Cerebral Palsy, Spastic Clinical Trial
Official title:
The Effect of Trunk Control on Respiratory Muscle Strength and Activities of Daily Living in Children With Cerebral Palsy
Cerebral palsy (CP) can be defined as a group of disorders of movement and posture, causing
activity limitation that are attributed to nonprogressive deficits that take place in the
immature brain. The motor disorders of CP are often accompanied by deficits in sensation,
cognition, communication, perception, behavioral and respiratory system .
Children with CP have many primary motor impairments such as selective mobility, muscle
weakness, abnormal muscle tone, impaired coordination between agonist-antagonist muscles and
insufficient postural control. These motor impairments also lead to secondary problems such
as contractures and bone deformities. Whether primer or secondary, all these problems can
reduce independence in activities of daily living (ADL) by affecting CP children at different
levels.
There are several studies in children with CP that investigate the effects of trunk control
and/or respiratory functions. However, there are very few studies examining the relationship
of these functions which have direct effects on ADL. In these studies, the functions of
children who are more heavily affected and unable to move have been examined. However, there
are no studies examining the effect of trunk control on respiratory muscle strength in
children with CP with a better mobility level. There are many factors affecting both trunk
control and respiratory functions in these children. Therefore, in children with CP, who have
better functional level and can move on their own, revealing the interaction between trunk
control and respiratory functions may contribute significantly to the treatment process. For
this reason, this study was planned to investigate the effect of trunk control on ADL and
respiratory muscle strength in children with CP having a Gross Motor Functional
Classification System (GMFCS) levels of 1 and 2 and to compare them with healthy children.
Trunk control was evaluated by Trunk Control Measurement Scale (TCMS), ADL was evaluated by Pediatric Evaluation of Disability Inventory (PEDI) and respiratory muscle strength was evaluated by mouth pressure meter. ;
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