Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 36503

Original article / research
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : YC05 - YC08

Relationship Between Trunk Control and Balance in Children with Spastic Cerebral Palsy: A Cross-Sectional Study

Sivatejaa Panibatla, Vijaya Kumar, Amitesh Narayan

1. Senior Resident, Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India. 2. Associate Professor, Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India. 3. Professor and Head, Department of Physiotherapy, Kasturba Medical College, Manipal University, Mangaluru, Karnataka, India.

Correspondence Address :
Dr. Vijaya Kumar,
Associate Professor, Department of Physiotherapy, Centre For Basic Sciences, Kasturba Medical College,
Manipal University, Mangaluru-576104, Karnataka, India.
E-mail: vijay.kk@manipal.edu

Abstract

Introduction: Trunk control is impaired in children with Cerebral Palsy (CP) thus influencing their functional balance. However, there is a paucity of literature determining the relationship between trunk control and balance in children with CP.

Aim: To find the relationship between trunk control and balance by means of Trunk Control Measurement Scale (TCMS) and Paediatric Balance Scale (PBS).

Materials and Methods: Twenty four children {age range 8-14 years, Gross Motor Function Classification System (GMFCS) Level I-III} with spastic CP were recruited and evaluated using TCMS and PBS. The results were expressed as summary measures median (M) and Inter-Quartile Range (IQR). The correlation of TCMS and PBS were done using Spearmanís correlation coefficient. A p-value <0.05 was considered statistically significant.

Results: The children obtained a median score of 52 out of 58 on the TCMS and 50 out of 56 on PBS. There was a significantly strong correlation with rs=0.77 and p<0.01. A strong correlation (p<0.01) was seen between static, dynamic and total components of TCMS and PBS. The median scores of TCMS and PBS had a strong correlation for boys with rs=0.74 and very strong correlation for girls with rs=0.84. Based on the type of spastic CP, diplegics had a very strong correlation with rs=0.85. While based on GMFCS levels, Level II and Level III had a very strong correlation (For level II rs=0.81 and level III rs=0.86) and weak correlation for level I (rs=0.27).

Conclusion: Based on gender, topography and severity of the motor impairment both trunk control and balance are impaired to a different degree in children with CP. The findings of this study showed a high positive correlation between trunk control and balance in children with spastic CP.

Keywords

Evaluation, Functional balance, Paediatric balance scale, Postural control, Trunk control ,measurement scale

How to cite this article :

Sivatejaa Panibatla, Vijaya Kumar, Amitesh Narayan. RELATIONSHIP BETWEEN TRUNK CONTROL AND BALANCE IN CHILDREN WITH SPASTIC CEREBRAL PALSY: A CROSS-SECTIONAL STUDY. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2018 Jan 16 ]; 11:YC05-YC08. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=YC05-YC08&id=10649

DOI and Others

DOI: 10.7860/JCDR/2017/28388.10649

Date of Submission: Mar 15, 2017
Date of Peer Review: May 06, 2017
Date of Acceptance: Jul 06, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com