The Relationship Between Upper Extremity Functionality, Trunk Control and Balance in Children With Cerebral Palsy

NCT06378723 | Completed

• 1 other identifier: 2024/01/24
• Study Type: observational
• Target: 53
• Locations: 2 countries
• Sites: 2

Brief Summary

The aim of this study is to examine the relationship between trunk control, upper extremity functionality and balance in children with cerebral palsy and to compare this relationship with healthy sedentary children.This study is carried out through Eastern Mediterranean University Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Pediatric Rehabilitation Unit.

Conditions

Diplegic Cerebral Palsy; Balance; Distorted; Cerebral Palsy

Keywords

cerebral palsy; upper extremity; trunk control; functionality; balance

Outcome Measures

Primary Outcomes (4)

• trunk control

  All the children will be measured with the Trunk Control Measurement Scale. This test includes 15 items that measure static and dynamic sitting balance, two components of trunk control during functional activities. All items are scored on 2, 3 or 4 points and are administered bilaterally. The total score is between 0-58. A high score indicates good performance.

  one month

• upper extremity functionality

  All the children will be measured with the Quality of upper extremity skills test. This test evaluates the quality of upper extremity movements; It evaluates in 4 different areas: independent movements, grasping, weight bearing and protective extension. In protective extension, falling to the front, back and side using the arms is evaluated. A "yes" or "no" score is given depending on the completion of each action or task. Scores in these four areas are added together for a total score. Additionally, hand function, spasticity and cooperation are also evaluated. In hand function evaluation, 0 to 10 points are marked for the right hand, left hand and bilaterally. In cooperation, children's cooperation statuses are marked as "not cooperative", "partially cooperative" and "fully cooperative". During the evaluation, the child is not allowed to use any devices for the upper extremity. Both the child's right and left upper extremities are scored separately. Total score is between 0 and 100.

  one month

• balance

  all the children will be measured with the Four Step Square Test and Single leg Stance test. It is desirable to maintain this posture for as long as possible during the test. The test and duration begin with the foot being lifted off the ground. The test is repeated twice and the best time measured is noted in seconds (for single leg stance). The test begins with one foot of the individual touching the ground in the 2nd square and ends with the last foot touching the ground in the 1st square. The test is repeated twice for each individual and the test score completed in the shortest time is recorded in seconds (four step square test).

  one month

• Weight and Height

  Weight and height will be combined to report BMI in kg/m2

  one month

Study Arms (2)

Healthy Children

Healthy children between the ages of 8 and 18 will be included in the study. Children with hearing and vision loss will be excluded from the study in order not to affect balance disorders.

Other: Balance Tests

Cerebral Palsy Children

Cerebral Palsy children between the ages of 8 and 18 will be included in the study. Children with hearing and vision loss will be excluded from the study in order not to affect balance disorders. In order to standardize their mobility, those with Gross Motor Function Classification levels 1 and 2 will be included in the study.

Other: Balance Tests

Interventions

Balance Tests OTHER

With the scales and tests the children trunk control, quality of upper extremity skills, single leg stance duration will be measured

Cerebral Palsy Children; Healthy Children

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Cerebral Palsy and healthy children between the ages of 8 and 18 will be included in the study. Children with hearing and vision loss will be excluded from the study in order not to affect balance disorders. In order to standardize their mobility, those with GMFC levels 1 and 2 will be included in the study.

You may qualify if:

• Between the ages of 8-18,
• Gross Motor Function Classification System level 1-2,
• Do not have severe visual or hearing impairment,
• Does not have any cooperation problems that would hinder communication,
• Children who have had Botulinum Toxin-A injection

You may not qualify if:

• Those with GMFC level 3-4-5,
• Children who had surgery within the last six months were not included in the study.

Sponsors & Collaborators

• Eastern Mediterranean University: lead

Study Sites (2)

Eastern Mediterranean University

Famagusta, 99628, Cyprus

Location

Yeni Sihirli Eller Özel Eğitim ve Rehabilitasyon Merkezi

Adana, Çukurova, 01170, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Emine Tuzun, Prof

  Eastern Mediterranean University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Target Duration: 1 Year
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator PhD Physiotherapist Burcin Ugur Tosun

Study Record Dates

• First Submitted: February 14, 2024
• First Posted: April 22, 2024
• Study Start: February 1, 2024
• Primary Completion: April 15, 2024
• Study Completion: April 16, 2024
• Last Updated: February 3, 2026

Record last verified: 2026-01

Locations

CY (1); TU (1)