Trunk Somatosensory Function, Trunk Control, and Thoracic Kyphosis in Children With Spastic Cerebral Palsy

NCT06697704 | Completed

• 1 other identifier: TYL-2023-127
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This observational study aims to investigate the relationship between trunk somatosensory function, trunk control, and thoracic kyphosis in children with cerebral palsy. The main questions it seeks to answer are:

• Is there a relationship between trunk somatosensory function and trunk control?
• Is there a relationship between trunk somatosensory function and thoracic kyphosis?
• Is there a relationship between trunk control and thoracic kyphosis?

Conditions

Spastic Cerebral Palsy

Keywords

cerebral palsy; trunk control; spinal curvature; somatosensory function

Outcome Measures

Primary Outcomes (7)

• Light Touch, Tactile Sense

  A measure of trunk somatosensory function, using a Semmes-Weinstein Monofilament (SWM) kit, consisting of 20 calibrated monofilaments in the prone position.

  At baseline

• Two-Point Discrimination, Tactile Sense

  A measure of trunk somatosensory function, using a discriminator in the prone position.

  At baseline

• Vibration, Tactile Sense

  A measure of trunk somatosensory function, using a 64 Hz tuning fork in the prone position.

  At baseline

• Position Sense Reproduction, Proprioception Sense

  A measure of trunk somatosensory function, using a digital inclinometer in a comfortable position with their hips and knees flexed to 90 degrees in the sitting position for the 30 degree trunk flexion and 10 degree trunk extension.

  At baseline

• Pain Sense

  A measure of trunk somatosensory function, using a dolorimeter for the pressure pain threshold in the prone position and the Visual Analogue Scale (VAS) for the pain severity.

  At baseline

• Trunk Control

  It was evaluated by the Trunk Control Measurement Scale (TCMS). TCMS is a reliable scale that assesses trunk control during functional activities, focusing on two components: static sitting balance and dynamic sitting balance. It consists of 15 items. Static sitting balance (items 1-5) evaluates trunk control while seated, while dynamic sitting balance includes selective movement control (items 6-12) for trunk movements in different planes, and dynamic reaching (items 13-15) for balance during reaching.The maximum scores are 20 for static sitting balance, 28 for selective movement control, and 10 for dynamic reaching. Higher scores indicate better trunk control performance.

  At baseline

• Thoracic Kyphosis

  Thoracic kyphosis in participants with cerebral palsy (CP) was assessed using a digital inclinometer. Participants sat comfortably on a Bobath bed with their hips and knees flexed at 90 degrees and feet on the floor. The T1 and T12 vertebrae were marked, and a dual digital inclinometer was attached to these points. The recorded value on the inclinometer's screen was noted in degrees.

  At baseline

Eligibility Criteria

• Age: 8 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Children with spastic cerebral palsy from city hospital and special education and rehabilitation center in Kocaeli and Sakarya, Turkey will be recruited for this study.

You may qualify if:

• Received a diagnosis from a specialist doctor in the field
• Willing to participate, along with their family
• To be between the ages of 8-18
• The child with CP is able to tolerate the required test positions for the study

You may not qualify if:

• Received an additional diagnosis (down syndrome, autism, torticollis, etc.) other than CP from a specialist doctor in the field
• Has cognitive problems or attention disorders that prevent him/her from fulfilling the assessment instructions
• Botulinum Toxin A injection to the trunk or extremities, orthopedic surgery, and/or neurosurgery applications have been performed in the last six months.
• Having uncorrected visual and/or hearing problems

Sponsors & Collaborators

• Kutahya Health Sciences University: lead

Study Sites (1)

Kutahya Health Sciences University

Kütahya, 43020, Turkey (Türkiye)

Location

Related Publications (5)

• Brun C, Traverse E, Granger E, Mercier C. Somatosensory deficits and neural correlates in cerebral palsy: a scoping review. Dev Med Child Neurol. 2021 Dec;63(12):1382-1393. doi: 10.1111/dmcn.14963. Epub 2021 Jun 17.

  PMID: 34145582 BACKGROUND

• Auld ML, Boyd RN, Moseley GL, Ware RS, Johnston LM. Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Arch Phys Med Rehabil. 2012 Apr;93(4):696-702. doi: 10.1016/j.apmr.2011.10.025. Epub 2012 Feb 22.

  PMID: 22360974 BACKGROUND

• McLean B, Taylor S, Valentine J, Carey L, Thornton A, Elliott C. Somatosensory discrimination impairment in children with hemiplegic cerebral palsy as measured by the sense_assess(c) kids. Aust Occup Ther J. 2021 Aug;68(4):317-326. doi: 10.1111/1440-1630.12729. Epub 2021 Mar 18.

  PMID: 33738799 BACKGROUND

• Santana CAS, Dos Santos MM, de Campos AC. Interrelationships of Touch and Proprioception with Motor Impairments in Individuals with Cerebral Palsy: A Systematic Review. Percept Mot Skills. 2022 Jun;129(3):570-590. doi: 10.1177/00315125221093904. Epub 2022 Apr 22.

  PMID: 35452588 BACKGROUND

• Monica S, Nayak A, Joshua AM, Mithra P, Amaravadi SK, Misri Z, Unnikrishnan B. Relationship between Trunk Position Sense and Trunk Control in Children with Spastic Cerebral Palsy: A Cross-Sectional Study. Rehabil Res Pract. 2021 Aug 19;2021:9758640. doi: 10.1155/2021/9758640. eCollection 2021.

  PMID: 34462670 BACKGROUND

MeSH Terms

Conditions

Cerebral Palsy; Spinal Curvatures

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Spinal Diseases; Bone Diseases; Musculoskeletal Diseases

Study Officials

• Gulce KALLEM SEYYAR, PT, PhD

  Kutahya Health Sciences University

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: March 15, 2024
• First Posted: November 20, 2024
• Study Start: April 22, 2024
• Primary Completion: August 30, 2024
• Study Completion: August 30, 2024
• Last Updated: November 20, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)