14 children with spastic diplegic cerebral palsy, aged between 7-13 years, who were Level I-II according to Gross Motor Function Classification System. Trunk control was assessed with the Trunk Control Measurement Scale TCMS; static, dynamic, reach, and total score. Temporo-spatial characteristics of gait were evaluated with a posturography device NeuroCom Inc. by means of a force-plate, and step length cm, step width cm, walking speed cms and right-left symmetry in walking  were evaluated. Walking capacity was evaluated with the modified timed get up and go test mTUG. Relationships between variables were evaluated with Spearmans Correlation and linear regression analysis. Results: According to the correlation analysis, there was a significantly negative good relationship between the static subscale of TCMS and mTUG r: -0.754; p0.01, and a significantly negative excellent relationship between dynamic and reaching subscales and total TCMS scores respectively r-0.837; -0.861; -0.872 p0.01. Additionally, there were significantly good positive correlations between the static subscale of TCMS and step length, step wide and symmetry respectively 0.624; 0.690; 0.720 p0.01; a good positive correlation between the dynamic subscale of TCMS and step length, good positive correlation between reaching subscale of TCMS and step length; moderate to good positive correlations between total score of TCMS and step length, step wide and gait symmetry respectively r:-0.872; 0.677; 0.585; 0.626 p0.01. According to the regression analysis, the total TCMS score was a predictor of all gait characteristics except gait velocity; and mTUG R2  0.796; 0.394; 0.303; 0.027; 0.320. Conclusion: The results of this study show the importance of trunk control on gait characteristics and capacity in children with spastic diplegic CP.

 Aim: This study was conducted with the aim of to determine the relationship between trunk control and walking with time-distance characteristics and walking capacity in children with spastic diplegic cerebral palsy. Method: The study included 14 children with spastic diplegic cerebral palsy, aged between 7-13 years, who were Level I-II according to Gross Motor Function Classification System. Trunk control was assessed with the Trunk Control Measurement Scale TCMS; static, dynamic, reach, and total score. Temporo-spatial characteristics of gait were evaluated with a posturography device NeuroCom Inc. by means of a force-plate, and step length cm, step width cm, walking speed cms and right-left symmetry in walking  were evaluated. Walking capacity was evaluated with the modified timed get up and go test mTUG. Relationships between variables were evaluated with Spearmans Correlation and linear regression analysis. Results: According to the correlation analysis, there was a significantly negative good relationship between the static subscale of TCMS and mTUG r: -0.754; p0.01, and a significantly negative excellent relationship between dynamic and reaching subscales and total TCMS scores respectively r-0.837; -0.861; -0.872 p0.01. Additionally, there were significantly good positive correlations between the static subscale of TCMS and step length, step wide and symmetry respectively 0.624; 0.690; 0.720 p0.01; a good positive correlation between the dynamic subscale of TCMS and step length, good positive correlation between reaching subscale of TCMS and step length; moderate to good positive correlations between total score of TCMS and step length, step wide and gait symmetry respectively r:-0.872; 0.677; 0.585; 0.626 p0.01. According to the regression analysis, the total TCMS score was a predictor of all gait characteristics except gait velocity; and mTUG R2  0.796; 0.394; 0.303; 0.027; 0.320. Conclusion: The results of this study show the importance of trunk control on gait characteristics and capacity in children with spastic diplegic CP.

 Aim: This study was conducted with the aim of to determine the relationship between trunk control and walking with time-distance characteristics and walking capacity in children with spastic diplegic cerebral palsy. Method: The study included 14 children with spastic diplegic cerebral palsy, aged between 7-13 years, who were Level I-II according to Gross Motor Function Classification System. Trunk control was assessed with the Trunk Control Measurement Scale TCMS; static, dynamic, reach, and total score. Temporo-spatial characteristics of gait were evaluated with a posturography device NeuroCom Inc. by means of a force-plate, and step length cm, step width cm, walking speed cms and right-left symmetry in walking  were evaluated. Walking capacity was evaluated with the modified timed get up and go test mTUG. Relationships between variables were evaluated with Spearmans Correlation and linear regression analysis. Results: According to the correlation analysis, there was a significantly negative good relationship between the static subscale of TCMS and mTUG r: -0.754; p0.01, and a significantly negative excellent relationship between dynamic and reaching subscales and total TCMS scores respectively r-0.837; -0.861; -0.872 p0.01. Additionally, there were significantly good positive correlations between the static subscale of TCMS and step length, step wide and symmetry respectively 0.624; 0.690; 0.720 p0.01; a good positive correlation between the dynamic subscale of TCMS and step length, good positive correlation between reaching subscale of TCMS and step length; moderate to good positive correlations between total score of TCMS and step length, step wide and gait symmetry respectively r:-0.872; 0.677; 0.585; 0.626 p0.01. According to the regression analysis, the total TCMS score was a predictor of all gait characteristics except gait velocity; and mTUG R2  0.796; 0.394; 0.303; 0.027; 0.320. Conclusion: The results of this study show the importance of trunk control on gait characteristics and capacity in children with spastic diplegic CP.

