Lower Extremity Evaluation in Children With Diparetic Cerebral Palsy According to ICF Perspective

NCT06583746 | Completed

• 1 other identifier: IlaydaS
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Cerebral palsy (CP); is the most common neurodevelopmental disorder seen in childhood, characterized by permanent motor dysfunctions that develop due to brain damage occurring before birth, during birth, or in early childhood. The most common type is spastic type CP with a prevalence rate of 70-80%. Spastic type CP is divided into three groups as diparetic (38%), hemiparetic (39%) and quadriparetic (23%). In diparetic cerebral palsy (DCP); lower extremity involvement is more pronounced than upper extremity involvement. Typically; weakness in the trunk, postural and antigravity muscles, functional and/or structural asymmetry between both lower extremities are seen and this condition is closely related to impaired static and/or dynamic balance, decreased postural control, decreased functional performance, and low participation rate in activities. The ICF (International Classification of Functioning, Disability, and Health) was developed by the World Health Organization in 2001 and is a comprehensive model that evaluates health status not only through the presence of diseases and disorders but also through various dimensions such as functionality, environmental, and personal factors. The ICF model includes five main components to evaluate an individual's functionality and disability: body structure and functions, activity, participation, environmental and personal factors. In recent years, functional abilities, including social participation, have increasingly become the focus of research in children with CP.

Conditions

Diparesis; Cerebral Palsy; Diplegic Cerebral Palsy; Lower Extremity Paresis

Keywords

Diparetic Cerebral Palsy; Lower extremity; International Classification of Function; Body structure and function; Activity; Participation

Outcome Measures

Primary Outcomes (3)

• Modified Ashworth Scale (MAS)

  It is a 6-point scale used to describe the resistance of the muscle to passive movement and the ease with which the joint can be moved within the available range. It is frequently used in clinical settings. It is quite practical to evaluate and interpret.

  baseline

• Gillette Functional Walking Assessment Questionnaire (FAQ)

  It is a measurement tool used to evaluate walking ability and functional mobility in children. This questionnaire was developed specifically to evaluate the walking functions of children with cerebral palsy and other neuromuscular disorders. Developed at Gillette Children's Hospital, this questionnaire aims to rate children's walking abilities in different environments. It scores children's walking skills on a scale of 1-10.

  baseline

• Pediatric Functional Independence Scale (WeeFIM)

  The WeeFIM scale is a tool used to assess children's independence levels and functional abilities. It was developed to objectively assess children's independence levels and whether they need assistance with daily living activities. The scale consists of 6 main headings and 18 subheadings. These subheadings evaluate areas such as self-care (feeding, dressing, toilet use), sphincter control, transfers (e.g. bed, chair), movement (walking, wheelchair use), communication and social cognition (problem solving, memory). Scoring ranges from 1 to 7, with the highest score being 126. As the score increases, assistance decreases and independence increases.

  baseline

Study Arms (1)

Lower extremity evaluation of children with DCP within the framework of ICF

30 children with DCP were included. The lower extremity evaluations of these cases were made according to ICF. Modified Ashworth Scale (MAS) was used for body structure and functions, Gillette Functional Assessment Questionnaire (FAQ) was used for activity and Pediatric Functional Independence Measure (WeeFIM) was used for participation.

Other: Group1

Interventions

Group1 OTHER

30 children with DCP were included. The lower extremity evaluations of these cases were made according to ICF. Modified Ashworth Scale (MAS) was used for body structure and functions, Gillette Functional Assessment Questionnaire (FAQ) was used for activity and Pediatric Functional Independence Measure (WeeFIM) was used for participation.

Lower extremity evaluation of children with DCP within the framework of ICF

Eligibility Criteria

• Age: 3 Years - 13 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Children diagnosed with diparetic cerebral palsy between the ages of 3 and 13 were included.

You may qualify if:

• Between 3-13 years old,
• Diagnosis of diparetic cerebral palsy,
• Participants and/or parents willing to participate in the study voluntarily.

You may not qualify if:

• Having different types of CP such as dyskinetic, mixed, ataxic types other than spastic type,
• Having spastic quadriparetic or hemiparetic type CP,
• Having received Botulinum Toxin injections to the lower extremities within the last 6 months.

Sponsors & Collaborators

• Acıbadem Atunizade Hospital: lead

Study Sites (1)

Acıbadem Altunizade Hospital

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy; Paresis; Motor Activity

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pediatric Physiotherapist

Study Record Dates

• First Submitted: September 2, 2024
• First Posted: September 4, 2024
• Study Start: January 1, 2002
• Primary Completion: January 31, 2022
• Study Completion: January 31, 2022
• Last Updated: September 4, 2024

Record last verified: 2024-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)