Lower extremity proprioception and its association with activity and participation in children with unilateral spastic cerebral palsy


İPEK ERDEM F., KEREM GÜNEL M., Alemdaroglu-Gurbuz I.

Archives de Pediatrie, cilt.30, sa.3, ss.158-164, 2023 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 3
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.arcped.2023.01.007
  • Dergi Adı: Archives de Pediatrie
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.158-164
  • Anahtar Kelimeler: Activity, Cerebral palsy, ICF-CY, Participation, Proprioception
  • Dokuz Eylül Üniversitesi Adresli: Evet

Özet

Objective: This cross-sectional study aimed to assess lower extremity proprioception and investigate its relationship to activity and participation levels in children with unilateral spastic cerebral palsy (USCP). Methods: A total of 22 children with USCP between the ages of 5 and 16 years participated in this study. Lower extremity proprioception was evaluated with a protocol that consisted of verbal and location identification, unilateral and contralateral limb matching, and static and dynamic balance tests performed with the impaired and less impaired lower extremities under eyes-open and eyes-closed conditions. Furthermore, the Functional Independence Measure (WeeFIM) and Pediatric Outcomes Data Collection Instrument (PODCI) were used to evaluate the independence levels in daily living activities and participation levels. Results: Children demonstrated proprioceptive loss, as evidenced by an increase in matching errors under the eyes-closed condition compared to the eyes-open condition (p<0.05). Also, the impaired extremity had greater proprioceptive loss than the less impaired extremity (p<0.05). The 5–6-year age group experienced greater proprioceptive deficits than did the 7–11 and 12–16 age groups (p<0.05). Children's lower extremity proprioceptive deficit was moderately associated with their activity and participation levels (p<0.05). Conclusions: Our findings suggest that treatment programs based on comprehensive assessments, including proprioception, may be more effective in these children.