 Amaç: Bu çalışma, spastik diplejik serebral palsili SP çocuklarda, gövde kontrolüyle yürümenin zaman mesafe özellikleri ve yürüme kapasitesiyle ilişkisinin belirlenmesi amacıyla yürütüldü. Yöntem: Çalışmaya yaşları 7-13 arasında değişen, Kaba Motor Fonksiyon Sınıflandırma Sistemine göre Seviye I-II olan 14 spastik diplejik serebral palsili çocuk dahil edilmiştir. Gövde kontrolü, Gövde Kontrolü Ölçüm Skalasıyla TCMS; statik, dinamik, uzanma ve toplam puan değerlendirildi. Yürüme zaman-mesafe özellikleri NeuroCom Inc. postürografi cihazı ile force-plate aracılığı ile değerlendirildi ve adım uzunluğu cm, adım genişliği cm, yürüme hızı cms ve yürümede sağ  sol simetrisi  değerlendirildi. Yürüme kapasitesi, modifiye zamanlı kalk ve yürü testi mTUG ile değerlendirildi. Değişkenler arasındaki ilişkiler Spearman Korelasyon ve doğrusal regresyon analizleri ile değerlendirildi. Bulgular: Korelasyon analizlerine göre, TCMSnin statik alt ölçeği ile mTUG arasında anlamlı derecede negatif iyi düzey bir ilişki r: -0,754; p0,01, dinamik ve uzanma alt ölçekleri ile toplam TCMS puanları arasında ise anlamlı derecede negatif mükemmel sırasıyla r-0,837; -0,861; -0,872 p0,01 bir ilişki vardı. Ek olarak, TCMSnin statik alt ölçeği ile adım uzunluğu, adım genişliği ve simetri arasında anlamlı derecede iyi pozitif korelasyonlar vardı sırasıyla 0,624; 0,690; 0,720 p0,01; TCMSnin dinamik alt ölçeği ile adım uzunluğu arasında iyi pozitif korelasyon r: 0,636 p0,01, TCMSnin uzanma alt boyutu ile adım uzunluğu arasında iyi pozitif korelasyon r: 0,724; p0,01; TCMS toplam puanı ile adım uzunluğu, adım genişliği ve yürüyüş simetrisi arasında orta ila iyi pozitif korelasyon vardı sırasıyla r:-0,872; 0,677; 0,585; 0,626 p0,01. Regresyon analizine göre, toplam TCMS puanı, yürüme hızı dışındaki tüm yürüyüş özelliklerinin ve mTUGun prediktörüdür sırasıyla R2  0,796; 0,394; 0,303; 0,027; 0,320. Sonuç: Bu çalışmanın sonuçları, spastik diplejik SPli çocuklarda gövde kontrolünün yürüme özellikleri ve kapasitesi üzerindeki önemini göstermektedir.

Makale detayları

Influence of Trunk Control on Gait Characteristics and Capacity in Children with Spastic Diplegic Cerebral Palsy

Yazarlar:

Cemil Özal

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.58-67

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288270

pISSN:

2536-4499

Cerebral palsy

postural control

gaitSerebral palsi

postüral kontrol

yürüme

Sayı

Makale detayları

Influence of Trunk Control on Gait Characteristics and Capacity in Children with Spastic Diplegic Cerebral Palsy

Yazarlar: Cemil Özal

Yayıncı: İstanbul Gelisim University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.58-67

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001288270

pISSN: 2536-4499

Cerebral palsy

postural control

gaitSerebral palsi

postüral kontrol

yürüme

Sayı

Yazarlar:

Cemil Özal

Yayıncı:

İstanbul Gelisim University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi Issue 19, pp.58-67

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001288270

pISSN:

2536-4499