Relationship of Selective Voluntary Motor Control Impairment and Gait Deviations in Children With Cerebral Palsy by Simple Video-Based Analysis.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 42
- 试验地点
- 1
- 主要终点
- Impaired lower-extremity Selective Voluntary Motor Control are noticeably related with the foot and ankle movements in swing and initial stance during walking as well as the total Edinburgh Visual Gait Score and sagittal and frontal trunk movements.
研究概览
简要总结
Children with Cerebral Palsy have generally limited selective motor control which affects their ability to complete functional tasks Selective Motor Control has been shown to correlate with specific characteristics of gait, however in video based observational gait analysis, the sub phases of the gait cycle, which are affected by selective motor control, has not been investigated in children with Cerebral Palsy. Therefore the aim of this study was determine the relationship between Edinburgh Visual Gait Score and Selective Motor Control of the Lower Extremity test in children with cerebral palsy. Forty-two cerebral palsy children with Gross Motor Function Classification System level I-II-III and between 4-18 ages were participated for the study. After the demographic characteristics and all assessments of the patients were recorded, the gait characteristics of children were assessed by video based observational gait analysis. According to Edinburgh Visual Gait Score, phases of gait were analyzed.
Keywords: Cerebral Palsy, Selective Motor Control, Gait, Edinburgh Visual Gait Score
详细描述
Introduction and Purpose
Cerebral palsy (CP) is a group of permanent but non-progressive neurological disorder that emerges before, during, and after the birth. That disorder causes problems in the development of movement and posture and activity limitations. Motor disorders seen in CP are frequently accompanied by sensory and perception disorders, cognitive, communication and behavioral problems. In addition, epilepsy and secondary musculoskeletal problems are also added to this issue. CP varies according to etiology, severity and location of the disorder.
It is a form of classification defined by the Surveillance of Cerebral Palsy in Europe (SCPE). This classification method according to the clinical features of children with CP; Spastic type CP, Dyskinetic type CP, Ataxic CP and Unclassified / Other ".
In spastic CP, neurological damage to the corticospinal tract (CST) results in four interconnected neuromuscular deficiencies are shortened muscle-tendon unit, muscle weakness, spasticity and impaired selective motor control (SMC). These deficits are caused by brain damage, which disconnects with descending inhibitory and excitatory signals and consecutive changes in the motor unit, muscle fiber composition and muscle growth . These causes lead to inadequate motor functions in children with CP. More involvement of sensory-motor areas may impair motor function and proprioception. As well as, these neuromuscular deficits lead to the gait disorders which have commonly seen in children with spastic CP.
Although most of the studies have focused on spasticity and muscle weakness, recent research reveals the importance of SMC. SMC is described as the ability to isolate muscle activation in a selected pattern when a voluntary movement or posture is required.SMC skills are responsible for the movement and control of joints in agile and independent manner.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 4 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children with a diagnosis of diplegic or hemiparetic CP.
- •Between 4-18 years old,
- •GMFCS level I-II-III,
- •Can understand simple verbal commands,
排除标准
- •Children who do not meet the criteria for inclusion,
- •Children with ataxic and dyskinetic type CP were identified.
- •Children who exhibit discordant attitudes during the assessment (crying, indignation),
- •Families and children who want to quit working anywhere in the study,
- •Children who could not complete the assessment were identified as.
结局指标
主要结局
Impaired lower-extremity Selective Voluntary Motor Control are noticeably related with the foot and ankle movements in swing and initial stance during walking as well as the total Edinburgh Visual Gait Score and sagittal and frontal trunk movements.
时间窗: about 1 year
Edinburgh visual gait score is a tool for assessment of the gait phases. Selective Voluntary Motor Control was assessed with the SCALE Test. The SCALE Test consists of 5 items, and each item can be scored between 0 and 2 (0 = unable, 1 = impaired, 2 =normal). For each limb, high scores (maximum score of 10) indicate the best SVMC. Addition,assess of Edinburgh Visual Gait Score (EVGS) (0=normal, 1=moderate or mild pathology, 2=severe pathology). So 0 here means the best score at EVGS.
次要结局
未报告次要终点
研究者
Cansu Sardoğan
Candidate of MSc Physiotherapist
Yeditepe University