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Clinical characteristics of impaired trunk control in children with spastic cerebral palsy.
- Source :
-
Research in developmental disabilities [Res Dev Disabil] 2013 Jan; Vol. 34 (1), pp. 327-34. Date of Electronic Publication: 2012 Sep 19. - Publication Year :
- 2013
-
Abstract
- This study aimed to identify clinical characteristics of impaired trunk control in hundred children with spastic CP (mean age 11.4 ± 2.1 years, range 8-15 years). Assessment of trunk control was performed with the Trunk Control Measurement Scale (TCMS). Trunk control was clearly impaired, indicated by a median total TCMS score of 38.5 out of 58 (66%). Median subscale scores were 18 out of 20 (90%) for the subscale static sitting balance, 16 out of 28 (57%) for the subscale selective movement control and 6 out of 10 (60%) for the subscale dynamic reaching. Total TCMS and subscale scores differed significantly between topographies and severity of motor impairment according to the Gross Motor Function Classification System (GMFCS). Children with hemiplegia obtained the highest scores, followed by children with diplegia and children with quadriplegia obtained the lowest scores. TCMS scores significantly decreased with increasing GMFCS level. In conclusion, trunk control is impaired in children with CP to a various extent, depending on the topography and severity of the motor impairment. The findings of this study also provide specific clues for treatment interventions targeting trunk control to improve their functional abilities.<br /> (Copyright © 2012 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Child
Cohort Studies
Female
Hemiplegia physiopathology
Hemiplegia rehabilitation
Humans
Male
Motor Skills physiology
Physical Therapy Modalities
Postural Balance physiology
Severity of Illness Index
Cerebral Palsy physiopathology
Cerebral Palsy rehabilitation
Disability Evaluation
Torso physiology
Subjects
Details
- Language :
- English
- ISSN :
- 1873-3379
- Volume :
- 34
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Research in developmental disabilities
- Publication Type :
- Academic Journal
- Accession number :
- 23000634
- Full Text :
- https://doi.org/10.1016/j.ridd.2012.08.015