The purpose of this study is to analyze if trunk training has effects on trunk, upper, lower extremity motor functions in children with spastic Cerebral Palsy. Second purpose is to analyze the relation between trunk control and prematurity, birth weight, upper and lower extremity motor functions in children with spastic Cerebral Palsy.
Cerebral Palsy (CP) is a condition caused by a lesion occurred in immature brain during prenatal, natal or postnatal period. Children with CP may have motor, cognitive, sensory, auditory, behavioral problems during their lifespan. Spastic type CP is most common type of CP and many children with spastic CP have both trunk and limb impairment. Physiotherapy is very important for improving motor function and protect from secondary impairments in this children and should start as early as possible. The aim of this study is to analyze if trunk training has effects on trunk, upper and lower extremity motor function in children with spastic CP. 38 children with spastic CP between 4-18 years age are included in this study. Both genders are included. The Participants randomized according to their gross motor function classification system levels and their age. Before intervention all groups assessed with assessment tools which assess muscle spasticity, balance, gross motor function, trunk control and walking characteristics. After randomization there wasn't any intervention for control group; they continued their regular physiotherapy in special education centers two times a week. Study group received trunk training two times a week in addition to their regular physiotherapy in special education centers during 8 weeks. After 8 weeks all groups assessed with the same assessment tools.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
38
The intervention includes neurodevelopment treatment, muscle strengthening and functional activities of trunk region
Change in trunk control over time assessed with Trunk Control Measurement Scale.
Assessing change in trunk control
Time frame: At baseline and 8 weeks after baseline
Change in daily living activities and participation over time assessed with Child Health Questionary Parent Form 50.
Assessment of child's daily living activities and participation
Time frame: At baseline and 8 weeks after baseline
Change in muscle activation over time assessed with Surface Electromyography.
Assessment of muscle activation
Time frame: At baseline and 8 weeks after baseline
Change in muscle spasticity over time assessed with Modified Tardieu Scale.
Assessing muscle spasticity
Time frame: At baseline and 8 weeks after baseline
Change in gross motor function over time assessed with Gross Motor Function Measurement
Assessing gross motor function
Time frame: At baseline and 8 weeks after baseline
Change in upper extremity skills over time assessed with Quality of Upper Extremity Skills Test
Assessing upper extremity skills
Time frame: At baseline and 8 weeks after baseline
Change in loco motion over time assessed with Gillette Functional Assessment Scale
Assessing loco motion.
Time frame: At baseline and 8 weeks after baseline
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Change in walking parameters over time assessed with Physicians Rating Scale
Assessing walking parameters
Time frame: At baseline and 8 weeks after baseline
Change in functional loco motion over time assessed with Timed Up and Go Test
Assessing functional loco motion
Time frame: At baseline and 8 weeks after baseline
Change in walking speed over time assessed with 1 Minute Walk Test
Assessing walking speed
Time frame: At baseline and 8 weeks after baseline
Change in balance over time assessed with Pediatric Balance Scale
Assessing balance
Time frame: At baseline and 8 weeks after baseline
Change in impact of having a disabled child on family over time assessed with Impact on Family Scale
Assessing impact on family to have a disabled child
Time frame: At baseline and 8 weeks after baseline
Change in independence level over time assessed with Functional Independence Measure for Kids
Assessing independence level
Time frame: At baseline and 8 weeks after baseline