Upper Extremity Function In Cerebral Palsy And Its Association With Balance And Trunk Control
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cerebral Palsy
- Sponsor
- Gazi University
- Enrollment
- 62
- Primary Endpoint
- Quality of Upper Extremity Skills Test
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
Children with cerebral palsy (CP) have postural control problems due to the lack of motor and sensory development. Trunk control which has an important role in ensuring postural control, is the basis for sitting, mobility, development of the upper extremity, pulmonary function and activities of daily living. Poor postural control restricts upper extremity functions which also affects the quality of movements. For this reason, it is important to assess the relationship between trunk control and upper extremity functions. This study is planned to investigate the effect of balance and trunk control on upper extremity functions in children with CP.
Detailed Description
30 hemiparetic and 32 diparetic CP, in total 62 children, aged between 5-12 years, were included in this study. Trunk Control Measurement Scale (TCMS) was used to assess trunk control, Pediatric Balance Scale (PBS) was used to assess balance, and Quality of Upper Extremity Skills Test was used to assess upper extremity functions (QUEST).
Investigators
Ayse Simsek
Research assistant
Gazi University
Eligibility Criteria
Inclusion Criteria
- •spastic hemiparetic and / or diparetic CP
- •co-operative enough to understand test directives
- •between 5 and 12 years of age
- •Having spasticity of 0-2 according to the modified wax and / or modified Ashworth Scale (MAS)
- •GMFCS I, II and III
Exclusion Criteria
- •Have had previous orthopedic surgery to the upper extremity
Outcomes
Primary Outcomes
Quality of Upper Extremity Skills Test
Time Frame: 30 minutes
QUEST is a reliable tool for children with CP aged 2-12 years.The QUEST groups upper limb movement into four domains. Each domain focuses on areas of difficulty typically seen in children with spastic cerebral palsy: (a) Dissociated Movements, (ability to voluntarily isolate movement at the shoulder, elbow, wrist and fingers); (b) Grasps (which also rates sitting postures during grasps of 1 inch cube, cereal, pencil or crayon); (c) Weight Bearing (ability to lean on the arms in prone or 4-point kneeling, sitting and while reaching); and (d) Protective Extension (using the arms to stop oneself from falling forward, backward and to the side). In addition to the four domains of movement the QUEST also has three scales: Hand Function, Spasticity and Co-operativeness.
Secondary Outcomes
- Trunk Control Measurement Scale(20 minutes)
- Pediatric Balance Scale(20 minutes)