Effects of structured training on spinal posture and selective motor control in children with unilateral spastic cerebral palsy

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dc.authorid0000-0002-0871-2470
dc.authorid0000-0002-2778-0065
dc.contributor.authorTaş, Seda Ayaz
dc.contributor.authorÇankaya, Tamer
dc.date.accessioned2024-09-25T19:59:49Z
dc.date.available2024-09-25T19:59:49Z
dc.date.issued2024
dc.departmentBAİBÜ, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü en_US
dc.description.abstractBackground: Children with Unilateral Spastic Cerebral Palsy (USCP) have an asymmetrical postural pattern. Although functional limitations are less, deteriorations in spinal posture are observed. Research question: What is the effect of structured training on spinal posture and selective motor control of upper extremity? Methods: Forty five children with USCP were included in the study. Participants were children ages 3-18 with GMFCS levels 1 and 2. Spinal posture and mobility was assessed by Spinal Mouse (SM) and the Spinal Alignment and Range of Motion Measure (SAROMM), and selective motor control of upper extremity was evaluated by the Selective Control of the Upper Extremity Scale (SCUES). Children were divided into two groups: structured training group (STG) (n = 22) and conventional physiotherapy group (CPG) (n = 23). Groups received treatment sessions lasting 45 min, 2 days a week for 8 weeks. Evaluations were made baseline and after treatment. Results: In sagittal plane, there was a significant decrease in the degree of thoracic kyphosis after treatment in the STG (p = 0.004). A significant difference was found in total spine angulation (p = 0.015) and mobility from flexion to extension in the STG group. There was a difference in total spine angulation (p = 0.014) in the CPG group, but no difference in spinal mobility. Post-training differences were found in thoracic angulation (p = 0.006) and lateral flexion mobility to the affected side in the STG in thoracic (p = 0.020), lumbar (p = 0.035) and total spine (p = 0.008) in the frontal plane. When SCUES-shoulder, elbow, wrist, total scores changes was significant in CPG (p < 0.001), SCUES-forearm (p = 0.002) and fingers (p = 0.007) changes was significant in STG. Significance: This study showed that although children with USCP are more mildly affected, there are adverse effects on their selective motor control and spinal posture. This study reveals the contribution of structured training in terms of selective movement, spinal smoothness and mobility in children.en_US
dc.identifier.doi10.1016/j.gaitpost.2024.01.007
dc.identifier.endpage27en_US
dc.identifier.issn0966-6362
dc.identifier.issn1879-2219
dc.identifier.pmid38244393en_US
dc.identifier.scopus2-s2.0-85184777230en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage22en_US
dc.identifier.urihttps://doi.org/10.1016/j.gaitpost.2024.01.007
dc.identifier.urihttps://hdl.handle.net/20.500.12491/13933
dc.identifier.volume109en_US
dc.identifier.wosWOS:001170718700001en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÇankaya, Tamer
dc.institutionauthorTaş, Seda Ayaz
dc.institutionauthorid0000-0002-0871-2470
dc.institutionauthorid0000-0002-2778-0065
dc.language.isoenen_US
dc.publisherElsevier Ireland Ltden_US
dc.relation.ispartofGait & Postureen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzYK_20240925en_US
dc.subjectPostureen_US
dc.subjectSpinal mouseen_US
dc.subjectCerebral palsyen_US
dc.subjectSpineen_US
dc.subjectKyphosisen_US
dc.titleEffects of structured training on spinal posture and selective motor control in children with unilateral spastic cerebral palsyen_US
dc.typeArticleen_US

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