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. 2024 Jan 1;12(1):98.
doi: 10.3390/healthcare12010098.

Can Clinical Assessment of Postural Control Explain Locomotive Body Function, Mobility, Self-Care and Participation in Children with Cerebral Palsy?

Blanka Vlčkova  1 , Jiří Halámka  1 , Markus Müller  2 , Jose Manuel Sanz-Mengibar  3 , Marcela Šafářová  1
Affiliations

Can Clinical Assessment of Postural Control Explain Locomotive Body Function, Mobility, Self-Care and Participation in Children with Cerebral Palsy?

Blanka Vlčkova et al. Healthcare (Basel). .

Abstract

Trunk control may influence self-care, mobility, and participation, as well as how children living with cerebral palsy (CP) move around. Mobility and Gross Motor performance are described over environmental factors, while locomotion can be understood as the intrinsic ontogenetic automatic postural function of the central nervous system, and could be the underlying element explaining the relationship between these factors. Our goal is to study the correlation among Trunk Control Measurement Scale (TCMS) and Pediatric Evaluation of Disability Inventory (PEDI) domains, as well as Locomotor Stages (LS).

Methods: A feasibility observational analysis was designed including 25 children with CP who were assessed with these scales.

Results: The strong correlation confirms higher levels of trunk control in children with better self-care, mobility and participation capacities. Strong correlations indicate also that higher LS show better levels of PEDI and TCMS domains.

Conclusions: Our results suggest that more mature LS require higher levels of trunk control, benefitting self-care, mobility and social functions.

Keywords: cerebral palsy; locomotor activity; postural balance; self-care; social participation.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Ontogenetic Postural Function and Locomotor Stages. Shumway-Cook A, Woollacott MH, et al 2017; Holsbeeke L, et al 2009; WHO Multicentre Growth Reference Study Group, 2006; Vojta V, 2017.
See this image and copyright information in PMC

References

    1. Sanz-Mengibar J.M., Altschuck N., Sanchez-de-Muniain P., Bauer C., Santonja-Medina F. Position between trunk and pelvis during gait depending on the gross motor function classification system. Pediatr. Phys. Ther. 2017;29:130–137. doi: 10.1097/PEP.0000000000000361. - DOI - PubMed
    1. Shumway-Cook A., Woollacott M.H. Wolters Kluwer; Philadelphia, PA, USA: 2017. Motor Control: Translating Research Into Clinical Practice.
    1. Bosserman J., Kelkar S., LeBlond K.D., Cassidy J., McCarty D.B. Postural Control Measurements to Predict Future Motor Impairment in Preterm Infants: A Systematic Review. Diagnostics. 2023;13:3473. doi: 10.3390/diagnostics13223473. - DOI - PMC - PubMed
    1. Horak F.B., Macpherson J.M. Postural Orientation and Equilibrium. In: Rowell L.B., Sheperd J.T., editors. Handbook of Physiology, Section 12. Exercise: Regulation and Integration of Multiple Systems. Oxford University Press; New York, NY, USA: 1996. pp. 255–292.
    1. Palisano R.J., Hanna S.E., Rosenbaum P.L., Tieman B. Probability of walking, wheeled mobility, and assisted mobility in children and adolescents with cerebral palsy. Dev. Med. Child. Neurol. 2010;52:66–71. doi: 10.1111/j.1469-8749.2009.03454.x. - DOI - PubMed

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