scholarly journals Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shilpa Monica ◽  
Akshatha Nayak ◽  
Abraham M. Joshua ◽  
Prasanna Mithra ◽  
Sampath Kumar Amaravadi ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Negative Correlation ◽  
Functional Performance ◽  
Position Sense ◽  
Spinal Mobility ◽  
Measurement Scale ◽  
Spastic Cerebral Palsy ◽  
Trunk Control ◽  
Control Measurement ◽  
Trunk Position

Background and Aim. Children with spastic cerebral palsy (CP) have impaired trunk control. Joint position sense, a component of proprioception, plays a crucial role in maintaining spinal mobility and stability. The current study is aimed at analysing the relationship between trunk control and trunk position sense in children with spastic CP. Methods. In this study, 24 children with spastic CP aged between 8 and 15 years were recruited. They were classified based on their functional performance using Gross Motor Function Classification System (GMFCS). Trunk control and trunk position sense were assessed using the trunk control measurement scale (TCMS) and digital goniometer, respectively. The correlation between these variables was tested using Spearman’s correlation coefficient. Results. Significant negative correlation was found between trunk position sense and TCMS score. Similarly, a significant moderate correlation was found between trunk position sense and GMFCS. A strong negative correlation was also found between GMFCS and TCMS. Conclusion. Children with spastic CP with better trunk position sense had better trunk control. Similarly, children with higher functional performance had better trunk control and lesser error in trunk position sense. The current findings imply the relevance of proprioceptive training of the trunk for enhancing trunk motor control in children with spastic CP.

scholarly journals Impact of structured physical therapy intervention on functional recovery in a patient with CAPOS syndrome: a case report

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shailesh Gardas ◽  
Aishwarya Mahajan
Keyword(s):  
Functional Performance ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Measurement Scale ◽  
Manual Muscle Testing ◽  
Trunk Control ◽  
Control Measurement ◽  
Muscle Testing ◽  
Post Test ◽  
Capos Syndrome

Abstract Background CAPOS syndrome (cerebellar ataxia, areflexia, pescavus, optic atrophy, and sensorineural hearing loss) is a rare congenital autosomal dominant disorder. The resulting neurological sequelae of impairments are progressive in nature and may interfere with functional independence, performing activities of daily living (ADL’s), and subsequently, affecting the quality of life (QOL). Since it is an extremely rare disorder, there is a severe dearth in the literature about how specific physiotherapy interventions may affect their functional status. Therefore, our objective was to investigate the effects of proprioceptive neuromuscular facilitation (PNF) and Frenkel’s coordination exercises on functional recovery in a patient with CAPOS syndrome. Case presentation We herein present a case of a 25-year-old Indian male with complaints of generalized body weakness, difficulty visualizing distant objects, nystagmus, progressive sensorineural deafness, and ataxia. He was rehabilitated with a structured/customized physiotherapy protocol consisting of PNF approach and coordination exercises for 4 weeks, 6 days/week, 60 min daily. An improvement in overall functional performance of patient as per post-intervention scores of manual muscle testing, trunk control measurement scale, functional independence measure (components of self-care, transfers, and locomotion), and decline in severity of ataxia on scale for assessment and rating of ataxia scale was observed. Conclusion PNF and Frenkel’s exercises resulted in an improvement in overall functional performance of the patient. Improvement was observed in post-test scores of Manual Muscle Testing (MMT), Trunk Control Measurement Scale (TCMS), and Functional Independence Measure (FIM) for the components of self-care, transfers, and locomotion. Additionally, results also showed a decline in severity of ataxia on post-test scores of scale for the assessment and rating of ataxia (SARA) scale (i.e., from severe to moderate).

scholarly journals Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 687
Author(s):  
Misoo Lim ◽  
Haneul Lee ◽  
Hyoungwon Lim
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement ◽  
Korean Version ◽  
Sitting Balance ◽  
Children With Cerebral Palsy ◽  
Balance Ability

Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

Validity and Responsiveness of the Trunk Impairment Scale and Trunk Control Measurement Scale in Young Individuals with Cerebral Palsy

2016 ◽  
Vol 36 (4) ◽  
pp. 440-452 ◽  
Author(s):  
Hong Phi Pham ◽  
Anita Eidem ◽  
Gry Hansen ◽  
Astrid Nyquist ◽  
Torstein Vik ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement

scholarly journals A clinical tool to measure trunk control in children with cerebral palsy: The Trunk Control Measurement Scale

2011 ◽  
Vol 32 (6) ◽  
pp. 2624-2635 ◽  
Author(s):  
Lieve Heyrman ◽  
Guy Molenaers ◽  
Kaat Desloovere ◽  
Geert Verheyden ◽  
Jos De Cat ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Measurement Scale ◽  
Clinical Tool ◽  
Trunk Control ◽  
Control Measurement ◽  
Children With Cerebral Palsy

Reliability and Validity of the Trunk Control Measurement Scale Among Children and Adolescents With Cerebral Palsy in Tanzania

2020 ◽  
pp. 003151252098370
Author(s):  
Elisa Ravizzotti ◽  
Stefano Vercelli ◽  
Leonardo Pellicciari ◽  
Mariusz P. Furmanek ◽  
Giulia Zagnoni ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Construct Validity ◽  
Correlation Coefficient ◽  
Internal Consistency ◽  
Classification System ◽  
Reliability And Validity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Rater Reliability ◽  
Control Measurement

The aim of this study was to investigate the reliability and validity of the Trunk Control Measurement Scale (TCMS) among children with cerebral palsy (CP) who were living in Tanzania. Two physiotherapy trainees, each blinded to the other’s test findings, independently administered the TCMS to 38 children with CP (16 female; M age = 7.2, SD = 4.8 years) twice over sessions separated by a 30-day interval. We assessed internal consistency and intra/inter-rater reliability using Cronbach’s alpha and the Intraclass Correlation Coefficient (ICC), respectively. We examined measurement error through Standard Error of Measurement (SEM) and Minimal Detectable Change (MDC). We assessed construct validity with Spearman's correlation coefficient between the TCMS and both the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS). We found a frank floor effect. Internal consistency (α = 0.945) and reliability indices were excellent for the total scale (ICC for intra-rater reliability = 0.985, inter- reliability = 0.997) and for each sub-scale score. We found low values of SEM (1.7 points) and MDC (4.8 points). Construct validity was supported by moderate and strong correlations between the TCMS and the GMFCS and MACS in this sample. We conclude that the psychometric properties of the TMCS support its clinical and research use for youth with CP in low-income settings.

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